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10.1016/j.ad.2019.12.001

http://scihub22266oqcxt.onion/10.1016/j.ad.2019.12.001
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32408974!ä!32408974

suck abstract from ncbi


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pmid32408974      Actas+Dermosifiliogr+(Engl+Ed) 2020 ; 111 (5): 408-412
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  • Comite quirurgico para la hidradenitis supurativa: nuestra experiencia #MMPMID32408974
  • Garbayo-Salmons P; Romani J; Ferrer de la Fuente C; Pallisera Lloveras A; Lopez-LLunell C; Prat Escayola J
  • Actas Dermosifiliogr (Engl Ed) 2020[Jun]; 111 (5): 408-412 PMID32408974show ga
  • BACKGROUND AND OBJECTIVES: The complexity of hidradenitis suppurativa (HS) treatment calls for a multidisciplinary approach. We therefore created a multidisciplinary team to manage surgical care. This study aimed to describe the clinical characteristics of the patients we evaluated and the outcomes of the surgical techniques used. MATERIAL AND METHODS: Descriptive cross-sectional study of 104 patients evaluated by our surgical case management team between September 2015 and July 2018. RESULTS: Surgery was used to treat 46% of the patients with HS who were evaluated. Most were men (73%) with no family history of HS (63%) and smokers or former smokers (76%). Gluteal HS comprised the largest phenotype group (41%) and the majority of cases were serious (Hurley stage II, 36%; stage III, 46%). The anatomical regions with the largest number of lesions were the axillae (51.9%) and the groin (41.3%). Surgery was most often performed in the axilla (38.3%), followed by the gluteus (23.4%). The most common drug treatment was a combination of rifampicin and clindamycin, Deroofing was the technique used most often (in 48% of the patients who underwent surgery). Postoperative outcomes were assessed as satisfactory overall in 63.4% of the cases. The HS lesion recurred in 20% and 12% developed wound dehiscence. CONCLUSIONS: Our experience leads us to recommend forming multidisciplinary teams to improve communication between specialists, provide tailored treatment for the patient with HS, and improve follow-up.
  • |*Case Management[MESH]
  • |*Hidradenitis Suppurativa/drug therapy[MESH]
  • |Axilla[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Groin[MESH]
  • |Humans[MESH]


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