Hidradenitis suppurativa

Hidradenitis Suppurativa is a disorder of the terminal follicular epithelium in the apocrine gland–bearing skin. This condition is a chronic disabling disorder that relentlessly progresses, frequently causing keloids, contractures, and immobility.

Hidradenitis Suppurativa usually occurs in otherwise healthy individuals and, very rarely, it can begin before puberty. This disease is characterised by chronic inflammation, purulent discharge, and progressive scarring.

Once conservative treatments like careful hygiene, washing, and antibiotics have failed, surgical removal of the involved area could provide relief from this disabling disease. Depending on the level of involvement, the area may be closed, skin-grafted, or left open to drain for a couple of weeks and then closed once the inflammation and bacteria are cleared.

Common side effects can include bruising, swelling and numbness which will usually subside as the area begins to heal.

There are more uncommon complications associated with surgery such as infection, haematoma, delayed healing and thick scarring.

After surgery, you will have dressings to protect the incisions and Dr. med. Strouthou may write a prescription to help control any pain or discomfort you experience during your recovery, if it is necessary. Despite some initial swelling, most patients return to work and other daily activities the day after the surgery. The appearance of the scars will continue to improve over time.

You will be given specific instructions that may include how to care for the surgical site and medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health.