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Hidradenitis Suppurativa Surgery Chandigarh

Hidradenitis Suppurativa Surgery in Chandigarh

Hidradenitis Suppurativa Treatment in Chandigarh: Hidradenitis Suppurativa (HS) is a chronic skin disease affecting millions worldwide. It is characterised by painful bumps that frequently occur in areas where the skin rubs together, such as the armpits, groin, and under the breasts, which can significantly impact a person’s quality of life. While the exact cause of HS is not fully understood, it is believed to be the result of a combination of genetic, hormonal, and environmental factors. Here, we explore the symptoms, causes, and available treatment options for HS to help you better understand the condition.

What is Hidradenitis Suppurativa?

Hidradenitis Suppurativa is a chronic inflammatory condition of the skin primarily involving the hair follicles and sweat glands. It usually starts after puberty and can be very mild to severe. This disease does not spread from person to person, but its appearance and symptoms cause physical discomfort and psychological stress.

Common Symptoms of Hidradenitis Suppurativa

HS often presents with the following symptoms:

Painful bumps: They develop into red nodules that feel tender and may take time to enlarge and fill up with pus.
Sinus tracts: The bumps eventually give rise to interconnected tunnels under the skin, called sinus tracts.
Scarring: Chronic HS can cause scarring that can present as thickened, raised patches of skin.
Odour and drainage: Infected bumps may leak fluid, thus causing unpleasant odours and discomfort.

Symptoms tend to appear in cycles, with periods of flare-ups leading to temporary improvement. Early diagnosis of HS can make all the difference in properly managing the condition.

What Causes Hidradenitis Suppurativa?

Despite scientists not fully understanding its aetiology, they have suggested some possible causes of HS as follows:

Blocked hair follicles: Often inflammation results from blocked hair follicles.
Hormonal changes: The disease frequently presents itself after puberty and worsens with periods or other phases of hormonal fluctuation.
Genetic predisposition: Having a family history increases the chances of acquiring HS.
Lifestyle factors: Stress, smoking, and obesity have the potential to deteriorate the symptoms of HS; therefore, lifestyle changes should also be incorporated in an appropriate management plan.

Finally, HS is not a hygienic disease or an infectious condition.

A dermatologist or healthcare provider often stages HS in three stages using the Hurley staging system:

Stage 1: A single or multiple abscesses without sinus tracts.

Stage 2: Recurrent abscesses accompanied by the formation of sinus tracts and scarring.

Stage 3: Widespread involvement with multiple interconnecting sinus tracts and extensive scarring.

Early diagnosis and treatment are crucial to managing symptoms and preventing progression.

Effective Treatment Options for Hidradenitis Suppurativa

There is no permanent cure for HS, but several treatments can alleviate symptoms and improve quality of life. These include:

Medications

Lifestyle Adjustments

Surgical Options for Treatment of Hidradenitis Suppurativa (HS)

Hidradenitis Suppurativa (HS) is a chronic, inflammatory skin condition characterized by recurrent abscesses, nodules, and sinus tracts, primarily in intertriginous areas such as the axillae, groin, and perineum. Surgical intervention is often necessary for moderate to severe disease that is refractory to medical management. Below is a detailed overview of surgical options, supported by literature, and divided into specific sections for extensive, area-specific, and multisite disease.

Surgical Options for Hidradenitis Suppurativa

Surgical Options for Hidradenitis Suppurativa

Indication: Acute abscesses for symptomatic relief.

Efficacy: Provides temporary relief but has a high recurrence rate (up to 100% in some studies). A study by Jemec et al. (1996) found that incision and drainage is not curative and is best used as a bridge to definitive surgical management.

b. Wide Local Excision

Indication: Chronic, recurrent, or severe HS lesions.

Procedure: Removal of the affected skin and subcutaneous tissue, including all sinus tracts and inflamed tissue.

Efficacy: Recurrence rates are lower (10-30%) compared to limited excision. Van der Zee et al. (2011) reported a recurrence rate of 27% after wide excision, with better outcomes in patients with Hurley stage II-III disease.

c. Deroofing

Indication: Sinus tracts and recurrent nodules. These are considered as small lesions.

Procedure: Removal of the roof of the sinus tract, allowing for healing by secondary intention.

Efficacy: Low recurrence rates (10-15%) and high patient satisfaction. Bieniek et al. (2013) found deroofing to be effective in 85% of cases, with minimal scarring and rapid healing.

d. Laser Therapy (CO2 or Nd-YAG)

Indication: Mild to moderate HS, particularly in early stages.

Procedure: Ablation of affected tissue using laser energy.

Efficacy: CO2 laser has shown recurrence rates of 10-20% in small studies. Hazen and Hazen (2010)* reported significant improvement in 72% of patients treated with CO2 laser, though other studies have not shown these results.

e. Skin-Tissue-Sparing Excision with Electrosurgical Peeling (STEEP)

Indication: Extensive disease with multiple sinus tracts.

Procedure: Layer-by-layer removal of affected tissue while preserving healthy skin.

Efficacy: Recurrence rates of 15-35% in long-term follow-up. Blok et al. (2015) demonstrated improved quality of life and low recurrence rates with STEEP. It can be used combined with extensive excision in very large lesions.

Living with Hidradenitis Suppurativa

Support groups, regular doctor visits, and proper care can help patients manage this disease and lead a fairly comfortable life.

Why Choose Expert Care with Dr. Rajeev Kapoor?

If you or your loved one is suffering from painful bumps, sinus tracts, or other symptoms of Hidradenitis Suppurativa, then seek Dr Rajeev Kapoor’s help. Specialising in personalised HS treatment plans in Chandigarh, we focus on addressing your specific concerns and providing relief. Contact us today to schedule your consultation and regain control over your health.

The best and most trusted help for Hidradenitis Suppurativa in Chandigarh can be found with Dr. Rajeev Kapoor.