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Surgery for Hidradenitis Suppurativa

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Anal and Rectal Diseases

Abstract

Acute infection in the setting of hidradenitis will manifest as subcutaneous abscesses. Very small abscess that does not cause significant pain may be managed with antibiotics and local measures. Most abscesses will cause pain, drainage, and a foul odor, and require surgical drainage. When a region of hidradenitis can no longer be managed with drainage and debridement, or the patient desires definitive management, then full-thickness excision of the affected skin should be performed. In addition, very long standing disease (20–30 years) presents a low, but not insignificant, risk of squamous cell carcinoma.

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Correspondence to Marc Singer MD .

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© 2012 Springer Science+Business Media, LLC

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Singer, M., Avital, S. (2012). Surgery for Hidradenitis Suppurativa. In: Ehrenpreis, E., Avital, S., Singer, M. (eds) Anal and Rectal Diseases. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1102-4_13

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  • DOI: https://doi.org/10.1007/978-1-4614-1102-4_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1101-7

  • Online ISBN: 978-1-4614-1102-4

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