The utility of incisional vacuum-assisted closure in surgical Management of Hidradenitis Suppurativa: a retrospective cohort study

Background Wide local excision is the gold standard treatment for severe hidradenitis suppurativa but remains challenging due to high rates of complications and recurrence. Incisional vacuum-assisted closure devices are powerful adjuncts to enhance postoperative wound healing. Methods We performed a...

Full description

Saved in:
Bibliographic Details
Published in:European journal of plastic surgery 2021-10, Vol.44 (5), p.653-660
Main Authors: Ngaage, Ledibabari M., Wu, Yinglun, Ge, Shealinna, Ha, Michael, Nam, Arthur J., Rasko, Yvonne M.
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Original Paper
Plastic Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Wide local excision is the gold standard treatment for severe hidradenitis suppurativa but remains challenging due to high rates of complications and recurrence. Incisional vacuum-assisted closure devices are powerful adjuncts to enhance postoperative wound healing. Methods We performed a retrospective cohort study of all patients who underwent surgical excision for hidradenitis over a 10-year period. The cohort was divided into patients who received standard sterile dressings and those who received incisional vacuum-assisted closure. The primary outcomes were surgical site complications and recurrence of disease. The data were analysed using univariate and multivariable logistic regression analyses. Results We included 79 patients; patients had multifocal disease which resulted in 220 operative sites. Fifty-eight operative sites (26%) received vacuum-assisted closure and 162 (74%) did not. Operative sites with vacuum-assisted closure were larger (140 vs 60 cm 2 , p  
ISSN:0930-343X
1435-0130
DOI:10.1007/s00238-021-01788-3