Factors Affecting Wound Healing after the Wide Surgical Excision of Hidradenitis Suppurativa Lesions

• Published in: Journal of clinical medicine 2024-09, Vol.13 (18), p.5598
• Main Authors: Ezanno, Anne-Cecile, Texier, Gaëtan, Marchi, Joffrey, Fougerousse, Anne-Claire
• Format: Article
• Language: English
• Subjects: Biological products; Body mass index; Care and treatment; Crohn's disease; Ethics; Excision (Surgery); Health aspects; Hospitals; Inflammatory diseases; Information systems; Localization; Medical records; Medical research; Medicine, Experimental; Obesity; Overweight; Patients; Physiological aspects; Plastic surgery; Quality of life; Risk factors; Skin & tissue grafts; Skin lesions; Smoking; Social aspects; Variables; Weight control; Wound healing
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm13185598

: Hidradenitis suppurativa (HS) is a chronic and inflammatory disease. Its management depends on the stage and extent of the disease. Surgery plays an important role in treatment options. This study explores the factors influencing healing after wide excision. : This study analyzed data from patients who underwent wide excision for HS between 2016 and 2021. : A total of 160 patients (64.4% women) were included, with surgeries performed in the axillae (70), inguinal-ano-genital (73), and other locations (17, including gluteal). The mean TTWC was 74 ± 6 days, varying from 11 to 445 days. Factors negatively influencing TTWC included axillary localization ( < 0.001) and the presence of another inflammatory disease ( = 0.017). Factors positively influencing healing were smoking (