Int J Med Sci 2010; 7(4):240-247. doi:10.7150/ijms.7.240

Research Paper

Surgical Management of Hidradenitis Suppurativa

Adnan Menderes, Ozgur Sunay, Haluk Vayvada, Mustafa Yilmaz

Plastic Rec. and Aesthetic Surgery, Medical Faculty, Dokuz Eylul University, Inciraltı-Izmir, Turkey

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See for full terms and conditions.
Menderes A, Sunay O, Vayvada H, Yilmaz M. Surgical Management of Hidradenitis Suppurativa. Int J Med Sci 2010; 7(4):240-247. doi:10.7150/ijms.7.240. Available from

File import instruction


Background: Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory disease of skin, characterized by recurrent draining sinuses and abscesses, predominantly in skin folds carrying terminal hairs and apocrine glands.

Method: This study reviewed 54 sites in 27 patients with moderate to extensive chronic inflammatory skin lesions treated surgically in our hospital from 2004 through 2009, with a follow-up of at least 6 months.

Result: A total number of 54 operative procedures were performed during the study period with 42% (23 sites) involving the axilla, 20% (11 sites) involving the gluteal area, %24 (13 sites) involving the perineal area and 12% (7 sites) involving the inguinal region.

Conclusion: Conservative treatment methods have little or no effects especially on gluteal, perineal/perianal, axillary hidradenitis suppurativa. The morbidity associated with the established form of this disease is significant, and the only successful treatment is wide surgical excision.

Keywords: Hidradenitis Suppurativa, Surgery, Treatment, Gluteal, Axillary, Perianal