Scholarlink

Background <p>The management of hidradenitis suppurativa (HS) requires a multidisciplinary approach to ensure sustainable treatment results, especially in the advanced stages. Traditionally, deroofing and wide excision represented commonly employed surgical techniques. Due to the recurrent nature of HS, tissue preservation should be a relevant aspect of surgical management. The aim of this manuscript is to demonstrate the use of a diode laser for the management of different stages of HS, paying attention to tissue preservation.</p> Methods <p>This is a technical manuscript demonstrating our technique for laser–assisted management of HS. A diode laser with a wavelength of 1470&#xa0;nm was used for this indication. The depth of the sinus/tract dictates the amount of energy required. Our preference is to use 8 Watts for deep lesions and 5 Watts for shallow lesions.</p> Results <p>The following 7 critical steps are important to achieve an optimal result with this technique: Drain all collections, minimize tissue damage, protect healthy skin, control risk factors, adopt a multidisciplinary approach, follow up closely, and be patient.</p> Conclusion <p>Laser-based management of hidradenitis suppurativa is a promising surgical option in the multidisciplinary treatment of this difficult pathology. The minimally invasive nature of laser surgery, especially tissue preservation, is a strong argument for the role of this technique in the management of this chronic, recurrent condition.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Minimally invasive management of hidradenitis suppurativa using a 1470 nm diode laser: a step-by-step description of our technique

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月23日

查看全文
  • Nana Kwame D. Brown,
  • Philemon K. Kumassah,
  • George D. Brown,
  • Solomon Brookmann,
  • Peter C. Ambe,
  • Kwabena Agbedinu

摘要

Background

The management of hidradenitis suppurativa (HS) requires a multidisciplinary approach to ensure sustainable treatment results, especially in the advanced stages. Traditionally, deroofing and wide excision represented commonly employed surgical techniques. Due to the recurrent nature of HS, tissue preservation should be a relevant aspect of surgical management. The aim of this manuscript is to demonstrate the use of a diode laser for the management of different stages of HS, paying attention to tissue preservation.

Methods

This is a technical manuscript demonstrating our technique for laser–assisted management of HS. A diode laser with a wavelength of 1470 nm was used for this indication. The depth of the sinus/tract dictates the amount of energy required. Our preference is to use 8 Watts for deep lesions and 5 Watts for shallow lesions.

Results

The following 7 critical steps are important to achieve an optimal result with this technique: Drain all collections, minimize tissue damage, protect healthy skin, control risk factors, adopt a multidisciplinary approach, follow up closely, and be patient.

Conclusion

Laser-based management of hidradenitis suppurativa is a promising surgical option in the multidisciplinary treatment of this difficult pathology. The minimally invasive nature of laser surgery, especially tissue preservation, is a strong argument for the role of this technique in the management of this chronic, recurrent condition.