Modalities of Combined Medical and Surgical Treatment in Hidradenitis Suppurativa: A Systematic Review of Efficacy and Safety - Report - MDSpire

Modalities of Combined Medical and Surgical Treatment in Hidradenitis Suppurativa: A Systematic Review of Efficacy and Safety

  • By

  • Laura Mateu-Arrom

  • Alejandro Molina-Leyva

  • Eva Vilarrasa

  • June 23, 2026

  • 0 min

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Clinical Report: Evaluating the Effectiveness and Safety of Combined Medical and Surgical Approaches for Hidradenitis Suppurativa

Overview

This systematic review evaluates the efficacy and safety of combining immunomodulatory therapy with surgical interventions in patients with hidradenitis suppurativa (HS).

Background

Hidradenitis suppurativa is a chronic inflammatory skin disorder that significantly affects patients' quality of life. Current treatment strategies include both medical and surgical options, but the optimal approach for moderate-to-severe cases remains unclear. This study addresses the need for systematic evaluation of combined treatment strategies.

Data Highlights

No specific numerical data or trial data was provided in the source material.

Key Findings

  • Combination therapy was associated with improved clinical outcomes, including higher response rates (HiSCR score, IHS4-55 score).
  • Patients experienced reductions in pain, flares, and Dermatology Life Quality Index (DLQI) scores.
  • No consistent increase in adverse events was observed compared to biologic monotherapy.
  • Conclusions are limited by low-quality, heterogeneous evidence.
  • There is a need for well-designed prospective studies.

Clinical Implications

Further research is needed to establish definitive treatment protocols for managing hidradenitis suppurativa.

Conclusion

The systematic review highlights the need for further high-quality studies to validate findings regarding combined therapies for hidradenitis suppurativa.

Related Resources & Content

  1. Frontiers in Immunology, 2026 -- Meta-inflammation in Hidradenitis Suppurativa: from pathogenic evidence to therapeutic approaches
  2. Frontiers in Immunology, 2026 -- Dietary patterns, metabolic pathways and metainflammation in hidradenitis suppurativa: a systematic review
  3. conexiant, HS Linked to Higher Cancer Risk
  4. JAMA Dermatology, 2025 -- Lutikizumab in Adults With Moderate to Severe Hidradenitis Suppurativa After Anti-TNF Therapy Failure: A Phase
  5. European S2k Treatment Guideline for Hidradenitis Suppurativa
  6. The Safety and Efficacy of Interleukin-17 Inhibitors for Hidradenitis Suppurativa: A Systematic Review and Meta-Analysis - Daud Manzar, Emmanuel Suntres, Parsa Abdi, Raed Alhusayen, 2025
  7. Efficacy and Safety of Adalimumab in Conjunction With Surgery in Moderate to Severe Hidradenitis Suppurativa: The SHARPS Randomized Clinical Trial - PMC
  8. Comparative analyses of hidradenitis suppurativa surgical methods: A systematic review and meta-analysis - ScienceDirect
  9. Guidelines How to Integrate Surgery and Targeted Therapy with Biologics for the Treatment of Hidradenitis Suppurativa: Delphi Consensus Statements from an Italian Expert Panel | Dermatology | Karger Publishers
  10. Delphi consensus: First‐line use of biologics and small molecules in hidradenitis suppurativa - Nikolakis - Journal of the European Academy of Dermatology and Venereology - Wiley Online Library

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