Characterizing Patterns of Surgical Recurrence in Hidradenitis Suppurativa: Analysis of 206 Cases and Review of Existing Literature - Takeaways - MDSpire

Characterizing Patterns of Surgical Recurrence in Hidradenitis Suppurativa: Analysis of 206 Cases and Review of Existing Literature

  • By

  • Carmen García-Moronta

  • Francisco Javier León-Pérez

  • Alberto Soto-Moreno

  • Julia Castro-Martín

  • Salvador Arias-Santiago

  • Alejandro Molina-Leyva

  • December 27, 2025

  • 0 min

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  • 1

    Surgical treatment is essential for advanced hidradenitis suppurativa (HS), but recurrence remains a significant challenge affecting long-term success.

  • 2

    In a study of 206 cases, overall surgical recurrence was found to be 18.5%, with tunnel recurrence at 8.3% and abscess/inflammatory nodule recurrence at 10.2%.

  • 3

    Tunnel recurrence correlated with more severe disease and larger excisions, while abscess/inflammatory nodule recurrence was linked to obesity and limited preoperative ultrasound use.

  • 4

    Differentiating recurrence types enhances evaluation of surgical failure, emphasizing the importance of preoperative ultrasound and inflammatory control.

  • 5

    The study highlights the need for standardized definitions of recurrence to improve comparisons and outcomes in surgical management of HS.

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