Does a dermatologic surgery perform hidradenitis surgery?

Hidradenitis suppurativa can create painful nodules, draining tunnels and scarred skin, often in folds such as the underarms, groin or beneath the breasts. Surgery is planned around the type and extent of the affected tissue. Deroofing opens a selected tunnel so it can heal from the base, while excision removes a wider area when disease is more extensive. Surgery is usually one part of a longer treatment plan, because untreated skin elsewhere can still develop new lesions.

Bring a record of flares, drainage, previous medicines and areas that limit movement or daily activities. The surgeon may discuss wound care, dressing changes, movement, hair removal and whether another clinician should coordinate medical treatment. After the procedure, follow dressing instructions closely, keep friction and pressure away from the area and report changes early. Healing time and the need for staged care depend on the site and procedure.

Seek prompt care for rapidly worsening pain or swelling, spreading redness, fever, foul-smelling drainage or feeling unwell. After surgery, contact the treatment team if the wound separates, bleeding persists, dressings become soaked or movement becomes suddenly more difficult. Emergency help is needed for severe illness, fainting or breathing difficulty.

Ask which lesions the procedure will target, whether deroofing or excision is being considered, how the wound will heal, and how scars may affect movement. Discuss dressing support, pain control, time away from work, signs of infection and how medical treatment will fit around surgery.