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Urgent question: surgery? What works best??

A myHSteam Member asked a question 💭
Edmonton, AB

Sitting for 3rd hr in emergency, for what appears to be an infected HS groin cyst Sorta afraid someone's (treating dr's) ignorance might make it worse. Im thinking they should cut it open and drain it. There orig. HS wound may have"leaked" into surrounding tissue, add its become larger and hot. Sadly my derm. is no where to be found.
Any fast advice, please?
😷

August 11, 2022
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myHSteam

When considering surgery for hidradenitis suppurativa (HS), it's important to understand that the best method can vary based on the affected site and the progression of the condition. Here are some key points:

- Pre-Surgery Treatment: Starting with biologics or other anti-inflammatories can reduce inflammation and lesion Show Full Answer

When considering surgery for hidradenitis suppurativa (HS), it's important to understand that the best method can vary based on the affected site and the progression of the condition. Here are some key points:

- Pre-Surgery Treatment: Starting with biologics or other anti-inflammatories can reduce inflammation and lesion size, improving surgical outcomes.
- Body Areas: No clear evidence shows one body part responds better to surgery, but underarm (axillary HS) surgeries tend to have good outcomes due to less friction.
- Surgical Methods:
- Excision: Removing affected skin, sometimes leaving the wound open to heal, which can risk infection and longer healing times.
- Laser Surgery: Using a carbon dioxide laser for excision or treating nodules, showing anti-inflammatory properties.
- Skin Grafts: Using skin from another body part to close the wound, but this leaves a permanent scar at the donor site.
- Specialists: Consulting with specialists like plastic surgeons, urologists, or colorectal surgeons may be beneficial, especially for sensitive areas.

Always discuss with your doctor to determine the best approach for your specific case.

July 31, 2024
A myHSteam Member

I so appreciated your fast answers that night-- thanks! Yes, to the immediate relief upon drainage. Turns out despite being 3 sep layers of infection, it wasn't that bad at all. In fact, a cortisone injection into the remaining scar tissue a wk later, and it's now ALMOST completely healed, with only a 2cm scar! Yay!!!!! Plus emerg. dr was extremely experienced with HS, gave great info. Totally unexpected. 😮
Looks like the biological is really doing it's job now. Phew.
Best of luck to you, as well, thanks Again!
😃😃😃😃😃

September 17, 2022
A myHSteam Member

OMG!!! Brave of you to share, thanks.... but now im scared!
😨

August 11, 2022

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