Abstract | BACKGROUND:
Hidradenitis suppurativa (HS) is a debilitating disease and is difficult to treat. Validation of surgical techniques is therefore of great importance in the management of HS. Carbon dioxide ( CO2) laser evaporation has been shown effective, but larger-scale studies are scarce. OBJECTIVE: To determine the recurrence rate, time to recurrence, and factors influencing disease recurrence in skin treated with CO2 laser evaporation, and healing by secondary intention; and patients' satisfaction with treatment. METHODS: Fifty-eight patients treated with CO2 laser evaporation were interviewed regarding recurrence and satisfaction after a mean of 25.7 months. RESULTS: Seventeen of 58 (29%) reported recurrence of HS lesions within the borders of the treated areas after a mean of 12.7 months. Obesity was a risk factor for recurrence with a hazard ratio of 4.53. Fifty-five patients (95%) reported some or great improvement, and 91% would recommend the CO2 laser surgery to other HS patients. CONCLUSION: This study supports the claim that CO2 laser treatment is an effective modality for recurrent HS lesions in a majority of patients. The authors identified obesity as a risk factor for recurrence. Self-reported satisfaction is high, and only 3 of 58 report no change in the condition. None reported a worsening.
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Authors | Peter Riis Mikkelsen, Deirde Nathalie Dufour, Kian Zarchi, Gregor B E Jemec |
Journal | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
(Dermatol Surg)
Vol. 41
Issue 2
Pg. 255-60
(Feb 2015)
ISSN: 1524-4725 [Electronic] United States |
PMID | 25654196
(Publication Type: Journal Article)
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Topics |
- Adult
- Female
- Follow-Up Studies
- Hidradenitis Suppurativa
(complications, surgery)
- Humans
- Lasers, Gas
(therapeutic use)
- Male
- Middle Aged
- Obesity
(complications)
- Patient Satisfaction
- Recurrence
- Retrospective Studies
- Risk Factors
- Smoking
(adverse effects)
- Time Factors
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