Use of Ultra-high-frequency ultrasound in preoperative setting may improve surgical excision of hidradenitis suppurativa lesions: Study

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-09-03T01:15:55+05:30 | Updated On 3 Sept 2024 2:59 PM IST

The use of Ultra-high-frequency ultrasound in a preoperative setting may improve surgical excision of hidradenitis suppurativa lesions suggests a study published in the Dermatologic Surgery.

Hidradenitis suppurativa (HS) is a challenging chronic inflammatory condition often requiring surgical intervention, such as wide local excision. Preoperative mapping with ultra-high frequency ultrasound (UHFUS) enables detailed assessment of lesion extension, particularly identifying tunnels and fistulas, facilitating surgical planning. This study aimed to analyze recurrence rates of HS lesions previously mapped with UHFUS and treated with wide excision and secondary intention healing. A retrospective single-center study enrolled 40 patients with HS undergoing wide excision surgery after UHFUS mapping.

Patients were assessed weekly until complete healing and then every 3 months, evaluating clinical and sonographic signs of relapse and pain using the visual analogue scale. RESULTS : Results showed a population predominantly composed of women (65%) with a mean age of 39 years and a medium HS-Hurley score of 2.5. Over a 22-month follow-up, only 10% experienced clinical relapse, achieving an 90% total remission rate. Pain scores decreased significantly from Week 0 to Week 4. The study highlights the clinical challenge of HS management, particularly regarding surgical planning and lesion margin definition. The remission rate observed in this study suggests the effectiveness of UHFUS-guided surgical approaches. Future studies should extend observation periods to further validate these findings.

Reference:

Michelucci, Alessandra MD*,†; Fidanzi, Cristian MD*; Manzo Margiotta, Flavia MD*,†; Granieri, Giammarco MD*; Salvia, Giorgia MD*; Janowska, Agata MD*; Romanelli, Marco MD, PhD*; Dini, Valentina MD, PhD*. Presurgical Mapping With Ultra-high Frequency Ultrasound of Hidradenitis Suppurativa Lesions Treated With Wide Local Excision and Secondary Intention Healing. Dermatologic Surgery ():10.1097/DSS.0000000000004349, July 24, 2024. | DOI: 10.1097/DSS.0000000000004349

UseUltra–high-frequencyultrasoundpreoperativesettingimprovesurgicalexcisionhidradenitissuppurativa lesionsstudy

Source : Dermatologic Surgery

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751