Location
LSU Health Sciences Center - New Orleans
Event Website
https://digitalscholar.lsuhsc.edu/surgery_s/
Document Type
Event
Start Date
4-5-2023 8:20 AM
End Date
4-5-2023 8:30 AM
Description
BACKGROUND: Hidradenitis supprativa (HS) can have significant psychological, social, and financial burden in addition to its medical issues. Patients with HS can suffer from shame, embarrassment, and stress. It can significantly impact interpersonal and intimate relationships, leading to poor quality of life. We hypothesized that surgical excision can help improve these issues among adolescent patients with HS.
MATERIALS AND METHODS: We performed a single-center, retrospective review of patients ≤20 years of age seen by surgery for Hurley stage 3 HS at a Children's Hospital. Demographic and medical information was collected for analysis.
RESLUTS: 8 patients met inclusion criteria. All were Black females. 5 underwent staged excision and grafting and 3 elected medical management with antibiotic and biologic therapies. Age (15.45±2.36 vs 15.43±1.35 years, p=0.5), body mass index at first surgical evaluation (28.96±5.67 vs 39.53±12.54, p=0.18), number of emergency room visits (7.4±4.5 vs 7±3.27, p=0.45), and previous incision and drainage (8.8±4.53 vs 6.67±4.5, p=0.31) were similar between surgical and non-surgical groups. Medical comorbidities were also similar (depression, diabetes mellitus, obesity). Among patients who underwent surgical management, there was 100% satisfaction in outcome, with improvements in suicidal ideation/hopelessness (2 of 2) and seeking new career/school opportunities (3 of 3). Among medical management cohort, only 1 of the 3 had satisfaction with disease management and 1 remains in homebound schooling.
CONCLUSION: Severe HS can impact social and emotional health of adolescent patients. Appropriate patient selection for surgical management can significantly improve quality of life among these patients. Our next steps involve a multidisciplinary approach with dermatology and psychology to provide holistic care in this often neglected population.
Recommended Citation
Faulk, Anne; Power, Julia; Hill, India; and Zagory, Jessica, "Quality of life improvement after surgical management of severe hidradenitis supprativa in adolescents" (2023). Surgery Research Symposium. 3.
https://digitalscholar.lsuhsc.edu/surgery_s/2023/postera/3
Included in
Quality of life improvement after surgical management of severe hidradenitis supprativa in adolescents
LSU Health Sciences Center - New Orleans
BACKGROUND: Hidradenitis supprativa (HS) can have significant psychological, social, and financial burden in addition to its medical issues. Patients with HS can suffer from shame, embarrassment, and stress. It can significantly impact interpersonal and intimate relationships, leading to poor quality of life. We hypothesized that surgical excision can help improve these issues among adolescent patients with HS.
MATERIALS AND METHODS: We performed a single-center, retrospective review of patients ≤20 years of age seen by surgery for Hurley stage 3 HS at a Children's Hospital. Demographic and medical information was collected for analysis.
RESLUTS: 8 patients met inclusion criteria. All were Black females. 5 underwent staged excision and grafting and 3 elected medical management with antibiotic and biologic therapies. Age (15.45±2.36 vs 15.43±1.35 years, p=0.5), body mass index at first surgical evaluation (28.96±5.67 vs 39.53±12.54, p=0.18), number of emergency room visits (7.4±4.5 vs 7±3.27, p=0.45), and previous incision and drainage (8.8±4.53 vs 6.67±4.5, p=0.31) were similar between surgical and non-surgical groups. Medical comorbidities were also similar (depression, diabetes mellitus, obesity). Among patients who underwent surgical management, there was 100% satisfaction in outcome, with improvements in suicidal ideation/hopelessness (2 of 2) and seeking new career/school opportunities (3 of 3). Among medical management cohort, only 1 of the 3 had satisfaction with disease management and 1 remains in homebound schooling.
CONCLUSION: Severe HS can impact social and emotional health of adolescent patients. Appropriate patient selection for surgical management can significantly improve quality of life among these patients. Our next steps involve a multidisciplinary approach with dermatology and psychology to provide holistic care in this often neglected population.
https://digitalscholar.lsuhsc.edu/surgery_s/2023/postera/3