HS ABSCESSES: I&D VS PUNCH DEBRIDEMENT

ABSCESS DRAINAGE in HIDRADENITIS SUPPURATIVA: INCISION and DRAINAGE VERSUS PUNCH DEBRIDEMENT

This randomized-control trial is designed to determine the recurrence rate of HS abscesses following drainage via two methods: I&D with a linear incision and PD with an 8mm punch biopsy. In this context, recurrence is a newly described HS abscess adjacent to or within the previously operated area, for which a second intervention is deemed necessary. We hypothesize that PD may yield a more favorable recurrence rate. In addition to comparing recurrence rates, this randomized-control trial will also evaluate postprocedural pain, the occurrence and type of complications, and patients' quality of life associated with both procedures. These additional factors are crucial in assessing the overall effectiveness and patient satisfaction associated with each method, further informing the potential establishment of PD as the new gold standard for draining small, painful, acute HS abscesses.

Inclusion Criteria:

• Diagnosed with HS
• Has an abscess requiring drainage with a maximum diameter of 5 centimeters.
• Age 16 years or older
• Willing and able to provide informed consent

Exclusion Criteria:

• Has other conditions that could interfere with the study, as estimated by physician
• Unable to comply with follow-up visits
• Allergic to lidocaine and/or adrenaline.