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Traditional surgical interventions include excision of clinically visible lesions and in severe cases \u2013 excision down to fascia of entire anatomical regions (axilla, groin) and repair with split\u2010thickness grafting or skin substitutes. However, such techniques are plagued by long healing times (up to several months), extensive tissue loss and high recurrence rates given that a large proportion of disease is not clinically visible. Deroofing is a tissue\u2010saving surgical technique, ideal for Hurley Stage 2 disease, which when combined with bedside pre\u2010operative sonography can allow for the accurate identification and removal of occult dermal tunnels whilst minimising the risks of pain, infection, minimising healing times and can be safely conducted in the setting of immunomodulatory therapy.<\/jats:p>","DOI":"10.1111\/ajd.13600","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T14:24:26Z","timestamp":1621866266000},"page":"360-363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Ultrasound\u2010guided de\u2010roofing of epithelialised tunnels of hidradenitis suppurativa"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0837-0714","authenticated-orcid":false,"given":"Sam","family":"Der Sarkissian","sequence":"first","affiliation":[{"name":"Department of Dermatology Liverpool Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5042-3632","authenticated-orcid":false,"given":"John W","family":"Frew","sequence":"additional","affiliation":[{"name":"Department of Dermatology Liverpool Hospital Sydney New South Wales Australia"},{"name":"University of New South Wales Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.02.067"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-020-00391-x"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.17267.1"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2009.12.018"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2020.12.651"},{"key":"e_1_2_3_7_1","volume-title":"Efficacy and Safety Results from the SHARPS Study: Phase 4, randomized, controlled trial or Adalimumab plus surgery in moderate\u2010to\u2010severe Hidradenitis Suppurativa European Hidradenitis Suppurativa Foundation 9th Annual Meeting 6th February 2020 Athens, Greece","author":"Bechara FG"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.37015\/AUDT.2019.190819"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.19343"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12329"},{"key":"e_1_2_3_11_1","volume-title":"NSAIDs and pain management in HS: important risk of flares (a series of 62 patients). 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