{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:03:26Z","timestamp":1790226206976,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trephine grattage (TG) (also known as \u201cpunch\u2010debridement\u201d) is an underutilized surgical procedure for acute abscesses in hidradenitis suppurativa (HS). While previously described, the technique has neither been standardized nor studied for recurrence rates and other outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to retrospectively investigate TG for the treatment of HS abscesses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed 30 cases of TG on 26 patients receiving care at the Weill Cornell Dermatology Center for HS. Demographics and wound healing parameters were retrieved from electronic medical records. Patient satisfaction was evaluated post\u2010treatment using a standardized questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Characterization of our cohort included: age: \u2009=\u200933.7\u2009years; gender: 16 females\/10 males; ethnicity\/race: 9 Black, 9 White, 8 Spanish\/Hispanic\/Latino. All participants reported minimal or no pain 1\u2009week postoperatively; wound healing was complete in less than 4\u2009weeks in all cases. Other than 4 (13%) transient, focal recurrences, no complications were observed. Highly positive outcome measures included quality\u2010of\u2010life, mood, drainage, and itch. In 29 of 30 procedure\u2010specific questionnaires (97%), patients reported they would undergo TG again, and in all 30 procedure\u2010specific questionnaires (100%), patients reported that they would recommend TG to a friend. A majority rated aesthetic outcomes as desirable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While incision and drainage is the standard of care for HS abscesses, recurrences are frequent. Using TG, we encountered no complications, a recurrence rate of 13%, high levels of patient satisfaction, and excellent aesthetic outcomes. These findings warrant further study.<\/jats:p>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/ijd70696-gra-0001-m.png\">\n                          <jats:alt-text>image<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijd.70696","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:44:58Z","timestamp":1790225098000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trephine Grattage: Optimizing the Surgical Approach for Acute Abscesses in Hidradenitis Suppurativa"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9054-3355","authenticated-orcid":false,"given":"Isabel M.","family":"Trenholm","sequence":"first","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"},{"name":"Robert Wood Johnson Medical School  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7416-2906","authenticated-orcid":false,"given":"Huongly K.","family":"Do","sequence":"additional","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6330-8198","authenticated-orcid":false,"given":"Aarthi","family":"Parvathaneni","sequence":"additional","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"},{"name":"McGovern (University of Texas, Houston) Medical School  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5756-6609","authenticated-orcid":false,"given":"Isabella J.","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"},{"name":"Robert Wood Johnson Medical School  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khyla T.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"},{"name":"Loyola Stritch School of Medicine  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansen","family":"Tai","sequence":"additional","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"},{"name":"SUNY Upstate Norton College of Medicine  Syracuse New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7774-1825","authenticated-orcid":false,"given":"Steven R.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Dermatology Weill Medical School of Cornell University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"StatPearls","author":"Ballard K.","year":"2025"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"35","article-title":"Surgical Management of Hidradenitis Suppurativa: A Narrative Review","volume":"15","author":"Chawla S.","year":"2022","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2023.12.050"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.02.068"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.15124"},{"issue":"9","key":"e_1_2_10_7_1","first-page":"562","article-title":"Hidradenitis Suppurativa: Rapid Evidence Review","volume":"100","author":"Wipperman J.","year":"2019","journal-title":"American Family Physician"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003840050159"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000806"},{"issue":"1","key":"e_1_2_10_10_1","first-page":"13","article-title":"Surgical Procedures for Hidradenitis Suppurativa","volume":"102","author":"Vellaichamy G.","year":"2018","journal-title":"Cutis"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000462979"}],"container-title":["International Journal of 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