{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:28:18Z","timestamp":1792621698008,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,1,25]],"date-time":"2014-01-25T00:00:00Z","timestamp":1390608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Surgery is the only curative treatment for removal of the persistent sinus tracts in the skin that are characteristic of severe hidradenitis suppurativa (\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      ). Complete resection of the affected tissue by wide excision is currently regarded as the preferred surgical technique in these cases. However, relatively large amounts of healthy tissue are removed with this method and suitable skin\u2010tissue\u2010saving techniques aiming at creating less\u2010extensive surgical defects are therefore needed in severe\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We describe a skin\u2010tissue\u2010saving surgical technique for\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      Hurley stage\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      \u2013\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      disease: the Skin\u2010Tissue\u2010sparing Excision with Electrosurgical Peeling (\n                      <jats:styled-content style=\"fixed-case\">STEEP<\/jats:styled-content>\n                      ) procedure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      In contrast to wide excisions that generally reach into the deep subcutaneous fat, the fat is maximally spared with the\n                      <jats:styled-content style=\"fixed-case\">STEEP<\/jats:styled-content>\n                      procedure by performing successive tangential excisions of lesional tissue until the epithelialized bottom of the sinus tracts has been reached. From here, secondary intention healing can occur. In addition, fibrotic tissue is completely removed in the same manner as this also serves as a source of recurrence. This tissue\u2010sparing technique results in low recurrence rates, high patient satisfaction with relatively short healing times and favourable cosmetic outcomes without contractures.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.12376","type":"journal-article","created":{"date-parts":[[2014,1,25]],"date-time":"2014-01-25T02:50:46Z","timestamp":1390618246000},"page":"379-382","source":"Crossref","is-referenced-by-count":60,"title":["Skin\u2010Tissue\u2010sparing Excision with Electrosurgical Peeling (\n                    <scp>STEEP<\/scp>\n                    ): a surgical treatment option for severe hidradenitis suppurativa Hurley stage\n                    <scp>II<\/scp>\n                    \/\n                    <scp>III<\/scp>"],"prefix":"10.1111","volume":"29","author":[{"given":"J.L.","family":"Blok","sequence":"first","affiliation":[{"name":"Department of Dermatology University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.R.","family":"Spoo","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.W.J.","family":"Leeman","sequence":"additional","affiliation":[{"name":"Department of Dermatology Antonius Hospital Sneek The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.F.","family":"Jonkman","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03356.x"},{"key":"e_1_2_5_3_1","first-page":"729","volume-title":"Dermatologic Surgery","author":"Hurley HJ","year":"1989"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2009.12.018"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2011.02255.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2012.10807.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12104"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0625.2012.01552.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.11.911"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.101377"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1994.tb08559.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.08932.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2009.01427.x"},{"key":"e_1_2_5_14_1","first-page":"941","article-title":"Therapy of suppurative hidradenitis using the CO2\u2010laser. 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