{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:01:35Z","timestamp":1792544495199,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,1,15]],"date-time":"2015-01-15T00:00:00Z","timestamp":1421280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006483","name":"Abbvie Inc.","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Treatment of hidradenitis suppurativa (\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      ) is a difficult undertaking, especially as there is no consensus on what surgical technique is preferred. At our centre severe\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      (Hurley\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      ) is operated under general anaesthesia, mostly with the\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>Objectives<\/jats:title>\n                    <jats:p>\n                      To investigate characteristics, surgical outcomes and patient satisfaction of\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      patients who underwent deroofing or\n                      <jats:styled-content style=\"fixed-case\">STEEP<\/jats:styled-content>\n                      under general anaesthesia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A clinical records\u2010based retrospective analysis was conducted of all patients who had surgery under general anaesthesia between 1999 and 2013. Patient satisfaction was retrospectively investigated with questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 482 operations (363 primary operations and 119 re\u2010operations) were performed during the study period. The proportion of women in the included population was 68%. The median diagnostic delay (patient's and doctor's delay) was 6.5\u00a0years. Relapses occurred after 29.2% of primary operations. Women had higher relapse rates than men [odds ratio 2.85 (1.07;7.61)]. Hypergranulation of the wound was the most common complication and occurred in 7% of all operations. The median score patients attributed to the medical effect of surgery was eight of 10 (zero corresponding to very dissatisfied and 10 to very satisfied).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The diagnostic delay in\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      is long due to a lack of knowledge in both patients and health care professionals, indicating that there is a need for education. Deroofing and the\n                      <jats:styled-content style=\"fixed-case\">STEEP<\/jats:styled-content>\n                      are effective surgical procedures in severe cases of\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      and lead to a relatively high patient satisfaction. The postoperative relapse risk is higher in women. Prospective studies are required for the development of clear guidelines on the appropriate choice of surgery.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.12952","type":"journal-article","created":{"date-parts":[[2015,1,15]],"date-time":"2015-01-15T10:02:27Z","timestamp":1421316147000},"page":"1590-1597","source":"Crossref","is-referenced-by-count":69,"title":["Surgery under general anaesthesia in severe hidradenitis suppurativa: a study of 363 primary operations in 113 patients"],"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":"M.","family":"Boersma","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Groningen University Medical Center Groningen Groningen The 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