{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T08:56:42Z","timestamp":1793437002517,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T00:00:00Z","timestamp":1706227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Hidradenitis suppurativa (HS) is a recurrent, debilitating, chronic disorder of the pilosebaceous unit. Although advances in HS treatment have been made, more than 45% of patients remain dissatisfied with systemic treatment, and more than one\u2010third are dissatisfied with surgical procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>A prospective, observational study on the deroofing procedures in HS with special attention paid to patient satisfaction and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>HS lesions were assessed clinically and by the use of ultrasound. Patients reported outcomes, including pain, itch and satisfaction, were measured at 24\u2009h post\u2010surgery by a numeric rating scale (NRS) ranging from 0 to 10. Additionally, the timeline of objective wound closure reported by patients in (weeks), in addition to the need for any analgesics use, were both evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean closure time of the post\u2010deroofing wound was assessed as 4.4\u2009\u00b1\u20091.9\u2009weeks. A statistically longer time was necessary for complete closure in males than in females (4.9\u2009\u00b1\u20092.2\u2009weeks and 3.9\u2009\u00b1\u20091.6\u2009weeks, respectively; <jats:italic>p<\/jats:italic>\u2009=\u20090.046). The closure time correlated positively yet weakly with the HS tunnel's width (<jats:italic>r<\/jats:italic>\u2009=\u20090.27, <jats:italic>p<\/jats:italic>\u2009=\u20090.016) and length (<jats:italic>r<\/jats:italic>\u2009=\u20090.228, <jats:italic>p<\/jats:italic>\u2009=\u20090.044). Patients assessed mean pain at 24\u2009h post\u2010op as mild with 0.7\u2009\u00b1\u20091.2 points according to NRS, with no differences between sexes. Similarly, itch in the first 24\u2009h was assessed as mild with 1.8\u2009\u00b1\u20091.1 points, without differences between sexes. No pain, itch or adverse events were reported after 1 week following deroofing. Moreover, no cases of wound infection were reported. An overall patient satisfaction was assessed as 9.9\u2009\u00b1\u20090.4 points (range 9\u201310 points).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Deroofing is an easy, effective and safe dermatosurgical procedure that does not require surgical experience or operating theatre. It is associated with no complications and very low post\u2010op pain and should be part of holistic HS management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.19810","type":"journal-article","created":{"date-parts":[[2024,1,27]],"date-time":"2024-01-27T07:24:06Z","timestamp":1706340246000},"page":"931-936","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Deroofing: A safe, effective and well\u2010tolerated procedure in patients with hidradenitis suppurativa"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4722-8531","authenticated-orcid":false,"given":"P. K.","family":"Krajewski","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"},{"name":"Servicio de Dermatologia Hospital de Manises  Valencia Spain"},{"name":"European Hidradenitis Suppurativa Foundation (EHSF)  Dessau\u2010Ro\u00dflau Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Sanz\u2010Motilva","sequence":"additional","affiliation":[{"name":"Servicio de Dermatologia Hospital de Manises  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Flores\u00a0Martinez","sequence":"additional","affiliation":[{"name":"Servicio de Dermatologia Hospital de Manises  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Solera","sequence":"additional","affiliation":[{"name":"Servicio de Dermatologia Hospital de Manises  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Ochando","sequence":"additional","affiliation":[{"name":"Servicio de Dermatologia Hospital de Manises  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Jfri","sequence":"additional","affiliation":[{"name":"College of Medicine King Saud Bin Abdulaziz University for Health Sciences  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1378-1590","authenticated-orcid":false,"given":"A.","family":"Martorell","sequence":"additional","affiliation":[{"name":"Servicio de Dermatologia Hospital de Manises  Valencia Spain"},{"name":"European Hidradenitis Suppurativa Foundation (EHSF)  Dessau\u2010Ro\u00dflau Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-0149-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.08.090"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.21234"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17933"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.08.045"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16677"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12966"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16135"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.21798"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001916"},{"issue":"1","key":"e_1_2_9_12_1","article-title":"Quality\u2010of\u2010life impairment among patients with hidradenitis suppurativa: a cross\u2010sectional study of 1795 patients","volume":"11","author":"Krajewski PK","year":"2021","journal-title":"Life (Basel)"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010389"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2967"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2009.09.021"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2022.119080"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14922"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2017.09.008"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000525131"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16255"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.02.067"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.02.068"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17537"},{"key":"e_1_2_9_24_1","unstructured":"NIH.Clinical trials in hidradenitis suppurativa 2023. 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