AI Article Synopsis
- This study compares CO2 laser treatment and surgical deroofing for managing hidradenitis suppurativa (HS) tunnels, focusing on the effectiveness of each method in terms of healing time, pain, and cosmetic results.
- The results showed that the CO2 laser group had a significantly shorter healing time and lower pain perception compared to the surgical deroofing group, with mean healing times of 4.7 weeks versus 10.9 weeks.
- Both treatments had low complication rates and similar rates of complete healing at a 6-month follow-up, indicating that while CO2 laser might offer quicker recovery, both methods are effective for HS tunnels.
Article Abstract
Background: Tunnels of hidradenitis suppurativa (HS) are one of the most challenging aspects to manage, and different surgical techniques have been proposed for their treatment. CO2 laser and surgical deroofing are 2 of the most widely used techniques, but no studies have compared them directly.
Objective: The objective of this study was to compare the efficacy and outcomes of CO2 laser treatment versus surgical deroofing for HS tunnels, with a focus on healing time, complication rates, pain perception, and cosmetic outcomes.
Materials And Methods: The authors performed a multicentric retrospective analysis of 20 patients with HS tunnels who were treated with either CO2 laser (n = 10) or surgical deroofing (n = 10). The primary end point was to compare the 2 procedures in terms of healing time, complication rates, pain, and cosmetic outcome. Outcome measures included Visual Analog Scale for pain, the Vancouver Scar Scale for scar evaluation, and the relapse rate at 6 months. Secondary end point included the identification of variables associated with the healing time.
Results: The mean time to healing was 4.7 ± 1.9 weeks in the CO2 laser group and 10.9 ± 4.1 weeks in the surgical deroofing group (p < .01). Pain score at the first dressing change was lower in the CO2 laser group, with a mean Visual Analog Scale score of 1.7 ± 0.8 in the CO2 laser group and 4.9 ± 1.7 in the surgical deroofing group (p < .01). The mean scar evaluation score using the Vancouver Scar Scale at 6-month follow-up was 2.5 ± 1.3 in the CO2 laser group and 3.4 ± 1.1 in the surgical deroofing group. The number of postprocedural complications was low in both groups (1 in the CO2 laser group and 3 in the surgical deroofing group). The proportion of patients achieving complete healing of the tunnels at 6 months was similar among the CO2 laser and the surgical deroofing group (90% in the CO2 laser group vs 80% in the surgical group).
Conclusion: CO2 laser is a safe and effective treatment for HS tunnels, with fast healing rates and low pain perception.
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