Surgical Treatment of Hidradenitis

Hidradenitis suppurativa is a chronic skin condition that causes painful, pus-filled nodules, abscesses, and fistulas in areas rich in sweat glands, most commonly under the arms, in the groin, and the gluteal region.

The disease is unpredictable and often leads to recurring inflammation, which significantly affects the quality of life for patients.

In more severe cases, deep scars and tunnels can form under the skin, making treatment even more difficult.

Conservative treatment methods, such as antibiotics and corticosteroids, often do not provide lasting results.

Surgical removal of the affected tissue is a necessary step in these situations.

Thanks to modern techniques, it is possible to achieve long-term relief and prevent new outbreaks of the changes.

At Medical Time hospital, the surgery is performed under controlled conditions with expert supervision and minimal risk.

When is hidradenitis surgery necessary?

Surgical intervention is recommended for patients with an advanced or recurrent form of the disease that does not respond to medication or topical treatments.

Indications include the presence of chronic fistulas, persistent pus discharge, painful nodules, and significant skin thickening.

For patients with frequent recurrence of symptoms, a surgical approach is often the only way to effectively treat the condition.

Surgery eliminates the source of infection, thereby reducing pain, inflammation, and daily discomfort.

If left untreated, the disease can lead to permanent changes in the skin and underlying tissues.

Earlier intervention increases the chances of faster recovery and reduces the possibility of major complications.

Our team carefully evaluates each change before deciding on the type and extent of the surgical intervention.

What does hidradenitis surgery look like?

Depending on the affected tissue, the surgery may involve simple removal of nodules, excision of the entire area, or wide surgical resection with primary closure or skin transplantation.

The procedure is performed under local or general anesthesia and lasts from 30 minutes to 2 hours, depending on the size and depth of the lesion.

After the diseased tissue is removed, the wound is either stitched or left to heal secondarily, which is decided on an individual basis.

The surgeon decides on the best technique for wound closure to reduce the risk of infection and improve the aesthetic outcome.

In more complex cases, plastic surgery or skin grafting is used to close larger defects.

Special attention is paid to preserving the functionality and mobility of the operated area.

The patient returns home the same day or stays briefly in the hospital for monitoring, depending on the scope of the surgery.

Recovery and postoperative care

Recovery lasts from one to three weeks, and during this period, adequate hygiene, dressing changes, and avoiding irritation of the operated area are important.

The doctor prescribes antibiotic therapy and analgesics as needed, as well as regular check-ups during the healing process.

For larger wounds, regular dressing changes and secondary healing may be necessary, which is planned individually.

Wearing loose, cotton clothing is recommended to reduce pressure on the treated area.

In case of redness, pain, or secretion, it is necessary to contact the doctor immediately.

Physical activity should be limited in the first few days to avoid complications.

Patients usually return to their daily activities quickly with recommendations for preventing recurrence.

Advantages of treatment at Medical Time hospital

Our multidisciplinary team includes surgeons, dermatologists, and infectologists to ensure every patient receives a comprehensive approach to hidradenitis therapy.

We use modern surgical techniques that reduce the risk of recurrence and provide a better aesthetic result.

All procedures are performed in sterile conditions with maximum comfort and discretion for patients.

The option of examination, diagnostics, and control in one place is also available, without waiting.

The team also provides psychological support to patients who have gone through long-term treatment for the disease.

We continuously follow the latest protocols and innovations in hidradenitis treatment to improve results.

At our hospital, patients receive a personalized treatment plan, tailored to their health condition and needs.

Risks and prevention of recurrence

Complications are rare but can include infection, bleeding, or slower healing in large wounds.

Proper postoperative care and following the doctor's advice significantly reduce the risk of complications and recurrence.

Patients are advised to maintain a normal body weight, stop smoking, and wear loose-fitting clothes.

Using antibacterial soaps and regular hygiene helps prevent irritation and infections.

Early detection and treatment of mild symptoms prevent the development of more serious complications.

It is recommended to avoid stress and excessive sweating, which can trigger the appearance of new changes.

Regular check-ups with a dermatologist and a surgeon are crucial for long-term prevention and monitoring of recovery.

FAQ

Često postavljana pitanja

Contact and scheduling

Contact us to schedule an appointment and for additional information. Our team is ready to answer all your questions.

Working hours

Weekdays09:00 - 20:00
Saturday09:00 - 17:00
Sunday10:00 - 17:00

Outpatient services, therapies and home visits are available during regular working hours.