Hany Nada1, Ahmed Hammad, Mr2, Edward Westcott, Mrr2. 1NHS Lanarkshire, 2Guy’s ans St Thomas’ NHS Trust
Introduction: Until recently, radical excision was regarded as the preferred surgical method forpatients with hidradenitis suppurativa (HS) Hurley stage II/III. Recent studies has shown that STEEP procedure is a promising alternative to radical excision as it salvages healthy tissue to a maximum and achieves comprehensive removal of diseased tissue. The aim of this study is to assess the quality of life for patient undergone STEEP procedure and the impact of surgery on their psychosocial outcome.
Patient and methods: Medical records including operative notes for all patients who underwent surgery for Hurley stage III HS in colorectal department in a tertiary referral centre, done by a single colorectal consultant with special interest in dermatosurgery, between 2013 and 2015. The data was analysed retrospectively. All patient underwent STEEP procedure. Patients were asked to fill a questionnaire before and after surgery to assess their quality of life, depression, anxiety and pain levels. DLQI, PHQ-9, GAD-7 and PAINVAS-2 were used to assess these parameters respectively. Discharge before and after surgery was also assessed on scale from 0(no discharge) to 10 continuous discharge.
Paired t test was used for statistical analysis of the results.
Results: Surgery for Hurley stage 3 was performed for 23 patients (22 men and one woman), the average no of proceduresof procedures performed for HS was 3 (range 1-6), the mean age of the disease was 42 (range 27-66), No patients has lost follow up all completed the questionnaire.
The results showed statistically significant improvement in the QOL after surgery with t-test value of -4.254571 (p=0.000353). Improvement of depression , the value of t-test is -3.853644 (p =0.00107), improvement of anxiety the value of t-test is -2.123245 (p =0.046404), improvement of pain the value of t-test is -2.849356 (p= 0.009603) and improvement of discharge the value of t-test is -5.322906. The value of p is 5.6E-05. The result is significant at p ≤ 0.05.
Conclusion: Skin-tissue-saving excision with electrosurgical peeling (steep) surgery for inguinal and genital hidradenitis suppurativa has shown promising surgical outcome for Stage II/III HS patients, this study proves the significant improvement of patient QOL and psychosocial outcome after such surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78934
Program Number: P179
Presentation Session: Poster (Non CME)
Presentation Type: Poster