251 Patient-Reported Outcome Measures Following Surgical Management of Hidradenitis Suppurativa

Hidradentitis suppurativa (HS), also known as Acne inversus is a chronic and impairing inflammatory skin disease affecting hair follicle, which has both physical and psychological effects on patients. This study aims to evaluate patient-reported outcomes after Hidradenitis suppurativa (HS) excision and healing using secondary intention versus graft versus flaps, using HS-Quality of Life-24 and POSAS assessment modalities to capture the quality of life related to HS and its impact on the hair follicle. A retrospective analysis of patients with hidradenitis suppurativa to the axilla underwent excision and reconstruction at St. Thomas Hospital's plastic surgery department. Data was collected using GALAXY, HSQoL24, and POSAS, with higher scores indicating greater disease impact. Other factors included wound healing time, dressing changes, information received, and overall satisfaction. A study of 52 patients, 73% female, with an average age of 36, found that wound closure was achieved through secondary intention HS excision. The average total score for HSQoL24 was 62, 54, and 40, respectively. The healing duration ranged from 14 days to 2 months in 40% of cases, and 52% to 12 months in 52% of cases. 60% of cases involved alterations in medical therapy, and 28% experienced weight loss post-surgery. Patients reported overall satisfaction with the surgery, with satisfaction ratings for local flap, SSG, and healing with secondary intention. SSG and local flaps effectively provide coverage for hidradenitis suppurativa, improving quality of life and reducing scar-related complications, however still further research is needed - the optimal surgical approach regarding HS remains uncertain due to paucity of data.