One hundred four patients who had perianal and perineal hidradenitis suppurativa were treated with early, extensive and complete surgical excision; longterm results were excellent, hospital stays were short, and the recurrence rate was low. All wounds were allowed to heal by secondary granulation. No antibiotics were administered, there was no split-thickness skin grafting, and a diverting colostomy was used in only one patient.
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Thornton et al. (1978) studied this question.