LIMITED EXCISION
LIMITED EXCISION
The terms “limited excision” and “local excision” are used ambiguously throughout the literature.22,29,31–33 In this section “limited excision” is interpreted as the excision of an HS affected area, ~0.5 cm beyond the clinical borders of activity, within <1% of the total BSA.29 Limited excision is indicated for fixed lesions or unepithelialized sinus tracts in a limited area.29 This represents Hurley stage I and stage II lesions (Fig. 54-7A and B). Nodules are not suitable for deroofing as they do not have an epithelialized lining. Recurrent and persistent nodules, both inflammatory and noninflammatory, should be treated by excision. A deroofing procedure of a sinus (or abscess) may evolve into a limited excision when upon visual inspection the floor of the exteriorized lesion is not epithelialized.
Figure 54-7. (A) Hurley I in the left axilla. (B) Hurley II of the right axilla.