๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Results and recurrence rate
Results and recurrence rate
To date, no comparative study between CO2 laser and traditional (excisional) surgery has been performed. The appropriate surgical technique should be based upon operator experience and the individual needs of the patient.
Electrosurgery A recent meta-analysis reported a pooled recurrence rate (five studies) of 22% (95%
CI, 10โ37%) after limited excision followed by different reconstructive techniques.38
However, heterogeneity between these studies was very high (I2 = 85%) and average duration of follow-up was significantly correlated with recurrence rate. To date, no studies report on the satisfaction of medical and cosmetic effects of limited excision followed by secondary healing. One study reporting on limited excision with several different reconstructive techniques demonstrated that 90% (51/57) of the patients were willing to undergo further surgery if necessary.31
Carbon dioxide laser vaporization Two prospective case series by Lapins et al. demonstrated recurrence within the borders of the treated areas after a mean follow-up of 27 to 35 months in 8% (2/24) and 12% (3/34) of the HS patients (all displaying Hurley stage II).36,37 Mikkelsen et al. interviewed 58 HS patients with a mean of 26 months after CO2 vaporization. Recurrence of HS lesions was reported by 29% of the patients.39 In general, patients who undergo CO2 surgery report satisfactory scores for pain, scarring, and overall treatment satisfaction.35 In addition, 91% (53/58) would recommend the CO2 vaporization to other HS patients.
Complications