Commentary: Unroofing for Hidradenitis Suppurativa, Why and How

The document from 2010 discusses the unroofing technique as an effective and less invasive surgical option for treating hidradenitis suppurativa (HS), a chronic skin condition. Unroofing involves removing the affected skin and underlying structures, which can be done under local anesthesia with manageable postoperative care. The procedure is noted for its cost-effectiveness, reduced need for hospitalization, and low recurrence rates. Additionally, the document emphasizes the role of hormonal influences and diet in HS, recommending dietary management, avoidance of smoking, and the use of certain medications to address these factors. The technique is reported to improve patients' quality of life and increase their enthusiasm for treatment, with resulting scars typically shrinking to 25% to 30% of the original size.