title: Patient Satisfaction and Quality of Life Following Surgery for Hidradenitis Suppurativa.
abstract: BACKGROUND
  Hidradenitis suppurativa (HS) is a progressive, recurrent inflammatory disorder.
  
  
  OBJECTIVE
  To assess long-term satisfaction and postoperative perceptions among patients who underwent surgical management of HS.
  
  
  METHODS
  A questionnaire was mailed to 499 HS surgical patients to assess surgical outcome, satisfaction, and quality of life.
  
  
  RESULTS
  Of the 499 questionnaires mailed, 113 were returned (22.6% response rate) and 2 were excluded for redundancy. Of the 111 respondents, 65 (58.6%) were female, 91 (82.0%) had Hurley Stage III disease, 88 (79.3%) were treated with excision and 23 (20.7%) with unroofing, 45 (40.5%) had perianal or perineal disease, and 41 (36.9%) had axillary disease. Most patients were satisfied or very satisfied with their surgical results (84.7%; 94 of 111), were glad they underwent surgery (96.3%; 105 of 109), and would recommend surgery to a friend or relative (82.6%; 90 of 109). Most patients were satisfied or very satisfied with the appearance of their healed wound (62.4%; 68 of 109). Retrospective mean quality of life increased significantly from 5 preoperatively to 8.4 postoperatively (p < .001).
  
  
  CONCLUSIONS
  Hidradenitis suppurativa surgical management was well regarded by patients and should be considered by future patients to limit the morbidity of HS.
authors.affiliation: *Mayo Medical School, Mayo Clinic College of Medicine, Rochester, Minnesota;†Department of Dermatology, Mayo Clinic, Rochester, Minnesota;‡Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota;§Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: John J
authors.initials: JJ
authors.lastname: Kohorst
authors.forename: Christian L
authors.initials: CL
authors.lastname: Baum
authors.forename: Clark C
authors.initials: CC
authors.lastname: Otley
authors.forename: Randall K
authors.initials: RK
authors.lastname: Roenigk
authors.forename: John H
authors.initials: JH
authors.lastname: Pemberton
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Dozois
authors.forename: Nho V
authors.initials: NV
authors.lastname: Tran
authors.forename: Mark D P
authors.initials: MD
authors.lastname: Davis
mesh_terms: D000293:Adolescent; D000328:Adult; D001365:Axilla; D002081:Buttocks; D002648:Child; D002675:Child, Preschool; D005260:Female; D017497:Hidradenitis Suppurativa / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010502:Perineum; D011183:Postoperative Complications / Q000209:etiology; D011788:Quality of Life; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult