Surgery is a common method to address hidradenitis suppurativa (HS) tunnels, but it's not the only option. Here are some details:

### Surgical Options
- Deroofing: Removes the top of the tunnel and scrapes out the tissue inside. This helps healthy cells heal the wound.
- Incision and Drainage: Temporarily relieves Show Full Answer

Surgery is a common method to address hidradenitis suppurativa (HS) tunnels, but it's not the only option. Here are some details:

### Surgical Options:
- Deroofing: Removes the top of the tunnel and scrapes out the tissue inside. This helps healthy cells heal the wound.
- Incision and Drainage: Temporarily relieves symptoms by draining fluid or pus, but abscesses often return.
- Wide Excision: Removes the entire tunnel and surrounding tissue. May require skin grafts for proper healing.

### Non-Surgical Options:
- Medications:
- Biologics: Adalimumab (Humira) and secukinumab (Cosentyx) reduce inflammation and nodules.
- Antibiotics: Dapsone or clindamycin.
- Oral Retinoids: Isotretinoin.
- Hormonal Medications: Spironolactone or birth control pills.

### Managing Open Wounds and Fluid Build-Up:
- Continuous Drainage: Procedures like punch I&D allow for continuous drainage, helping lesions resolve.
- Proper Wound Care: Keeping the area clean and following your healthcare provider's instructions can help manage open wounds.

By following your treatment plan and consulting with your healthcare provider, you can manage symptoms and reduce the formation of tunnels.

 This AI-generated response comes from myHSteam and other selected sources. It is not a substitute for medical advice. Always ask your doctor about specific health concerns.

Hidradenitis Suppurativa Tunnels: What To Know | myHSteam

Surgery for HS: Understand Your Options | myHSteam