{"id":30381,"date":"2024-07-27T00:34:08","date_gmt":"2024-07-27T00:34:08","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/hidradenitis-suppurativa-effects-of-axillary-disease-on-range-of-motion-should-we-excise-and-leave-open-or-excise-and-close-wounds\/"},"modified":"2024-07-27T00:34:08","modified_gmt":"2024-07-27T00:34:08","slug":"hidradenitis-suppurativa-effects-of-axillary-disease-on-range-of-motion-should-we-excise-and-leave-open-or-excise-and-close-wounds","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/hidradenitis-suppurativa-effects-of-axillary-disease-on-range-of-motion-should-we-excise-and-leave-open-or-excise-and-close-wounds\/","title":{"rendered":"Hidradenitis Suppurativa; Effects of axillary disease on range of motion, should we excise and leave open or excise and close wounds"},"content":{"rendered":"<p>I require an INTRODUCTION to be written for a surgical research paper (manuscript) that will be submitted to a surgical journal.&nbsp;<\/p>\n<div><\/div>\n<div>The paper is focused on Hidradenitis Suppurativa (HS) disease which is a debilitating disease of the skin. Primary areas it effects are the axilla and groin. The way this disease is usually treated is with medications initially. However, when medications fail and the disease progresses surigcal intervention is needed.&nbsp;<\/div>\n<div><\/div>\n<div>The two train of thoughts are excise the lesions and leave the wound open to heal versus excise the lesions and close the wounds. In closing the wounds there is a higher risk of wound break down. However, when the wound does not break down we hypothesize that patients tend to do better overall.&nbsp;<\/div>\n<div><\/div>\n<div>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"font-weight: inherit; font-size: 11pt; line-height: inherit; cursor: auto; color: inherit;\">The first paragraph can be a short review of HS in general.&nbsp; Definition, etiology, progression of disease, treatment options, psychosocial effects, etc.&nbsp;<\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"color: inherit; font-size: 11pt; font-weight: inherit; background-color: var(--color-6); font-variant-ligatures: inherit; font-variant-caps: inherit;\"><br \/><\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"color: inherit; font-size: 11pt; font-weight: inherit; background-color: var(--color-6); font-variant-ligatures: inherit; font-variant-caps: inherit;\">The second paragraph should speak about the debility of the condition especially around the axilla.&nbsp; Quality of life scores used in the literature. Looking at the general surgery, plastic surgery or orthopedic surgery literature to find this. Looking at the the orthopedic literature on shoulder and axilla problems related to range of motion as well to correlate it to how significant HS disease is.&nbsp; HS disease is very painful and patients tend to have decrease range of motion because of this, which improves after surgery<\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"color: inherit; font-size: 11pt; font-weight: inherit; background-color: var(--color-6); font-variant-ligatures: inherit; font-variant-caps: inherit;\"><br \/><\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"font-weight: inherit; font-size: 11pt; line-height: inherit; cursor: auto; color: inherit;\">The third paragraph should focus on the point of the manuscript. Which is surgery in the axilla in the setting of&nbsp; HS infection often involves picking one school of thought.&nbsp; The options would be exciseand, leave open to heal in secondarily, skin graft at a later date or other school of thought suggesting close everything and hope that most of these heal.&nbsp; If it does not heal the patient would then have an open wound, but less open than no closure at all. We are hypothesizing that closing is the better option.&nbsp;<\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"font-weight: inherit; font-size: 11pt; line-height: inherit; cursor: auto; color: inherit;\"><br \/><\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"font-weight: inherit; font-size: 11pt; line-height: inherit; cursor: auto; color: inherit;\">P.S. Attached is an article about how to write a manuscript. I need the introduction only for now.&nbsp;<\/span><\/p>\n<p style=\"font-size: 12pt; cursor: auto; color: inherit;\">Below are also other articles about the HS disease for an idea.&nbsp;<\/p>\n<\/div>\n<div><\/div>\n<div>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Garg<br \/>\nA, Kirby JS, Lavian J, Lin G, Strunk A. Sex- and age-adjusted population<br \/>\nanalysis of prevalence estimates for Hidradenitis Suppurativa in the United<br \/>\nStates. <i style=\"cursor: auto; color: inherit;\">JAMA Dermatol<\/i>. 2017;<b style=\"cursor: auto; color: inherit;\">153<\/b>:760\u2013764.<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Fitzsimmons<br \/>\nJS, Guilbert PR. A family study of hidradenitis suppurativa. <i style=\"cursor: auto; color: inherit;\">J Med Genet<\/i>.<br \/>\n1985;22:367\u2013373.<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Von Der Werth JM, Williams<br \/>\nHC, Raeburn JA. The clinical genetics of hidradenitis suppurativa revisited. <i style=\"cursor: auto; color: inherit;\">Br<br \/>\nJ Dermatol<\/i>. 2000;142:947\u2013953.<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><\/p>\n<p><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;Brown TJ, Rosen T, Orengo<br \/>\nIF. Hidradenitis suppurativa. <i style=\"cursor: auto; color: inherit;\">South Med J<\/i>. 1998;91:1107\u20131114.)<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<\/div>\n<div><\/div>\n<div><span style=\"color: inherit; background-color: var(--color-6); font-variant-ligatures: inherit; font-variant-caps: inherit; cursor: auto;\"><span style=\"cursor: auto; color: inherit;\">Tiri<br \/>\nH, Jokelainen J, Timonen M, Tasanen K, Huilaja L. Somatic and psychiatric<br \/>\ncomorbidities of hidradenitis suppurativa in children and adolescents. <i style=\"cursor: auto; color: inherit;\">J Am<br \/>\nAcad Dermatol<\/i>. 2018;79:514\u2013519.<\/span><\/span><span style=\"color: inherit; background-color: var(--color-6); font-variant-ligatures: inherit; font-variant-caps: inherit; cursor: auto;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><\/div>\n<div><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 11pt; line-height: 107%; cursor: auto; color: inherit;\"><br \/><\/span><\/span><\/div>\n<div><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 11pt; line-height: 107%; cursor: auto; color: inherit;\">&nbsp;Shlyankevich J, Chen AJ, Kim GE, Kimball AB.<br \/>\nHidradenitis suppurativa is a systemic disease with substantial comorbidity<br \/>\nburden: a chart-verified case-control analysis. <i style=\"cursor: auto; color: inherit;\">J Am Acad Dermatol<\/i>.<br \/>\n2014;71:1144\u20131150<\/span><\/span><\/div>\n<div><\/div>\n<div>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Matusiak<br \/>\n\u0141, Bieniek A, Szepietowski JC. Hidradenitis suppurativa markedly decreases<br \/>\nquality of life and professional activity. <i style=\"cursor: auto; color: inherit;\">J Am Acad Dermatol<\/i>. 2010b;<b style=\"cursor: auto; color: inherit;\">62<\/b>:706\u2013708.<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Dini<br \/>\nV., Oranges T., Rotella L., Romanelli M. Hidradenitis suppurativa and wound<br \/>\nmanagement. <i style=\"cursor: auto; color: inherit;\">Int. J. Low Extrem. Wounds. <\/i>2015;14:236\u2013244. doi:<br \/>\n10.1177\/1534734615598890.&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Van<br \/>\nRappard D.C., Mooij J.E., Mekkes J.R. Mild to moderate hidradenitis suppurativa<br \/>\ntreated with local excision and primary closure. <i style=\"cursor: auto; color: inherit;\">J. Eur. Acad. Dermatol.<br \/>\nVenereol. <\/i>2012;26:898\u2013902. doi: 10.1111\/j.1468-3083.2011.04203.x<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><\/p>\n<p><\/span><\/span><\/p>\n<p style=\"margin: 0in; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Lin<br \/>\nC.-H., Chang K.-P., Huang S.-H. Deroofing: An effective method for treating<br \/>\nchronic diffuse hidradenitis suppurativa. <i style=\"cursor: auto; color: inherit;\">Dermatol. Surg. <\/i>2016;42:273\u2013275.<br \/>\ndoi: 10.1097\/DSS.0000000000000609.<\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"font-size: 9pt; cursor: auto; color: inherit;\"><\/span><\/p>\n<\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>I require an INTRODUCTION to be written for a surgical research paper (manuscript) that will be submitted to a surgical journal.&nbsp; The paper is focused on Hidradenitis Suppurativa (HS) disease which is a debilitating disease of the skin. Primary areas it effects are the axilla and groin. The way this disease is usually treated is [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[21],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/30381"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=30381"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/30381\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=30381"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=30381"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=30381"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=30381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}