Performance of Er‐YAG Laser Deroofing of Recalcitrant Hidradenitis Suppurativa

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Main Authors: Yanai Rubinstein, Jonathan Shapiro, Badea Jiryis, Emily Avitan-Hersh, Orna Mirmovich Morvay, Hiba Zaaroura, Saleh Mishlav, Ziad Khamaysi
Format: Artículo Open Access
Published: Wiley 2026
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author Yanai Rubinstein
Jonathan Shapiro
Badea Jiryis
Emily Avitan-Hersh
Orna Mirmovich Morvay
Hiba Zaaroura
Saleh Mishlav
Ziad Khamaysi
author_facet Yanai Rubinstein
Jonathan Shapiro
Badea Jiryis
Emily Avitan-Hersh
Orna Mirmovich Morvay
Hiba Zaaroura
Saleh Mishlav
Ziad Khamaysi
Yanai Rubinstein
Jonathan Shapiro
Badea Jiryis
Emily Avitan-Hersh
Orna Mirmovich Morvay
Hiba Zaaroura
Saleh Mishlav
Ziad Khamaysi
collection Wiley Open Access
contents Performance of Er‐YAG Laser Deroofing of Recalcitrant Hidradenitis Suppurativa Yanai Rubinstein Jonathan Shapiro Badea Jiryis Emily Avitan-Hersh Orna Mirmovich Morvay Hiba Zaaroura Saleh Mishlav Ziad Khamaysi Dermatologic Therapy Hidradenitis suppurativa is a chronic, inflammatory disease. Despite the limited literature on the use of the Er‐YAG laser for deroofing in hidradenitis suppurativa, its mechanism is similar to that of the carbon dioxide laser, suggesting that it could be a useful alternative treatment. This study aims to assess the efficacy of Er‐YAG laser treatment for hidradenitis suppurativa lesions and identify potential factors associated with treatment success. Medical records of 94 patients with Hurley Stage II or III disease who underwent Er‐YAG laser treatment were retrospectively reviewed. The laser was used to incise the skin and subcutaneous fat, followed by vaporization to remove diseased apocrine glands. Wound healing was achieved through secondary intention. Posttreatment follow‐up was scheduled at 8 weeks to assess remission and at 6 months to assess recurrence. Complete remission was achieved in 87% of patients at 8 weeks, and 94% of these patients were disease‐free at 6 months. Patients reported high satisfaction. Significant negative associations with outcomes were found for obesity (body mass index ≥ 30) and Hurley Stage III disease. Er‐YAG laser deroofing is effective for hidradenitis suppurativa. Obesity and Hurley Stage III patients should be aware of their reduced success rates. 10.1155/dth/2041908 https://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1155/dth/2041908
format Artículo Open Access
id wiley_oa_10_1155_dth_2041908
institution Wiley Open Access
license_str_mv https://creativecommons.org/licenses/by/4.0/
publishDate 2026
publisher Wiley
record_format wiley_oa
spellingShingle Performance of Er‐YAG Laser Deroofing of Recalcitrant Hidradenitis Suppurativa
Yanai Rubinstein
Jonathan Shapiro
Badea Jiryis
Emily Avitan-Hersh
Orna Mirmovich Morvay
Hiba Zaaroura
Saleh Mishlav
Ziad Khamaysi
Dermatologic Therapy
Performance of Er‐YAG Laser Deroofing of Recalcitrant Hidradenitis Suppurativa Yanai Rubinstein Jonathan Shapiro Badea Jiryis Emily Avitan-Hersh Orna Mirmovich Morvay Hiba Zaaroura Saleh Mishlav Ziad Khamaysi Dermatologic Therapy Hidradenitis suppurativa is a chronic, inflammatory disease. Despite the limited literature on the use of the Er‐YAG laser for deroofing in hidradenitis suppurativa, its mechanism is similar to that of the carbon dioxide laser, suggesting that it could be a useful alternative treatment. This study aims to assess the efficacy of Er‐YAG laser treatment for hidradenitis suppurativa lesions and identify potential factors associated with treatment success. Medical records of 94 patients with Hurley Stage II or III disease who underwent Er‐YAG laser treatment were retrospectively reviewed. The laser was used to incise the skin and subcutaneous fat, followed by vaporization to remove diseased apocrine glands. Wound healing was achieved through secondary intention. Posttreatment follow‐up was scheduled at 8 weeks to assess remission and at 6 months to assess recurrence. Complete remission was achieved in 87% of patients at 8 weeks, and 94% of these patients were disease‐free at 6 months. Patients reported high satisfaction. Significant negative associations with outcomes were found for obesity (body mass index ≥ 30) and Hurley Stage III disease. Er‐YAG laser deroofing is effective for hidradenitis suppurativa. Obesity and Hurley Stage III patients should be aware of their reduced success rates. 10.1155/dth/2041908 https://creativecommons.org/licenses/by/4.0/
title Performance of Er‐YAG Laser Deroofing of Recalcitrant Hidradenitis Suppurativa
topic Dermatologic Therapy
url https://onlinelibrary.wiley.com/doi/10.1155/dth/2041908