About this trial
Hidradenitis Suppurativa (HS) is a long-lasting skin condition that causes painful lumps and infections. In severe cases, patients need surgery to remove the affected skin. After surgery, a wound dressing called a wound matrix is placed over the area to help the skin heal.
This study will compare two different wound matrices:
Restrata®, which is the current standard treatment. Pelashield™ PainGuard™, a newer dressing that contains silver to reduce bacteria and lidocaine to help with pain.
The goal of this research is to find out if Pelashield™ PainGuard™ helps patients heal better after surgery than Restrata®. We will look at:
How quickly healthy granulation tissue (new healing tissue) forms How soon the wound is ready for the second surgery to apply a skin graft How often infections happen after surgery How much narcotic (opioid) pain medication patients need after surgery Patients who receive Pelashield™ PainGuard™ will be enrolled in the study going forward (prospective group). Patients who previously had surgery with Restrata® will be included through a review of their medical records (retrospective group). No additional procedures will be done outside of standard surgical care.
Eligibility criteria
Qualifiers
Adults (≥18 years) with a confirmed clinical diagnosis of HS requiring wide surgical excision.
Ability to provide informed consent in English.
Willingness and ability to attend routine postoperative follow-up visits to monitor healing and readiness for second-stage closure.
Disqualifiers
Non-English-speaking patients (due to consent and follow-up communication limitations).
Known allergy or hypersensitivity to wound matrix components (polyvinyl alcohol), local anesthetics, or silver.
Known sensitivity to lidocaine or history of cardiac conditions contraindicating lidocaine use (e.g., severe heart block, Adams-Stokes syndrome, Wolff-Parkinson-White syndrome).
Pregnancy or active breastfeeding.
Trial design
Treatments tested in this trial
- Pelashield Painguard