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Wide excision (WE) is generally considered to be the most common treatment for recurrent hidradenitis suppurativa. When performed, excision is followed by decisions regarding best options for management of the surgical defect. Different reconstructive strategies (RSs) have been used, with varying rates of recurrence. To provide an up-to-date systematic review of the complete literature for different RS after WE and their recurrence rates. A systematic literature search of the complete available literature and a meta-analysis of proportions