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d roofing for health care professionals this video is intended as an educational and training resource for health care professionals to perform D roofing of sinus tracts more recently known as skin tunnels for patients with 100 nighters suppurativa or HS this is purely an information video and watching does not confer competence to perform the procedure after watching this video you should be able to select appropriate patients for D roofing ensure you have the correct equipment to perform the procedure take informed consent with the patient adequately prepare the patient for the procedure know the steps involved in D roofing provide appropriate post-operative care to the patient HS is a chronic skin disease resulting in a mixture of inflammatory lesions boils skin tunnels and scarring d roofing treats skin tunnels by removing the roof of the tunnel and allowing a stable flattened scar to form by secondary intention here is an example of a skin tunnel in severe HS there is often an in
