Inclusion Criteria:  Adults 18 years old and older. Have diagnosis of HS confirmed by a dermatologist Have at least two ancillary tunnels in separate anatomical sites Able to provide informed consent  Exclusion Criteria:  Individuals who are not yet adults Subject is allergic to any of the materials and dressings involved in the procedures Women known to be pregnant Prisoners Subjects, who in the opinion of the PI, cannot comply with hope application of the treatment