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Overview of Surgical Scar Prevention and Management

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Author(s)
Daegu SonAram Harijan
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Journal of Korean Medical Science
Issued Date
2014
Volume
29
Issue
6
Keyword
Skin Tension LineSkin Wound HealingCicatrix, HypertrophicKeloidSurgical Wound
Abstract
Management of incisional scar is intimately connected to stages of wound healing. The
management of an elective surgery patient begins with a thorough informed consent
process in which the patient is made aware of personal and clinical circumstances that
cannot be modified, such as age, ethnicity, and previous history of hypertrophic scars. In
scar prevention, the single most important modifiable factor is wound tension during the
proliferative and remodeling phases, and this is determined by the choice of incision
design. Traditional incisions most often follow relaxed skin tension lines, but no such lines
exist in high surface tension areas. If such incisions are unavoidable, the patient must be
informed of this ahead of time. The management of a surgical incision does not end when
the sutures are removed. Surgical scar care should be continued for one year. Patient
participation is paramount in obtaining the optimal outcome. Postoperative visits should
screen for signs of scar hypertrophy and has a dual purpose of continued patient education
and reinforcement of proper care. Early intervention is a key to control hyperplastic
response. Hypertrophic scars that do not improve by 6 months are keloids and should be
managed aggressively with intralesional steroid injections and alternate modalities.
Keimyung Author(s)(Kor)
손대구
Publisher
School of Medicine
Citation
Daegu Son and Aram Harijan. (2014). Overview of Surgical Scar Prevention and Management. Journal of Korean Medical Science, 29(6), 751–757. doi: 10.3346/jkms.2014.29.6.751
Type
Article
ISSN
1011-8934
DOI
10.3346/jkms.2014.29.6.751
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34114
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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