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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Clinical Applications of Epidermal Stem Cells01:19

Clinical Applications of Epidermal Stem Cells

Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own EpiSCs...

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Related Experiment Videos

Do postsurgical interventions optimize ultimate scar cosmesis.

M H Viera1, S Amini, S Konda

  • 1Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, FL 33136, USA. mviera2@med.miami.edu

Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Societa Italiana Di Dermatologia E Sifilografia
|June 17, 2009
PubMed
Summary
This summary is machine-generated.

This review explores scar treatment options, discussing surgical techniques and adjuvant therapies to improve cosmetic outcomes and reduce recurrence. Evidence-based data guides physician decisions for optimal scar management.

Related Experiment Videos

Area of Science:

  • Dermatology
  • Plastic Surgery
  • Wound Healing Research

Background:

  • Scars, including keloids, are normal wound healing outcomes that can cause psychological distress if visible.
  • Surgical planning and scar repositioning techniques like Z-plasty and W-plasty aim to improve cosmetic results.
  • Prominent scars often require multiple treatment modalities due to high recurrence rates with monotherapy.

Purpose of the Study:

  • To review evidence-based data on various scar treatment modalities.
  • To discuss surgical and non-surgical options for improving scar cosmesis.
  • To guide physicians in selecting optimal post-excision scar management.

Main Methods:

  • Comprehensive literature review of scar treatment modalities.
  • Analysis of surgical techniques, including Z-plasty and W-plasty.
  • Evaluation of adjuvant therapies such as cryosurgery, lasers, and topical agents.

Main Results:

  • Surgical excision alone has high recurrence rates, necessitating adjuvant therapies.
  • Advanced techniques and various topical/intralesional treatments can improve scar appearance.
  • Newer modalities like growth factor inhibitors and light therapies show promise.

Conclusions:

  • Adjuvant post-surgical treatments significantly reduce scar recurrence.
  • A combination of therapies tailored to individual cases yields the best cosmetic results.
  • Physician expertise is crucial for selecting the most appropriate scar management strategy.