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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
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Updated scar management practical guidelines: non-invasive and invasive measures
Stan Monstrey1, Esther Middelkoop2, Jan Jeroen Vranckx3
1Plastic and Reconstructive Surgery Department, Burn Centre, Ghent University Hospital, Ghent, Belgium.
Summary
Updated guidelines offer practical, evidence-based strategies for preventing and treating hypertrophic scars and keloids. Silicone sheeting is the first-line option, with other treatments available for specific patient needs.
Area of Science:
- Plastic Surgery
- Dermatology
- Wound Healing
Background:
- Hypertrophic scars and keloids cause significant aesthetic and psychosocial distress.
- Numerous surgical and non-surgical interventions exist for scar management.
- An international expert group developed updated evidence-based guidelines for scar treatment.
Purpose of the Study:
- To present updated, practical, evidence-based guidelines for managing hypertrophic scars and keloids.
- To outline prophylactic and therapeutic strategies for abnormal scar formation.
- To guide clinicians in selecting appropriate scar management based on patient and wound characteristics.
Main Methods:
- International consensus development by 24 experts from diverse specialties.
- Review of evidence for various scar prevention and treatment modalities.
- Formulation of tiered recommendations for scar management.
Main Results:
- Prophylactic measures (reducing skin tension, taping, hydration, UV protection) are recommended universally.
- Silicone sheeting or gel is the gold-standard, first-line treatment for hypertrophic scars and keloids.
- Specialized treatments like pressure garments and surgical interventions are available for specific cases and later stages.
Conclusions:
- The updated guidelines provide a comprehensive, evidence-based approach to scar management.
- Individualized treatment selection, considering patient and wound factors, is crucial for optimal outcomes.
- A multi-modal strategy, from prevention to surgical correction, can address abnormal scar formation effectively.
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