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Scar Revision Surgery: The Patient's Perspective
Benjamin H Miranda1, Anna Y Allan1, Daniel P Butler1
1Department of Plastic and Reconstructive Surgery, Royal Free London NHS Foundation Trust, Royal Free Hospital, London, UK.
Archives of Plastic Surgery
|December 1, 2015
Summary
Patient selection is key for successful scar revision surgery. Most patients report better outcomes, especially those with traumatic scars and females, highlighting the importance of careful criteria.
Area of Science:
- Plastic Surgery
- Patient-Reported Outcomes
- Scar Management
Background:
- Limited literature exists on patient satisfaction after scar revision surgery.
- Patient perspective is crucial for evaluating surgical outcomes.
- This study aimed to prospectively assess scar revision satisfaction using specific patient selection criteria.
Purpose of the Study:
- To investigate patient satisfaction outcomes following scar revision surgery.
- To evaluate the impact of patient selection criteria on satisfaction.
- To provide data for improving patient-surgeon consultations.
Main Methods:
- 250 patients undergoing scar revision (2007-2011) were randomly selected for telephone follow-up.
- Visual analogue scores (VAS) assessed scar quality pre- and post-revision.
- Data collected included demographics, scar type, surgical indication, and revision details via a hospital database.
Main Results:
- 82% of 211 contacted patients reported improved satisfaction after scar revision.
- Traumatic scars showed higher satisfaction rates (91.8%) than elective scars (77.8%).
- Females reported better outcomes than males, particularly in the elective scar group.
Conclusions:
- Careful patient selection can lead to successful scar revision outcomes.
- Findings offer valuable insights for general practitioners and surgeons planning scar revisions.
- Patient satisfaction is a critical metric in evaluating scar revision efficacy.
