Adherent Abdominal Scar Revision Does Not Require Total Scar Removal
Loelita Marcelia Lumintang1,2, Teruyuki Dohi1, Rei Ogawa1
1From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
Plastic and Reconstructive Surgery. Global Open
|October 18, 2023
Summary
This study presents a novel surgical scar revision technique for adherent abdominal scars, avoiding deep tissue damage and intra-abdominal procedures. The method offers excellent aesthetic and functional outcomes, improving patient quality of life.
Area of Science:
- Plastic Surgery
- Dermatology
- Surgical Innovation
Background:
- Abdominal surgery frequently results in adherent scars, impacting aesthetics and potentially causing discomfort.
- Complete scar excision is often contraindicated due to risks of intra-abdominal injury and impaired wound healing.
Observation:
- A patient presented with a significant hypertrophic, adherent abdominal scar following multiple laparotomies.
- The scar caused aesthetic concerns and umbilical distortion but no pain or functional impairment.
Findings:
- A minimally invasive scar revision technique was performed, preserving the deep dermal scar layer.
- Superficial scar tissue was removed, and adjacent skin flaps were advanced and sutured, creating a vascularized tissue layer.
Implications:
- This scar revision procedure offers an effective and efficient alternative to total scar removal.
- The technique avoids intra-abdominal surgery, minimizes risks, and yields superior aesthetic and functional results.
- It provides a viable option for managing complex abdominal scars without compromising patient safety.
