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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...
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Related Experiment Video

Updated: Jul 11, 2025

Clinical Protocol of Producing Adipose Tissue-Derived Stromal Vascular Fraction for Potential Cartilage Regeneration
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Postoperative Scar Management Protocol for Asian Patients.

Hargaven Singh Gill1, Low O-Wern1, Priya Tiwari2

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, National University Hospital (NUH), 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.

Aesthetic Plastic Surgery
|November 9, 2023
PubMed
Summary

Developing an evidence-based scar management protocol is crucial for improving postoperative scar outcomes in Asian skin. This novel protocol guides scar management from skin closure up to one year post-surgery.

Keywords:
AsianBotulinum toxinCosmeticIntralesional steroidKeloidScar protocol

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Evidence-Based Medicine

Background:

  • Postoperative scarring is a significant patient morbidity, particularly in Asian skin.
  • Existing minimally invasive techniques do not fully address scar outcomes in diverse skin types.
  • There is a need for an evidence-based scar management protocol tailored for Asian skin.

Purpose of the Study:

  • To develop and implement a novel, evidence-based postoperative scar management protocol.
  • To address the specific challenges of scar formation in Asian skin.
  • To provide guidance for improved scar outcomes in a Singaporean tertiary healthcare institution.

Main Methods:

  • Conducted a comprehensive literature review of PubMed and Cochrane databases (past 10 years).
  • Constructed a novel, timeline-based scar management protocol.
  • Utilized the protocol in a clinical setting for Asian skin patients.

Main Results:

  • The protocol spans from skin closure to a minimum of 1-year follow-up.
  • Recommends intraoperative botulinum toxin for high-risk individuals.
  • Outlines multimodal therapy for recalcitrant keloids, including intralesional steroids, botulinum toxin, lasers, surgery, and radiotherapy.

Conclusions:

  • A consolidated scar management protocol improves outcomes for Asian skin.
  • The protocol has potential for expansion to post-traumatic and burn wounds.
  • Future applications may include adaptation for Caucasian skin types.