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Updated: Apr 30, 2026
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
400
Effectiveness of Core Excision Technique for Keloids: A Systematic Review
Xiaoye Ran1, Xiaoshuang Guo2, Yuanbo Liu1
1From the Scar and Wound Treatment Center.
Plastic and Reconstructive Surgery
|September 9, 2024
Summary
The keloid core excision technique shows low recurrence rates when combined with adjuvant therapies. Residual scar tissue and complications are key factors influencing keloid recurrence after surgery.
Area of Science:
- Dermatology
- Surgical Oncology
- Plastic Surgery
Background:
- Keloid core excision minimizes wound tension and improves cosmetic results.
- Uncertainty exists regarding factors like residual tissue contributing to keloid recurrence.
- This review assesses therapeutic outcomes of keloid core excision.
Purpose of the Study:
- To systematically evaluate the therapeutic outcomes of core excision techniques for keloids.
- To identify factors influencing recurrence rates after keloid core excision.
Main Methods:
- A systematic literature review was performed using PubMed, Embase, Web of Science, and Cochrane Library.
- Search terms included "keloid," "core excision," and related surgical techniques.
- Inclusion criteria were pre-established and reviewed by multiple investigators.
Main Results:
- Twenty studies with 926 keloid cases using core excision were analyzed.
- Adjuvant therapies, primarily radiotherapy and steroid injections, were common.
- Recurrence rates varied from 0% to 28.6%, with residual scar tissue and complications being major contributors.
Conclusions:
- Keloid core excision combined with adjuvant therapies offers a low recurrence rate.
- Further randomized controlled trials are needed to confirm the efficacy of core excision techniques for keloids.
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