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DOI: 10.5999/aps.2017.44.4.337
Surgery Requiring Detailed Preoperative Simulation and Scar De-epithelialization to Repair Severe Postoperative Scarring from Gastroschisis
We present the case of a patient with severe postoperative scarring from surgical treatment for gastroschisis, with the intestine located immediately under the dermal scar. Although many patients are unsatisfied with the results of scar repair treatment, few reports exist regarding severe or difficult cases involving the surgical repair of postoperative scar contracture. We achieved an excellent result via simulation involving graph paper drawings that were generated using computed tomography images as a reference, followed by dermal scar deepithelialization. The strategy described here may be useful for other cases of severe postoperative scar contracture after primary surgery for gastroschisis.
Publication History
Received: 08 July 2016
Accepted: 29 October 2016
Article published online:
20 April 2022
© 2017. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Tunell WP, Puffinbarger NK, Tuggle DW. et al. Abdominal wall defects in infants. Survival and implications for adult life. Ann Surg 1995; 221: 525-8
- 2 Pechter EA. Abdominoplasty in an adult survivor of gastroschisis. Ann Plast Surg 2006; 56: 327-9
- 3 Fuentes S, Marti E, Delgado MD. et al. Management of the sequelae of severe congenital abdominal wall defects. Arch Plast Surg 2016; 43: 258-64