Surgery Requiring Detailed Preoperative Simulation and Scar De-epithelialization to Repair Severe Postoperative Scarring from Gastroschisis.

Naohiro Ishii
Naohiro Ishii
Tochigi Cancer Center
Utsunomiya | Japan
Kazuo Kishi
Kazuo Kishi
Keio University School of Medicine

Arch Plast Surg 2017 Jul 15;44(4):337-339. Epub 2017 Jul 15.

Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.

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.
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July 2017
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