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    Surgery Requiring Detailed Preoperative Simulation and Scar De-epithelialization to Repair Severe Postoperative Scarring from Gastroschisis.
    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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    The umbilicus is our first scar. It is the last remain of our life in utero. Besides the umbilical hernia, a common pathology during the first three years of life that rarely requires surgery, there are some rare congenital abnormalities such as gastroschisis and omphalocele, which occur in about 1-5/10,000 births. Read More
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    Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland.
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    Unidad de Cirugía Fetal y Neonatal, Departamento de Cirugía Pediátrica, Hospital Vall d'Hebrón, Barcelona.
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    Department of Surgery, University of Illinois College of Medicine, Peoria, IL 61603, USA.
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