Update on Postsurgical Scar Management

Commander, Sarah Jane; Chamata, Edward; Cox, Joshua; Dickey, Ryan M.; Lee, Edward I.

doi:10.1055/s-0036-1584824

Cited by 53 publications

(40 citation statements)

References 35 publications

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“…Commander et al . (2016) reported petrolatum to increase epithelialisation and decrease scarring in people, while an experimental study in dogs reported that wounds dressed with petrolatum‐containing dressings contracted more quickly in the first 7 days and had less epithelialisation than wounds dressed with cotton non‐adherent dressings (Lee et al . 1987).…”

Section: Discussionmentioning

confidence: 99%

Seed skin grafts for reconstruction of distal limb defects in 15 dogs

Crowley

Hosgood

Appelgrein

2020

J of Small Animal Practice

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Objectives To report the surgical technique of seed skin grafting and clinical application for reconstruction of wounds on the distal limb of client‐owned dogs. Materials and Methods Medical records from The Animal Hospital at Murdoch University were retrospectively reviewed for dogs requiring reconstruction using seed grafting for distal limb skin defects between January 2009 and May 2020. Results Fifteen dogs were included. Grafting was performed on distal limb wounds at or below the carpus or tarsus, following trauma (n = 12) or neoplasia excision (n = 3). Complete epithelialisation with minimal contracture was recorded at a median of 4 weeks (range 3 to 8 weeks) after implantation. Median follow‐up was 37 months (range 3 to 55 months) after grafting. Postoperative complications included epidermal inclusion cyst in two dogs. Good functional outcome with acceptable cosmesis despite sparse hair growth was achieved in all cases. Clinical Significance Seed grafting is a simple technique that can be used reliably to reconstruct wounds on the distal limb in dogs where other reconstructive techniques are not suitable. Complete epithelialisation with sparse hair growth, good long‐term functional outcome and minimal complications can be expected.

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Section: Discussionmentioning

confidence: 99%

Seed skin grafts for reconstruction of distal limb defects in 15 dogs

Crowley

Hosgood

Appelgrein

2020

J of Small Animal Practice

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“…Initiation of patient education and mutual communication between patients and care providers in the preoperative period can help achieve more effective scar care and ensure continuity of treatment from the postoperative period to the completion of wound healing. 27 In realistic situations, it is clear that patients with normal or problematic scars frequently experienced psychological distress (anxiety and depression) and chronic symptom (scar tissue pain and itching). Minimising changes of appearance in scarring as well as enhancing patient satisfaction can contribute to improving the quality of life in patients' daily lives.…”

Section: Discussionmentioning

confidence: 99%

Internet-based survey of the perceptions of surgical scars of Japanese patients

Kohta

Nishigaki

2020

Scars, Burns & Healing

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Introduction: The adverse aesthetic effects of post-surgical scars frequently impose a psychological burden on patients. We conducted an Internet-based questionnaire survey of Japanese individuals to explore patient satisfaction with respect to surgical scars and to identify the factors that affect their interest and experience of scar care. Method: A cross-sectional study was conducted for the previous year on patients who had undergone the following surgeries: gastrointestinal; orthopaedic; obstetric; gynaecological; and plastic. The questionnaire included: (1) measures of participant characteristics; (2) measures of interest, experience and satisfaction with scar care; (3) measures of current and desired scar condition; and (4) measures of communication with physicians or nurses. Results: A total of 214 participants were enrolled. Of these, only 90 individuals had experienced any treatment or self-care, and only 30 were satisfied with their experience. We found a significant gap between the current and desired thickness and colour of the scar ( P < 0.01). On logistic regression analysis, scars located at a visible site and size of the scar were significant factors that affected the interest and experience of scar care. Only 40% of participants answered that their physician or nurse adequately understands their concerns pertaining to the scar condition. Conclusion: Only a small proportion of individuals were satisfied with their experience of scar care. Additional research in following areas is required: (1) mutual communication between patients and medical providers; and (2) development of a new care programme for the management of scars.

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“…Clinically, although numerous treatments exist, no single modality has been proven superior over others. [101] Evidence in pediatric patients indicates that Asian patients have a three-fold increased rate of hypertrophic scarring relative to Caucasians.…”

Section: Resultsmentioning

confidence: 99%