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CC BY-NC 4.0 · Arch Plast Surg 2017; 44(04): 337-339
DOI: 10.5999/aps.2017.44.4.337
Case Report

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

Naohiro Ishii
Department of Plastic and Reconstructive Surgery, Tochigi Cancer Center, Tochigi, Japan
,
Tomito Oji
Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
,
Kazuo Kishi
Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
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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.

Keywords - Gastroschisis - Scarring - Abdominal plasty - Congenital abdominal wall defect


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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