Gajiwala Kalpesh J
Consultant Plastic Surgeon: Holy Family Hospital, Bandra, Saifee Hospital, Charni Road, Bhatia General Hospital, Grant Road, Ramkrishna Mission Hospital, Khar, Ali Yavar Jung National Institute of Hearing Handicapped, Bandra, Mumbai, India.
Indian J Plast Surg. 2012 Sep;45(3):522-5. doi: 10.4103/0970-0358.105965.
In the best of hands, the ultimate surgical scar of an otherwise well-performed surgery is unpredictable, and surgical techniques are constantly evolving to prevent or revise large scars. The present series uses the principles of serial excision to reduce the eventual scar length.
Between January 1991 and December 2010, 30 patients were operated upon. In the first stage, a lesion was reduced in two dimensions with the intent to create a smaller lesion with the long axis favourably placed. The residual lesion was then excised after 4 weeks or more.
The resultant scars were smaller and better aligned, with an excellent skin match.
A well-planned serial excision in a biaxial manner helps reduce the final scar.
即使是技术最精湛的医生，一场原本手术操作良好的手术最终的手术瘢痕也是不可预测的，并且手术技术也在不断发展以预防或修正大的瘢痕。本系列研究采用连续切除的原则来减少最终的瘢痕长度。
在1991年1月至2010年12月期间，对30例患者进行了手术。在第一阶段，将病变在两个维度上缩小，目的是形成一个长轴位置有利的较小病变。然后在4周或更长时间后切除残余病变。
最终形成的瘢痕更小且排列更整齐，皮肤匹配度极佳。
精心规划的双轴连续切除有助于减少最终瘢痕。
