Ishii Naohiro, Oji Tomito, Kishi Kazuo
Department of Plastic and Reconstructive Surgery, Tochigi Cancer Center, Tochigi, Japan.
Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.
Arch Plast Surg. 2017 Jul;44(4):337-339. doi: 10.5999/aps.2017.44.4.337. Epub 2017 Jul 15.
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.
我们报告了一例因腹裂手术治疗导致严重术后瘢痕形成的患者，其肠道紧邻真皮瘢痕下方。尽管许多患者对瘢痕修复治疗结果不满意，但关于严重或复杂的术后瘢痕挛缩手术修复病例的报道很少。我们通过模拟取得了优异的效果，该模拟包括以计算机断层扫描图像为参考生成的方格纸绘图，随后进行真皮瘢痕的去上皮化处理。这里描述的策略可能对腹裂一期手术后其他严重术后瘢痕挛缩病例有用。
