Die hypertrophe Narbe und das Keloid

Arco, Gunther; Schwarz, Stephan; Horch, Raymund E.

doi:10.1007/s12631-009-0030-2

Cited by 2 publications

(5 citation statements)

References 35 publications

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“…There are divergent views and reports about the indications and the results of different skin closure methods according to the type of wound, anatomical location, suture technique etc. [5][6][7] . The general choice of a particular suture material or technique should be based on the type of the wound, the tissue characteristics, the anatomic location, the individual patient and the specific functional and anatomical requirements that are needed [8,9] .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Shabir’s SMHS technique of closing dehiscent surgical wounds post-SSIs

Mir¹

2017

Int. J. Surg. Sci.

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Objective: Surgical site infection (SSI) is a common problem which often requires the wound to be opened, and the opened infection site needs to be closed back by sutures, once the wound looks okay. Suturing such sites after the infection is under control, by round body needle is difficult and time consuming. Under this background the author has developed an innovative technique for suturing these sites (once infection is under control) by using round bodied needle without any difficulty in circumstances where cutting needles are not easily available Material and Methods: This technique was developed by Dr. Shabir during his residency at Shri Maharaja Hari Singh (SMHS) hospital Srinagar, an associated hospital of Government Medical College, Srinagar (J&K) India, hence also called as Shabir's SMHS technique. This prospective study was undertaken in the Department of Surgery, Government Medical College, Srinagar over a period of 4 years from June 2013 to June 2017. The author compared his technique with suturing by round body needle by conventional method. Patients were divided into two groups 1 and 2, corresponding to Shabir's technique and the conventional round body suturing technique, respectively. Forty patients were taken in each group. Results: Time taken for the procedure was significantly less in Shabir's Technique (P<0.001). Suture material required was significantly less in Shabir's technique (p=0.003). Discomfort / pain experienced by the patients in Group 1 was significantly low (p=0.006) in group 1. Accessory needle injuries were more in group 2 (p<0.001). Conclusion:In developing countries, round body prolene suture can be comfortably used for closing surgical site infection wound, once ready for suturing, when cutting needle suture is not readily available, by applying Shabir's technique without creating additional costs.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Shabir’s SMHS technique of closing dehiscent surgical wounds post-SSIs

Mir¹

2017

Int. J. Surg. Sci.

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“…This technique may be used, for instance, if the site is very narrow or if there is a risk of the scar going beyond an aesthetic unit. The distribution of tension is very low [9].…”

Section: Interferonmentioning

confidence: 97%

“…Contour problems include increased tension, pocket formation (related to diagonal contractures in oblique incisions), step-offs (with adaptation of differing tissue thicknesses), and trapdoor phenomena (e.g., parallel/semicircular scars) [9] (Figures 4, 5). Scars with contour problems are often perceived as cosmetically disturbing by patients.…”

Section: Pathogenesis and Definition Of Scars With Contour Problemsmentioning

confidence: 99%

“…In addition to clinical morphology, scar types differ in regard to histopathology and immunohistochemistry [9].…”

Section: Atrophic Scar Indented Scarsmentioning

confidence: 99%

“…Rather, it should be performed in combination with administration of intralesional steroids, etc. For excisions without any accompanying therapy, the risk of recurrence is between 45 and 100 % [9]. In combination with triamcinolone, the recurrence rate may be reduced to 50 % [24].…”

Section: Interferonmentioning

confidence: 99%

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Therapy of pathological scars

Wagner

2013

J Deutsche Derma Gesell

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SummaryThe various clinical manifestations of scarring are an important topic for physicians in many disciplines. The prevention of excessive scarring is more successful than the treatment afterwards. Multiple options exist for prevention, wound repair modulation, and treatment of scars. This publication includes an overview of the pathogenesis, clinical classification, documentation, prevention, and invasive and non-invasive therapy options. IntroductionA scar (Latin: cicatrix) is the final condition resulting from a complex repair mechanism of the human body. Despite its importance, people who have scars often would rather their experiences were not visible on their body, as every scar tells a story. While some patients would like to erase their scars, thereby eliminating usually painful memories, in certain cultures or sub-cultures people intentionally bring about a scar healing process which is proudly displayed. Scarification (Latin: scarification, or scoring) refers to intentionally producing cutaneous scars. This technique is rooted deeply in the traditions of various peoples in which scarring is considered body decoration, or an initiation rite or symbol of belonging to a particular clan. Scarring is thought to represent courage and masculinity. This ritual is not limited to African tribes; in the Brazilian rain forest there are crocodile people, who modify their skin to conform to nature. In the Western world as well, there is what is known as a "scarification culture." Bodily modifications in terms of scarification are experiencing a renaissance. Depending on the technique used, the trend is known as cutting or branding and may be compared with tattooing. This is distinguished from psychological/pathological causes of scarring due to self-harm. There is also the issue of the attractiveness or stigmatization of people with scars. One study showed that men with facial scars were found attractive mainly by women who would consider having a short-term relationship. The authors suggested that there was an association between facial scarring and increased testosterone levels, reflecting attributes such as masculinity, courage, and strength [1].Yet, on the whole -regardless of scar morphology -most people do not find scars desirable. A representative survey found that 58.6 million Germans have scars. Of these, 10.6 million wish they did not have a scar, and of these one in four women (7.6 million) and one in ten men (3.0 million) (Source: Innofact on behalf of Bi-Oil ® ).

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Die hypertrophe Narbe und das Keloid

Cited by 2 publications

References 35 publications

Evaluation of Shabir’s SMHS technique of closing dehiscent surgical wounds post-SSIs

Evaluation of Shabir’s SMHS technique of closing dehiscent surgical wounds post-SSIs

Therapy of pathological scars

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