Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

Background Keloids can occur anywhere in the human body. They are difficult to remove and can cause distress in patients. Although many options are available to treat keloids, no single method is considered the optimal treatment of choice. The authors encountered cases where an umbilical keloid deve...

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Autores principales:	Hyo Jeong Kwon, Jung Hyeou Kim, Chae Rim Lee, Jangyoun Choi, Suk-Ho Moon, Young Joon Jun, Deuk Young Oh
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society for Aesthetic Plastic Surgery 2021
Materias:	keloid umbilicus surgical flaps laparoscopy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c19a50666aa4406ab893b866459bc491
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spelling	oai:doaj.org-article:c19a50666aa4406ab893b866459bc4912021-11-09T06:59:08ZUmbilical trocar port site keloid management using a transposition flap after laparoscopic surgery2234-08312288-933710.14730/aaps.2021.00101https://doaj.org/article/c19a50666aa4406ab893b866459bc4912021-10-01T00:00:00Zhttp://e-aaps.org/upload/pdf/aaps-2021-00101.pdfhttps://doaj.org/toc/2234-0831https://doaj.org/toc/2288-9337Background Keloids can occur anywhere in the human body. They are difficult to remove and can cause distress in patients. Although many options are available to treat keloids, no single method is considered the optimal treatment of choice. The authors encountered cases where an umbilical keloid developed at the trocar site after laparoscopic surgery and managed the keloid using a transposition flap. Methods A total of 10 umbilical keloid patients treated from 2013 to 2020 were included in this study. All patients developed a keloid due to the placement of a laparoscopic trocar incision port, and their major complaints varied from an asymptomatic nodule to pruritus or pain. All excisions were performed under local anesthesia, and transposition flaps were planned afterward. The surrounding tissue was rearranged so that the shape of the umbilicus was deformed to the minimum extent possible. The keloid scars were examined both preoperatively and 6 months postoperatively using the Patient and Observer Scar Assessment Scale (POSAS). Results All surgical wounds healed well without complications. The average time interval from laparoscopic surgery to keloid scar revision was 4.3 years. The mean postoperative follow-up period was 10.9 months, and no patient underwent reoperation. Four patients were treated with triamcinolone after surgery due to mild hypertrophy or pruritus. The POSAS observer scale showed significantly decreasing scores over time in all patients (P=0.002). Conclusions Cosmetically unfavorable keloids that form in the umbilicus following laparoscopic surgery can be improved with a simple procedure using excision and transposition flaps.Hyo Jeong KwonJung Hyeou KimChae Rim LeeJangyoun ChoiSuk-Ho MoonYoung Joon JunDeuk Young OhKorean Society for Aesthetic Plastic Surgeryarticlekeloidumbilicussurgical flapslaparoscopySurgeryRD1-811ENArchives of Aesthetic Plastic Surgery, Vol 27, Iss 4, Pp 125-131 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	keloid umbilicus surgical flaps laparoscopy Surgery RD1-811
spellingShingle	keloid umbilicus surgical flaps laparoscopy Surgery RD1-811 Hyo Jeong Kwon Jung Hyeou Kim Chae Rim Lee Jangyoun Choi Suk-Ho Moon Young Joon Jun Deuk Young Oh Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
description	Background Keloids can occur anywhere in the human body. They are difficult to remove and can cause distress in patients. Although many options are available to treat keloids, no single method is considered the optimal treatment of choice. The authors encountered cases where an umbilical keloid developed at the trocar site after laparoscopic surgery and managed the keloid using a transposition flap. Methods A total of 10 umbilical keloid patients treated from 2013 to 2020 were included in this study. All patients developed a keloid due to the placement of a laparoscopic trocar incision port, and their major complaints varied from an asymptomatic nodule to pruritus or pain. All excisions were performed under local anesthesia, and transposition flaps were planned afterward. The surrounding tissue was rearranged so that the shape of the umbilicus was deformed to the minimum extent possible. The keloid scars were examined both preoperatively and 6 months postoperatively using the Patient and Observer Scar Assessment Scale (POSAS). Results All surgical wounds healed well without complications. The average time interval from laparoscopic surgery to keloid scar revision was 4.3 years. The mean postoperative follow-up period was 10.9 months, and no patient underwent reoperation. Four patients were treated with triamcinolone after surgery due to mild hypertrophy or pruritus. The POSAS observer scale showed significantly decreasing scores over time in all patients (P=0.002). Conclusions Cosmetically unfavorable keloids that form in the umbilicus following laparoscopic surgery can be improved with a simple procedure using excision and transposition flaps.
format	article
author	Hyo Jeong Kwon Jung Hyeou Kim Chae Rim Lee Jangyoun Choi Suk-Ho Moon Young Joon Jun Deuk Young Oh
author_facet	Hyo Jeong Kwon Jung Hyeou Kim Chae Rim Lee Jangyoun Choi Suk-Ho Moon Young Joon Jun Deuk Young Oh
author_sort	Hyo Jeong Kwon
title	Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
title_short	Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
title_full	Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
title_fullStr	Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
title_full_unstemmed	Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
title_sort	umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery
publisher	Korean Society for Aesthetic Plastic Surgery
publishDate	2021
url	https://doaj.org/article/c19a50666aa4406ab893b866459bc491
work_keys_str_mv	AT hyojeongkwon umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery AT junghyeoukim umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery AT chaerimlee umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery AT jangyounchoi umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery AT sukhomoon umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery AT youngjoonjun umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery AT deukyoungoh umbilicaltrocarportsitekeloidmanagementusingatranspositionflapafterlaparoscopicsurgery
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Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

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