Cosmetic selection of skin incision for resection of choledochal cyst in young female patients
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 127-132, 2016.
Article
in English
| WPRIM
| ID: wpr-45555
ABSTRACT
BACKGROUNDS/AIMS:
Open surgery for choledochal cyst has a disadvantage of skin incision scar from operative wound, which can be a definite disadvantage especially in young female patients. This study focused on the cosmetic aspect of skin incision for resection of choledochal cyst in young female patients.METHODS:
During a 2-year study period, 11 adult female patients aged less than 40 years underwent primary resection of choledochal cyst by a single surgeon. The cosmetic effect of two types of skin incision was evaluated.RESULTS:
The patients underwent mini-laparotomy through either a right subcostal incision (n=8) or an upper midline incision (n=3). The mean length of skin incision was 10 cm for right subcostal incisions and 9 cm for upper midline incisions. It took approximately 1 hour to repair the operative wound meticulously in both groups. At the 6 month to 1 year follow-up, a slight bulge on the skin scar was observed in 3 (37.5%) patients of the right subcostal incision group and 1 (33.3%) patient of the upper midline incision group.CONCLUSIONS:
The results of this preliminary study support the claim that cosmetic effect of the upper midline incision for CCD surgery appears to be non-inferior to that of the right subcostal incision if the incision is placed accurately and repaired very meticulously.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Wounds and Injuries
/
Choledochal Cyst
/
Follow-Up Studies
/
Cicatrix
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Year:
2016
Type:
Article
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