ABSTRACT
Scarring is an expected result of trauma to the skin. Scars are a heterogenic group varying from small white non elevated scars to hypertrophic scars and keloids. Many different algorithms for scar prophylaxis and treatment have been presented in the literature. We discuss different types of scar formation and recently published evidence-based guidelines in regards to prophylaxis and treatment of scars written by 24 experts on scar management.
Subject(s)
Cicatrix , Cicatrix/pathology , Cicatrix/prevention & control , Cicatrix/therapy , Cicatrix, Hypertrophic/pathology , Cicatrix, Hypertrophic/prevention & control , Cicatrix, Hypertrophic/therapy , Humans , Keloid/pathology , Keloid/prevention & control , Keloid/therapy , Practice Guidelines as TopicABSTRACT
Coverage of large soft tissue defects at the hip region constitutes a challenge for plastic surgeons. We report the case of a 43-year-old female with necrotizing fasciitis of the right thigh, necessitating hip exarticulation and substantial debridement of necrotic tissue. An ipsilateral horizontal rectus abdominis myocutaneous (HRAM) flap was used to cover the defect. The reconstruction was carried out after the attempt of local tissue rearrangement. In light of the successful outcome, we propose that this flap be considered in the future planning of soft tissue reconstruction at the hip region.
