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[libribook.com] Traumatic Scar Tissue Management 1st Edition
complication is present there is delayed healing and an increased risk ofpathological scarring, fibrosis and surface contour irregularities (Dixit & Wagh2013).A higher incidence of skin necrosis, as a result of damage to the subdermalplexus of vessels, is seen in chronic smokers and with excessive superficialliposuction. Aggressive liposuction of the abdomen along with fullabdominoplasty, large seromas or hematomas also increase the risk of skinnecrosis.Post-liposuction surface irregularities (waviness, dimpling) can be due to:• Too superficial or too much liposuction• Fibrosis and adhesions• Redundant skin.The scar-related problems from liposuction (aka body sculpting, lipoplasty)include:• Poor incision placement leading to visible scars• Depressed scars due to over-liposuctioning in the vicinity of the incision• Hyper-pigmented scars due to skin bruising following repeated passes by thesurgical instrument used• Hypertrophic or keloid scar development associated with surgical procedures• Skin necrosis and skin/muscle fibrosis associated with burns from overexposure to ultrasound energy (heat) emitted by the surgical instrument(liposuction cannula) (Dixit & Wagh 2013).
Neurological SequelaeHypoesthesia is common after liposuction. Long-standing hyperesthesia canoccur due to damage to the phospholipids in the myelin sheath leading todepolarization of the cutaneous sensory nerves.Chronic pain is rare and may be due to a neuroma or to injury to underlyingfascia.
- Page 501 and 502: following burn injury,bacterial col
- Page 503 and 504: Table 6.1Comparison of scars (Ogawa
- Page 505 and 506: Pathophysiological ConsiderationAcc
- Page 507 and 508: BurnsA burn injury to the skin or o
- Page 510 and 511: Figure 6.1Depth of burn trauma and
- Page 512 and 513: • Stimulate ECM formation• Regu
- Page 514 and 515: Clinical ConsiderationIt has been i
- Page 516 and 517: Clinical ConsiderationMT may be a v
- Page 518 and 519: ThermoregulationThermoregulation (t
- Page 520 and 521: from the tissues and taken up by th
- Page 522 and 523: treatment strategies are difficult
- Page 524 and 525: Clinical ConsiderationSkin rolling
- Page 526 and 527: Sequelae and ComplicationsAdvances
- Page 528 and 529: • Paresthesia - 47%• Arm/should
- Page 530 and 531: breast or around the edge of the ar
- Page 532 and 533: Radiation scarringScar tissue as a
- Page 534 and 535: Implants and painPain of fluctuatin
- Page 536 and 537: LymphedemaBreast cancer treatment o
- Page 538 and 539: volume of fluid that accumulates or
- Page 540 and 541: OneTwoThreeCommonly referred to as
- Page 542 and 543: myokinetic chain/myofascial meridia
- Page 544: • Loss of touch sensation• Clum
- Page 548 and 549: Figure 6.3Distribution of nerves in
- Page 550 and 551: include preservation of as much of
- Page 554 and 555: Clinical ConsiderationScar complica
- Page 556 and 557: BreastCancer.org (2015c) Side Effec
- Page 558 and 559: 323-9.Kania A (2012) Scars. In: Dry
- Page 560 and 561: Slemp AE, Kirschner RE (2006) Keloi
- Page 562 and 563: scar tissue, while being mindful of
- Page 564 and 565: Physiological ResponseAs discussed
- Page 566 and 567: • The realization that one is abo
- Page 568 and 569: Stress Response and Stress Hormones
- Page 570 and 571: dissociation and inner shakiness) (
- Page 572: Figure 7.1(A) Summary of the HPA me
- Page 575 and 576: Chronic Stress ResponseChronic stre
- Page 577 and 578: Pathophysiological ConsiderationChr
- Page 579 and 580: Clinical ConsiderationProlonged str
- Page 581 and 582: Psychological Stress and Wound Heal
- Page 583 and 584: Pathophysiological ConsiderationNor
- Page 585 and 586: Pathophysiological ConsiderationStr
- Page 587 and 588: Clinical ConsiderationAccording to
- Page 589 and 590: Clinical ConsiderationEvidence sugg
- Page 591 and 592: Clinical ConsiderationAccording to
- Page 593 and 594: Clinical ConsiderationThe effects o
- Page 595 and 596: Stress DisordersFollowing a traumat
- Page 597 and 598: Clinical ConsiderationThe Task Forc
- Page 599 and 600: Clinical ConsiderationCertainly it
- Page 601 and 602: ASD symptoms include (DSM-V 2013):
complication is present there is delayed healing and an increased risk of
pathological scarring, fibrosis and surface contour irregularities (Dixit & Wagh
2013).
A higher incidence of skin necrosis, as a result of damage to the subdermal
plexus of vessels, is seen in chronic smokers and with excessive superficial
liposuction. Aggressive liposuction of the abdomen along with full
abdominoplasty, large seromas or hematomas also increase the risk of skin
necrosis.
Post-liposuction surface irregularities (waviness, dimpling) can be due to:
• Too superficial or too much liposuction
• Fibrosis and adhesions
• Redundant skin.
The scar-related problems from liposuction (aka body sculpting, lipoplasty)
include:
• Poor incision placement leading to visible scars
• Depressed scars due to over-liposuctioning in the vicinity of the incision
• Hyper-pigmented scars due to skin bruising following repeated passes by the
surgical instrument used
• Hypertrophic or keloid scar development associated with surgical procedures
• Skin necrosis and skin/muscle fibrosis associated with burns from over
exposure to ultrasound energy (heat) emitted by the surgical instrument
(liposuction cannula) (Dixit & Wagh 2013).
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