Mayo stand and back table instruments for Scar Revision surgery setup
Clamping & Occluding
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing
Suturing & Stapling
What to expect during Scar Revision
Scar revisions are done to fix the aesthetic appearance of scars. Sometimes this can be accomplished with laser therapy or fillers, but other times surgery is needed.
Positioning: Depends on scar location. Supine, lateral, and prone are all options.
Drapes: This will also depend on where the scar is located. In general you will need folded towels or utility drapes and either an extremity drape or a laparotomy drape
Surgery Steps: Scar revisions can be done several different ways. The most common method is a Z-plasty. For a Z-plasty, the original scar is cut and removed with either a 15 or 10 blade on a #3 knife handle, depending on how big/long of a scar it is. Once that is done, two “arms” will be made off of the main incision, creating a “Z” shape. Small scissors such as Metz or Tenotomys with adsons with teeth or DeBakeys will be used to loosen the skin underneath the incisions, allowing it to move freely. Skin hooks are commonly used in this step to retract the triangular skin. Small Weitlaners may also be used. Once the flaps have been loosened, they will be lifted and transposed.
Other methods are the Y, V, W, S-plastys. All will be performed similarly to the Z-plasty.
Closure will happen carefully in layers. The deepest layer is commonly closed with an absorbable suture such as Vicryl, and the skin is commonly closed with 4-0 Monocryl or Nylon.
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