Kosin Medical Journal

Review articles

Postoperative scar management: Jinyong Shin, Yoonsoo Kim, Hongil Kim, Jinhyung Park, Hyungsuk Yi; Kosin Med J. 2025;40(2):96-105. Published online June 20, 2025; DOI: https://doi.org/10.7180/kmj.25.107

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Postoperative scars inevitably occur after surgical procedures and can impact both aesthetic and functional aspects of healing. With advancements in medical research, various strategies have been developed to prevent and manage surgical scars. This review explores mechanisms of wound healing, the classification of postoperative scars, and the latest approaches in scar prevention and treatment. The wound healing process consists of the following phases: hemostasis, inflammation, proliferation, and maturation. Understanding this process is essential for effective scar management. Factors such as tension, infection, and individual patient characteristics can influence scar formation. Preventive strategies, including optimal suture techniques, taping methods, silicone therapy, and corticosteroid injections, have demonstrated significant benefits in minimizing scar severity. Additionally, advanced treatments such as laser therapy and surgical scar revision techniques, including Z-plasty and W-plasty, offer effective solutions for improving established scars. Relaxed skin tension lines in surgical planning also play a crucial role in minimizing scar prominence. Evidence suggests that a multidisciplinary approach that integrates prevention and treatment modalities can optimize wound healing and improve patient outcomes. Implementing these evidence-based strategies can significantly improve postoperative scar management, ultimately enhancing both functional and cosmetic results for patients.

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Transverse facial cleft repair: Preventing pigmentation around the postoperative scar by excising the pigmented white lip at the cleft margin—A retrospective case series of Japanese patients
Motomu Suito, Ikkei Takashimizu, Fumio Nagai, Yuki Hoshino, Masahiko Noguchi, Shunsuke Yuzuriha
JPRAS Open.2026; 49: 154. CrossRef
Umbilical Hernia Repair, the Scar Also Matters: Open Umbilical Hernioplasty with Nearly Invisible Scar
Naaz Jahan Shaikh
Karnataka Journal of Surgery.2025; 3: 8. CrossRef
Effectiveness of Open Rigid Internal Fixation of Condylar Fracture Resulting in Temporomandibular Joint Function Recovery
Paulina Agier, Szymon Tyszkiewicz, Marcin Kozakiewicz
Dentistry Journal.2025; 13(12): 562. CrossRef

Oncoplastic breast-conserving surgery: evolution, techniques, and the emerging role of acellular dermal matrix: Jun Ho Choi, Yoonsoo Kim; Kosin Med J. 2024;39(3):153-159. Published online September 26, 2024; DOI: https://doi.org/10.7180/kmj.24.129

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Oncoplastic breast-conserving surgery (OBCS) has revolutionized breast cancer treatment, aiming to achieve optimal oncological outcomes while preserving an aesthetically favorable appearance. This review explores the evolution, techniques, and outcomes of OBCS, with a particular focus on the emerging role of acellular dermal matrix in volume replacement techniques. We conducted a comprehensive literature review using PubMed, Medline, and Cochrane databases, focusing on studies published between 2010 and 2024. OBCS demonstrates comparable oncological safety to traditional breast-conserving surgery, with local recurrence rates ranging from 2.7% to 5.7% at 5 years. Patient satisfaction rates are consistently high, with 85% to 95% reporting good to excellent aesthetic outcomes. Volume replacement techniques using acellular dermal matrix show promising results, with one study reporting that 94% of patients were highly satisfied with cosmetic outcomes. Although the current results are encouraging, future advancements in OBCS may require innovative approaches, including the integration of robotic surgery and artificial intelligence technologies.

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Citations to this article as recorded by

Retrospective study on the magnetic resonance imaging integration rate of acellular dermal matrix and complications after breast-conserving surgery plus radiotherapy
Eunju Shin, Soo Jung Hong, Hye Joung Eom, Tae-Kyung Yoo, Jisun Kim, Il Yong Chung, Beom Seok Ko, Hee Jeong Kim, Jong Won Lee, Byung Ho Son, Sae Byul Lee
World Journal of Surgical Oncology.2026;[Epub] CrossRef
Trends and Perspectives in Oncoplastic Breast Surgery: Findings From a Web-Based Survey With the Korean Breast Cancer Society
Jeeyeon Lee, Byeongju Kang, Ho Yong Park, Sang Yull Kang, Min Kyoon Kim, Hong-Kyu Kim, Sun Young Min, Min-Ki Seong, Tae-Kyung Robyn Yoo, Seokwon Lee, Eun-Shin Lee, Kyung-Hwak Yoon, Eun-Kyu Kim
Journal of Breast Cancer.2025; 28(3): 171. CrossRef

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