Kosin Medical Journal

Review articles

Long-term outcomes and multidisciplinary management in children with anorectal malformations: Hira Ahmad, Ashish Chogle, Zoe Flyer, Donald Shaul, Gyu Min Yeon, Seom Gim Kong, So Yoon Choi; Kosin Med J. 2025;40(3):167-176. Published online September 23, 2025; DOI: https://doi.org/10.7180/kmj.25.120

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Abstract PDF PubReader ePub: Anorectal malformations (ARMs) represent a spectrum of congenital anomalies affecting the distal rectum and anus, often accompanied by genitourinary and spinal defects. Despite advances in surgical techniques, long-term gastrointestinal dysfunction, such as fecal incontinence and chronic constipation, remains prevalent in individuals with various types of ARMs. These persistent challenges contribute to considerable psychosocial morbidity, including anxiety, depression, and diminished quality of life. Integrated mental health, nutritional, and social support are essential to address the complex needs of ARM patients. Effective management requires a stepwise approach, beginning with dietary modifications and behavioral therapy, and progressing to pharmacological, surgical, and neuromodulatory interventions as clinically indicated. Long-term follow-up and structured transitional care, especially during adolescence, are critical for promoting medical autonomy and addressing sexual and reproductive health. International and national registries support data standardization and multicenter collaboration. Future research should prioritize identifying predictive biomarkers, refining neuromodulation, characterizing microbiome-related mechanisms, and utilizing artificial intelligence to personalize care. Sustained multidisciplinary efforts are critical to improving functional outcomes and overall quality of life in children with ARMs.

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.

Citations

Citations to this article as recorded by

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

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