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Aust N Z J Surg. 1999 Sep;69(9):655-9.

Keloids and hypertrophic scars: results with intraoperative and serial postoperative corticosteroid injection therapy.

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Department of Plastic and Reconstructive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar (J&K), India.



The management of keloids and hypertrophic scars continues to be controversial. Experience of treating 58 such lesions, 58.62% of which were recurrent, is presented.


Each lesion was subjected to surgical excision with intra-operative local injection of triamcinolone acetonide, followed by repeat injection of the same drug at weekly intervals for 2-5 weeks depending on the symptomatic relief, and then monthly injections for 4-6 months.


Complete symptomatic relief was achieved in all patients within 5 weeks of surgery. Objective response in terms of no recurrence was noted in 91.9% of patients with keloids, and 95.24% of patients with hypertrophic scars at a mean follow-up of 30.5 months. Local or systemic complications were insignificant.


Because of promising results, further use and evaluation of this method of treatment is recommended for large, recurrent and complicated keloids and hypertrophic scars.

[Indexed for MEDLINE]

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