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dc.contributor.author안희창-
dc.date.accessioned2017-09-11T02:41:26Z-
dc.date.available2017-09-11T02:41:26Z-
dc.date.issued2015-11-
dc.identifier.citationArchives of Plastic Surgery, v. 42, NO 6, Page. 761-768en_US
dc.identifier.issn2234-6163-
dc.identifier.issn2234-6171-
dc.identifier.urihttps://www.e-aps.org/journal/view.php?doi=10.5999/aps.2015.42.6.761-
dc.identifier.urihttp://hdl.handle.net/20.500.11754/29027-
dc.description.abstractBackground Surgical scars on the palmar surface of the hand may lead to functional and also aesthetic and psychological consequences. The objective of this study was to introduce a new incision technique for periarterial sympathectomy of the hand and to compare the results of the new two-step incision technique with those of a Koman incision by using an objective questionnaire. Methods A total of 40 patients (17 men and 23 women) with intractable Raynaud’s disease or syndrome underwent surgery in our hospital, conducted by a single surgeon, between January 2008 and January 2013. Patients who had undergone extended sympathectomy or vessel graft were excluded. Clinical evaluation of postoperative scars was performed in both groups one year after surgery using the patient and observer scar assessment scale (POSAS) and the Wake Forest University rating scale. Results The total patient score was 8.59 (range, 6–15) in the two-step incision group and 9.62 (range, 7–18) in the Koman incision group. A significant difference was found between the groups in the total PS score (P-value=0.034) but not in the total observer score. Our analysis found no significant difference in preoperative and postoperative Wake Forest University rating scale scores between the two-step and Koman incision groups. The time required for recovery prior to returning to work after surgery was shorter in the two-step incision group, with a mean of 29.48 days in the two-step incision group and 34.15 days in the Koman incision group (P=0.03). Conclusions Compared to the Koman incision, the new two-step incision technique provides better aesthetic results, similar symptom improvement, and a reduction in the recovery time required before returning to work. Furthermore, this incision allows the surgeon to access a wide surgical field and a sufficient exposure of anatomical structures.en_US
dc.language.isoenen_US
dc.publisher대한성형외과학회en_US
dc.subjectRaynaud diseaseen_US
dc.subjectSympathectomyen_US
dc.titleTwo-Step Incision for Periarterial Sympathectomy of the Handen_US
dc.typeArticleen_US
dc.relation.no6-
dc.relation.volume42-
dc.identifier.doi10.5999/aps.2015.42.6.761-
dc.relation.page761-768-
dc.relation.journalArchives of Plastic Surgery-
dc.contributor.googleauthorJeon, Seung Bae-
dc.contributor.googleauthorAhn, Hee Chang-
dc.contributor.googleauthorAhn, Yong Su-
dc.contributor.googleauthorChoi, Matthew Seung Suk-
dc.relation.code2015041014-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidahnhc-
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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