Algorithms for the management of scars: the importance of systematizing behaviors

Introduction: Pathological scars occur from the hyperproliferation of fibroblasts and can be classified into hypertrophic scars and keloids. Basically, hypertrophic scars do not grow beyond the limits of the original wound, while keloids grow horizontally in a nodular form. Despite the diversity of...

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Main Authors: Francisco Felipe Góis de Oliveira, Nathalia Moreira De Almeida França, Elvio Bueno Garcia, Leila Blanes, Alessandra Haddad
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2023-08-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/3030/en_v36n4a12.pdf
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author Francisco Felipe Góis de Oliveira
Nathalia Moreira De Almeida França
Elvio Bueno Garcia
Leila Blanes
Alessandra Haddad
author_facet Francisco Felipe Góis de Oliveira
Nathalia Moreira De Almeida França
Elvio Bueno Garcia
Leila Blanes
Alessandra Haddad
author_sort Francisco Felipe Góis de Oliveira
collection DOAJ
description Introduction: Pathological scars occur from the hyperproliferation of fibroblasts and can be classified into hypertrophic scars and keloids. Basically, hypertrophic scars do not grow beyond the limits of the original wound, while keloids grow horizontally in a nodular form. Despite the diversity of instruments used to guide the prevention, treatment and follow-up of pathological scars, there is a need for instruments that address local realities. The objective is to carry out a narrative review of the literature on scar management algorithms and create an updated algorithm. Methods: Descriptive study of narrative literature review, with a search in PubMed, SciELO, LILACS, MEDLINE and Cochrane databases, from November 2010 to November 2020, published in English, Portuguese and Spanish. The descriptors used were: “cicatrix,” “keloid,” “algorithms,” and “wound healing.” The sample selection consisted of identifying the articles, reading the titles and abstracts, and selecting studies related to the topic. Subsequently, the full reading of the selected studies and classification according to the eligibility criteria were carried out. Results: 209 articles were found, and 116 were eliminated due to duplicity, resulting in 45 articles. A total of 8 articles that met the inclusion criteria were identified. Four articles were excluded after analysis and consensus meeting due to the absence of algorithms with scientific rigor; this study is composed of four articles. Conclusion: Four algorithms were found in the literature review that resulted in the development of an updated algorithm for scars.
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spelling doaj.art-e308fd88709747d8a031c0fb24fe62b42023-12-02T21:34:08ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352023-08-01360445145610.5935/2177-1235.2021RBCP0131Algorithms for the management of scars: the importance of systematizing behaviorsFrancisco Felipe Góis de Oliveira0Nathalia Moreira De Almeida França1Elvio Bueno Garcia2Leila Blanes3Alessandra Haddad4Federal University of São Paulo, Paulista School of Medicine, Master’s Degree in Science, Technology and Management Applied to Tissue Regeneration, São Paulo, SP, BrazilFederal University of São Paulo, Paulista School of Medicine, Master’s Degree in Science, Technology and Management Applied to Tissue Regeneration, São Paulo, SP, BrazilFederal University of São Paulo, Paulista School of Medicine, Master’s Degree in Science, Technology and Management Applied to Tissue Regeneration, São Paulo, SP, BrazilFederal University of São Paulo, Paulista School of Medicine, Master’s Degree in Science, Technology and Management Applied to Tissue Regeneration, São Paulo, SP, BrazilFederal University of São Paulo, Paulista School of Medicine, Master’s Degree in Science, Technology and Management Applied to Tissue Regeneration, São Paulo, SP, BrazilIntroduction: Pathological scars occur from the hyperproliferation of fibroblasts and can be classified into hypertrophic scars and keloids. Basically, hypertrophic scars do not grow beyond the limits of the original wound, while keloids grow horizontally in a nodular form. Despite the diversity of instruments used to guide the prevention, treatment and follow-up of pathological scars, there is a need for instruments that address local realities. The objective is to carry out a narrative review of the literature on scar management algorithms and create an updated algorithm. Methods: Descriptive study of narrative literature review, with a search in PubMed, SciELO, LILACS, MEDLINE and Cochrane databases, from November 2010 to November 2020, published in English, Portuguese and Spanish. The descriptors used were: “cicatrix,” “keloid,” “algorithms,” and “wound healing.” The sample selection consisted of identifying the articles, reading the titles and abstracts, and selecting studies related to the topic. Subsequently, the full reading of the selected studies and classification according to the eligibility criteria were carried out. Results: 209 articles were found, and 116 were eliminated due to duplicity, resulting in 45 articles. A total of 8 articles that met the inclusion criteria were identified. Four articles were excluded after analysis and consensus meeting due to the absence of algorithms with scientific rigor; this study is composed of four articles. Conclusion: Four algorithms were found in the literature review that resulted in the development of an updated algorithm for scars.http://www.rbcp.org.br/export-pdf/3030/en_v36n4a12.pdfhypertrophic scarkeloidsalgorithmsskin abnormalitiesscar
spellingShingle Francisco Felipe Góis de Oliveira
Nathalia Moreira De Almeida França
Elvio Bueno Garcia
Leila Blanes
Alessandra Haddad
Algorithms for the management of scars: the importance of systematizing behaviors
Revista Brasileira de Cirurgia Plástica
hypertrophic scar
keloids
algorithms
skin abnormalities
scar
title Algorithms for the management of scars: the importance of systematizing behaviors
title_full Algorithms for the management of scars: the importance of systematizing behaviors
title_fullStr Algorithms for the management of scars: the importance of systematizing behaviors
title_full_unstemmed Algorithms for the management of scars: the importance of systematizing behaviors
title_short Algorithms for the management of scars: the importance of systematizing behaviors
title_sort algorithms for the management of scars the importance of systematizing behaviors
topic hypertrophic scar
keloids
algorithms
skin abnormalities
scar
url http://www.rbcp.org.br/export-pdf/3030/en_v36n4a12.pdf
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AT elviobuenogarcia algorithmsforthemanagementofscarstheimportanceofsystematizingbehaviors
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