Four-point dermo-fascial fixation technique for umbilical reconstruction post-keloid excision: clinical outcomes in 16 cases

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The study involved 16 patients with umbilical keloids following laparoscopic surgery, utilizing a four-point dermo-fascial fixation technique.
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All patients maintained a recessed umbilical contour during follow-up of 6 to 15 months, with no reported wound complications or keloid recurrence.
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The technique aimed to minimize incision and scar burden while utilizing local tissue, avoiding the need for graft harvesting or complex flaps.
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Patients underwent postoperative radiotherapy and topical scar therapy as part of the treatment protocol.
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Further studies are needed to evaluate long-term recurrence and aesthetic outcomes of the four-point dermo-fascial fixation technique.

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