Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2023; 14(3): 166-170
Published online Mar 18, 2023. doi: 10.5312/wjo.v14.i3.166
Can we suppress excessive post-surgical scar formation: A case report
Mir Sadat-Ali, Sulaiman A Al-Mousa, Khalid Waleed Al-Tabash, Mohamed M Abotaleb, Fawaz M Al-Anii
Mir Sadat-Ali, Sulaiman A Al-Mousa, Khalid Waleed Al-Tabash, Mohamed M Abotaleb, Fawaz M Al-Anii, Department of Orthopaedic Surgery, Imam Abdulrahman Bin Faisal University, Dammam 31142, Saudi Arabia
Author contributions: All authors contributed equally in the work; The literature search, writing was performed by Sadat-Ali M and Al-Mousa SA; Operated by Al-Anii FM and Al-Tabash KW; The patient was followed by Abotaleb MM, Abotaleb MM was blinded what was used for the wound after sutures were removed; All authors have read and approve the final manuscript.
Informed consent statement: Informed consent has been taken prior to surgery and publication of data and pictures thereof.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mir Sadat-Ali, FRCS, FRCS (Gen Surg), MBBS, MS, Full Professor, Department of Orthopaedic Surgery, Imam Abdulrahman Bin Faisal University, POBOX 2114, Dammam 31142, Saudi Arabia. drsadat@hotmail.com
Received: November 22, 2022
Peer-review started: November 22, 2022
First decision: December 13, 2022
Revised: December 14, 2022
Accepted: February 9, 2023
Article in press: February 9, 2023
Published online: March 18, 2023
Abstract
BACKGROUND

Hypertrophic scars (HSs) formation is a complication that occurs after wounds heal with secondary intention and sometimes after clean surgical incisions. Many treatments are in vogue now with varying successes. Although the mechanism or mechanisms that cause a HS to form are not clearly understood, one thing that is clear is that once scar tissue matures, any intervention will not be successful. In this paper, we report on a case where a patient who was known to develop HS was treated with a new combination of ingredients (Phyto-chemicals + Silicone JUMI) to suppress HS formation.

CASE SUMMARY

A 68-year-old female of African descent presented a severe HS post total knee replacement (TKR), which the patient describes as itchy and painful. Due to complications caused by the scar, she was apprehensive about undergoing TKR on her other knee. However, after the TKR of the contralateral side post-removal of skin clips, JUMI anti-scar cream (JASC) was used to suppress excessive scar formation.

CONCLUSION

JASC appears potent and efficacious at suppressing excessive scar formation. We believe that this warrants further studies on larger patient groups and on different surgical sites.

Keywords: Hypertrophic scars, Photo-chemicals, JUMI, Keloid, Case report

Core Tip: Hypertrophic scars are common after surgery and often result in social, emotional, and psychological effects. Many treatments have been tested and the most prominent one is silicone gel. However, this form of treatment has complications related to hot weather. JUMI anti-scar cream is a phyto-chemical based silicone gel that was found to be quite efficacious in reducing post-surgery scars.