A modification of the Hynes procedure--a surgical innovation in the treatment of mature hypertrophic scars in children

Paul D Slocombe; Megan A Simons; Roy M Kimble

doi:10.1016/j.burns.2011.04.012

A modification of the Hynes procedure--a surgical innovation in the treatment of mature hypertrophic scars in children

Burns. 2011 Nov;37(7):1265-7. doi: 10.1016/j.burns.2011.04.012. Epub 2011 May 18.

Authors

Paul D Slocombe¹, Megan A Simons, Roy M Kimble

Affiliation

¹ The University of Queensland, Department of Paediatrics and Child Health, Brisbane, QLD, Australia.

PMID: 21596480
DOI: 10.1016/j.burns.2011.04.012

Abstract

In 1957, Hynes first described the shaving and grafting procedure for the treatment of mature hypertrophic scars (HTSs). This procedure involved excision of mature HTS using a scalpel blade followed by split-skin grafting (SSG). We have modified this technique through the novel application of Versajet™ (Smith & Nephew, Hull, UK) for the sub-total excision of mature HTS with SSG. To date, this modified technique has shown excellent cosmetic results. A review of cases and an example of the technique is provided.

Publication types

Case Reports

MeSH terms

Adolescent
Burns / complications*
Child
Cicatrix, Hypertrophic / surgery*
Debridement / methods*
Female
Hand Injuries / surgery
Humans
Skin Transplantation / methods
Treatment Outcome