Standard Keloid Surgical Treatment At Our Department: Couse Of Treatment And The Result

In surgical treatment of keloids, recurrence after excision is a major problem and a barrier to treatment. As a regional hospital, our institution established a specialized keloids outpatient unit in 2013 and has provided systematic keloid treatment. Depending on the condition of keloid lesion, we offer surgical treatment combining with radiation therapy alongside conservative treatment, while conducting long-term follow-up whenever possible. A retrospectively analysis of these cases allows us to identify characteristics of recurrent cases, determine the minimum necessary follow-up periods, and evaluate the effectiveness of our systematic treatment approach.

CONCLUSION

In this study, surgical treatment for keloids was selected for cases with resectable lesions and generally limited to patients for whom combination therapy with radiation and long-term follow-up were fisible. Recurrence occurred between 4 month and 36 months postoperatively, with 90 % of recurrences occurring within 48 months. No recurrences were observed beyond 36 months. Based on these findings, a follow-up period of least 2 years–and preferably 3 years or more–is recommended
for adequate recurrence assessment. At our institution, radiation therapy and oral tranilast were frequently used ; however, their individual contributions could not be clearly determined in this study. Following recurrence, favorable outcomes were achieved in 76% of cases using local corticosteroid injections and corticosteroid tape application. In contrast, four cases had poor outcomes, all involving multiple keloids with early onset. These cases required prolonged treatment despite combination therapy, suggesting great treatment difficulty.