PROFILE OF KELOID PATIENTS IN SURGICAL WOUNDS: A STUDY AT DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2022)

 

✂️ Why Surgical Scars Turn Into Keloids and What We’re Doing About It

For many patients, surgery is just the beginning. Long after the wound heals, some are left with a relentless, itchy, and expanding scar a keloid. But what if the very treatment meant to remove it ends up bringing it back?

A recent study published in Jurnal Rekonstruksi dan Estetik reveals a surprising truth:
➡️ Previous keloid surgery is the leading cause of keloid recurrence in surgical wounds.

🧪 Conducted at the Department of Plastic and Reconstructive Surgery, Dr. Soetomo General Academic Hospital (Surabaya, Indonesia), the study reviewed 58 keloid patients, 23 of whom developed keloids following surgical procedures. Most were young women (17–25 years), with no family history of keloids, and were students by occupation. The chest was the most commonly affected area, with itching as the dominant symptom.

So, what works best?
💉 Surgical excision combined with adjuvant therapies remains the most common and effective management option, despite the high risk of recurrence.

For Researchers & Clinical Practitioners:
Consider this article a key reference to:

1. Develop protocols for postoperative keloid prevention.
2. Design multimodal therapies that are personalized and evidence-based.
3. Emphasize patient education as an essential component of treatment.

Ready to gain deeper insights into postoperative keloids and how to manage them effectively?
Click the link above and learn directly from the latest field study!

🔗 Dive deeper into this essential study:
📄 PROFILE OF KELOID PATIENTS IN SURGICAL WOUNDS: A STUDY AT DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2022)
👉 DOI:10.20473/jre.v10i1.66572
✍️ Diandra Yasmin Nurfaiza, Iswinarno Doso Saputro, Diah Mira Indramaya, Aruja Dhar, Saleh Ashafi, Milan Muhammed

✨ This study is a reminder: not all scars are just skin deep, and understanding patient profiles can help us better prevent and treat keloids, especially in post-surgical cases.

PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS: A CHART REVIEW

 

⚠️ No Stage 1? Why Pressure Injuries in Southeast Indonesia Signal a Need for Change

Pressure injuries (PIs) are more than just skin-deep they're painful, costly, and often deadly for vulnerable patients. But what if hospitals are missing the earliest signs?

A recent chart review published in the Jurnal Rekonstruksi dan Estetik uncovers a critical gap in pressure injury management in Southeast Indonesia:
➡️ Not a single Stage 1 PI was recorded over a two-year period.

Instead, most patients primarily over the age of 60 were only referred after their wounds had become unstageable. The majority came from departments like Internal Medicine, Cardiology, and Pulmonology, indicating a trend among patients with chronic, immobilizing conditions.

📊 The study by Angela Djunaedi and Robertus Arian Datusanantyo suggests one glaring conclusion:

Hospitals need to act sooner much sooner.

💡 What’s missing?
A predictive assessment tool that helps frontline staff detect pressure injuries before they reach advanced stages. Something as simple as consistent visual inspections, palpation, and caregiver education during discharge can drastically shift outcomes.

This article isn’t just data, it’s a wake-up call for clinical teams, policymakers, and family caregivers.

🔗 Read the full article here:
👉 PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS
✍️ By Angela Djunaedi & Robertus Arian Datusanantyo

🔗 DOI:10.20473/jre.v10i1.70946

Let’s not wait for pressure injuries to become unstageable before we start caring. Prevention starts with prediction.

PEDICLED ABDOMINAL FLAP FOR MALIGNANT DEFECT RECONSTRUCTION: A VIABLE ALTERNATIVE TO FREE FLAP

 

🩺 When Less Is More: Rethinking Cancer Reconstruction with the Pedicled Abdominal Flap

In today’s era of high-tech microsurgery, it's easy to forget that simpler techniques can still offer remarkable outcomes, especially for patients battling cancer.

A new case report published in the Jurnal Rekonstruksi dan Esteik  revisits a classic method: the pedicled abdominal flap a technique that proves to be more than just an alternative. In many cancer cases, it might actually be the best choice.

🧬 The patient in this case a 48-year-old woman suffered from a chronic ulcer in her upper arm, decades after a severe burn. When malignancy was discovered, the surgical team had to act fast to remove the tumor and rebuild the damaged area. But instead of turning to free flap microsurgery, they used a pedicled abdominal flap, relying on the body's own blood vessels no need for complex anastomosis or high-risk microsurgical techniques.

🔍 Why does this matter?
Because for cancer patients, especially those with limited prognosis or weakened health less invasive, more reliable options can make all the difference. A two-stage procedure, yes, but with fewer complications, faster healing, and better overall outcomes.

This case challenges us to ask: in complex reconstructions, should the goal be complexity or clarity and safety?

🔗 Dive into the full story here:
👉 PEDICLED ABDOMINAL FLAP FOR MALIGNANT DEFECT RECONSTRUCTION: A VIABLE ALTERNATIVE TO FREE FLAP
✍️ By Bertha Kawilarang & Putu Trisna Utami

🔗 DOI:10.20473/jre.v10i1.70946

Let’s not underestimate the power of tried-and-true techniques—especially when lives, and dignity, are on the line.

RECONSTRUCTION OF CHIN DEFECT POST BASAL CELL CARCINOMA EXCISION USING RHOMBOID FLAP: A CASE REPORT

 

🔍 More Than Just a Chin Surgery: A Rare Case of Skin Cancer and a Clever Reconstruction

Did you know that basal cell carcinoma (BCC) is the most common type of skin cancer, but it's rarely found on the chin? In fact, only 1.2% of BCC cases involve this small yet prominent facial area. And when it does occur, reconstructing the chin becomes a serious challenge. Why? Because the chin isn’t just any part of the face, it defines the lower third of our facial identity.

In a compelling case report published in the Jurnal Rekonstruksi dan Estetik, the authors share the journey of a 76-year-old woman who had been living with a bleeding, enlarging mass on her chin for three years. The diagnosis: Basal Cell Carcinoma.

🧵 After performing a wide excision under local anesthesia, the challenge was clear, how to reconstruct the defect while preserving both function and aesthetics?

Enter the rhomboid flap:

A local flap technique known for its versatility, strong blood supply, minimal tension, rapid healing, and excellent cosmetic outcomes even on such a delicate area as the chin.

📌 Why should you read this article?

Because it’s more than a clinical report, it’s a story about precision, technique, and the art of restoring confidence through thoughtful reconstruction. It reminds us that plastic surgery is not only about healing, it’s about harmonizing.

🔗 Read the full case here:

RECONSTRUCTION OF CHIN DEFECT POST BASAL CELL CARCINOMA EXCISION USING RHOMBOID FLAP

✍️ Authors: Yeremia Maruli Togatorop & Saktrio D. Subarno

👉 DOI : 10.20473/jre.v10i1.64457

CALL FOR PAPERS VOL. 10 NO. 2 DECEMBER 2025

🌟 Call for Papers: Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (December 2025)

Are you a researcher, clinician, or academic in the field of reconstructive or aesthetic surgery searching for a trusted platform to publish your work?

• Do you face these challenges?
• Struggling to find a journal that matches your focus area?
• Concerned about high article processing charges (APCs)?
• Frustrated by slow, unclear peer-review timelines?

🎯 Here’s Your Solution: Jurnal Rekonstruksi dan Estetik

Jurnal Rekonstruksi dan Estetik (JRE) is a peer-reviewed open-access journal published by the Faculty of Medicine, Universitas Airlangga (Indonesia), with no article processing fees and fast, fair peer review. Indexed in EBSCO, DOAJ, Google Scholar, CrossRef, Dimensions, WorldCat, GARUDA, and BASE, JRE is committed to sharing impactful scientific work in the field of plastic, reconstructive, and aesthetic surgery.📢 Now Accepting Submissions for Vol. 10 No. 2 (December 2025)

We invite you to submit your best manuscript and contribute to the advancement of medical knowledge.

Manuscript Types Accepted: Original research, review articles, systematic reviews, meta-analyses, literature reviews, case reports, and case series.

Scope Includes: Burn and wound care, hand surgery, microsurgery, oncoplastic surgery, craniofacial reconstruction, external genitalia reconstruction, and aesthetic procedures.

📥 Submit Your Work Now

🔗 Online Submission: https://e-journal.unair.ac.id/JRE/Online_Submission

📖 Author Guidelines: https://e-journal.unair.ac.id/JRE/Guideline_for_Authors

⚠️ Please carefully follow the author guidelines. Submissions that do not meet our standards may be rejected.

📧 Questions? Email us at: jre@journal.unair.ac.id

🌍 Visit our journal: https://e-journal.unair.ac.id/JRE/index

Whether you're presenting a breakthrough in microsurgery or a compelling case in aesthetic procedures, JRE is the stage for your voice in the scientific community.Share your research. Inspire progress. Publish with JRE.

Publish with confidence. Reach global audiences. Contribute to the future of reconstructive and aesthetic surgery—with JRE.

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