Surgical modalities in the treatment of vitiligo
Vitiligo presents a challenge not only in its medical management but also in its impact on patients’ psychosocial well-being. While medical therapies can halt disease progression, achieving repigmentation, especially in challenging areas, remains a hurdle. Surgical interventions, including therapeut...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Pigment International |
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| Online Access: | https://journals.lww.com/10.4103/pigmentinternational_29_24 |
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| author | R. Vignesh Narayan Vishal Thakur |
| author_facet | R. Vignesh Narayan Vishal Thakur |
| author_sort | R. Vignesh Narayan |
| collection | DOAJ |
| description | Vitiligo presents a challenge not only in its medical management but also in its impact on patients’ psychosocial well-being. While medical therapies can halt disease progression, achieving repigmentation, especially in challenging areas, remains a hurdle. Surgical interventions, including therapeutic wounding, camouflage techniques, excision, and grafting methods, offer viable solutions. However, success hinges on assessing disease stability, with various clinical, dermoscopic, and cellular indicators employed for evaluation. Pre-procedure counselling is crucial to manage patient expectations and inform them about potential outcomes and risks. Surgical techniques range from simple excision to complex cellular grafting methods, each tailored to the individual patient’s needs and disease characteristics. Postoperative care, including appropriate dressing and follow-up, plays a significant role in ensuring successful outcomes. Newer techniques, such as automated blister epidermal micrografting and Meek micrografting, show promise in improving efficiency and outcomes. Combining traditional methods with innovations such as transverse needling and micro skin grafting enhances the repertoire of surgical options available. Overall, surgical approaches offer effective means to achieve repigmentation and alleviate the psychosocial burden of vitiligo, highlighting the importance of a multidisciplinary approach in its management. |
| format | Article |
| id | doaj-art-a806d35b8a0c420288eb42c4fde313c2 |
| institution | Kabale University |
| issn | 2349-5782 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Pigment International |
| spelling | doaj-art-a806d35b8a0c420288eb42c4fde313c22025-02-08T05:40:21ZengWolters Kluwer Medknow PublicationsPigment International2349-57822024-12-0111319019710.4103/pigmentinternational_29_24Surgical modalities in the treatment of vitiligoR. Vignesh NarayanVishal ThakurVitiligo presents a challenge not only in its medical management but also in its impact on patients’ psychosocial well-being. While medical therapies can halt disease progression, achieving repigmentation, especially in challenging areas, remains a hurdle. Surgical interventions, including therapeutic wounding, camouflage techniques, excision, and grafting methods, offer viable solutions. However, success hinges on assessing disease stability, with various clinical, dermoscopic, and cellular indicators employed for evaluation. Pre-procedure counselling is crucial to manage patient expectations and inform them about potential outcomes and risks. Surgical techniques range from simple excision to complex cellular grafting methods, each tailored to the individual patient’s needs and disease characteristics. Postoperative care, including appropriate dressing and follow-up, plays a significant role in ensuring successful outcomes. Newer techniques, such as automated blister epidermal micrografting and Meek micrografting, show promise in improving efficiency and outcomes. Combining traditional methods with innovations such as transverse needling and micro skin grafting enhances the repertoire of surgical options available. Overall, surgical approaches offer effective means to achieve repigmentation and alleviate the psychosocial burden of vitiligo, highlighting the importance of a multidisciplinary approach in its management.https://journals.lww.com/10.4103/pigmentinternational_29_24vitiligo surgerygrafting |
| spellingShingle | R. Vignesh Narayan Vishal Thakur Surgical modalities in the treatment of vitiligo Pigment International vitiligo surgery grafting |
| title | Surgical modalities in the treatment of vitiligo |
| title_full | Surgical modalities in the treatment of vitiligo |
| title_fullStr | Surgical modalities in the treatment of vitiligo |
| title_full_unstemmed | Surgical modalities in the treatment of vitiligo |
| title_short | Surgical modalities in the treatment of vitiligo |
| title_sort | surgical modalities in the treatment of vitiligo |
| topic | vitiligo surgery grafting |
| url | https://journals.lww.com/10.4103/pigmentinternational_29_24 |
| work_keys_str_mv | AT rvigneshnarayan surgicalmodalitiesinthetreatmentofvitiligo AT vishalthakur surgicalmodalitiesinthetreatmentofvitiligo |