Surgical scars

Contributed by Dr Philip Marazzi, a GP in East Horsley, Surrey.

Fractured ankle
This elderly lady broke her ankle six months prior to attending. It was internally fixed, but she presented with increasing pain. An X-ray suggested some loosening of the plate. The original injury had healed well, so the plate was subsequently removed and her symptoms improved.

This elderly lady broke her ankle six months prior to attending. It was internally fixed, but she presented with increasing pain. An X-ray suggested some loosening of the plate. The original injury had healed well, so the plate was subsequently removed and her symptoms improved.

Aneurysm
This man with a history of hypertension had ignored his abdominal pain for a few days, while waiting for his routine BP check. He mentioned the pain and then examination revealed what appeared to be a large aneurysm. He was admitted as an emergency. Luckily the aneurysm did not rupture before he got to theatre. He has since made a full recovery.

Elbow fracture
This teenager was involved in a major road traffic accident. He was not wearing a seat belt and was thrown through the windscreen by the impact. Among his injuries was a nasty fracture of his elbow requiring considerable reconstruction. He recovered well, but did have some persisting restriction of flexion of the joint. He has had a great deal of physiotherapy and is continuing to slowly improve his range of movement.

Sternotomy
This 60-year-old woman underwent successful aortic valve and stump replacement for aortic stenosis with no problems. She had a mechanical valve inserted. This is an important condition to diagnose and treat as it may lead to sudden adult death with no warning. This photograph was taken six weeks post-op.

Breast reconstruction
This young woman had bilateral breast cancers. In order to treat her effectively, she underwent bilateral mastectomy and breast reconstruction. The cosmetic aspect of her treatment was very important to her. These are the scars on her back, which she is delighted with because she can still wear low-backed dresses.

Mastectomy
This woman with breast cancer had a flap to cover the defect on her chest wall left by removal of the breast. She was not concerned about her body shape or appearance, and wanted as little surgery as possible. She decided not to have more extensive reconstruction work. The wound has healed well, with no complications.

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