title: Ablative Fractional Laser Resurfacing: A Promising Adjunct to Surgical Reconstruction.
abstract: Ablative fractional laser resurfacing (AFLR) is emerging as a safe and effective treatment option for the mitigation of cosmetic and functional deficits resulting from traumatic scars and scar contractures. Military centers of excellence engaged in the multidisciplinary rehabilitation of wounded warriors have been instrumental in the widening acceptance of the technique in both the military and civilian realms. Despite the end of large-scale combat operations, AFLR remains a promising complement to surgical reconstruction and a novel option in challenging clinical situations that defy resolution with traditional methods. Herein, we present the case of a man in his 50s who underwent extensive genital and perineal debridement related to Fournier's gangrene. Despite successful reconstruction including extensive skin grafting, the patient suffered from intractable discomfort related to developing scar contractures that responded rapidly to a course of AFLR. This case serves to highlight the potential benefits of AFLR for postoperative wound management, and the importance of a multidisciplinary approach for the care of complex injuries.
authors.affiliation: Department of Urology, Naval Medical Center San Diego, San Diego, CA.
authors.forename: David
authors.initials: D
authors.lastname: Griffin
authors.affiliation: Department of Dermatology, Naval Medical Center San Diego, San Diego, CA.
authors.forename: Megan
authors.initials: M
authors.lastname: Brelsford
authors.affiliation: Department of Plastic Surgery, Naval Medical Center San Diego, San Diego, CA.
authors.forename: Eamon
authors.initials: E
authors.lastname: O'Reilly
authors.affiliation: Department of Urology, Naval Medical Center San Diego, San Diego, CA.
authors.forename: Sean P
authors.initials: SP
authors.lastname: Stroup
authors.affiliation: Department of Dermatology, Naval Medical Center San Diego, San Diego, CA.
authors.forename: Peter
authors.initials: P
authors.lastname: Shumaker
mesh_terms: D000140:Acidosis, Lactic / Q000175:diagnosis / Q000209:etiology; D002921:Cicatrix / Q000150:complications / Q000209:etiology; D004636:Emergency Service, Hospital / Q000458:organization & administration; D018934:Fournier Gangrene / Q000150:complications*; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods*; D007964:Leukocytosis / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000002:abnormalities / Q000382:microbiology; D058629:Plasma Skin Regeneration / Q000379:methods*; D011537:Pruritus / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D016896:Treatment Outcome