Pyloric ulcer repair @ 3 days old. What can be done to fix this scar? (Photo)

Question

I had an ulcer repaired at 3 days old.. the scar now sits on/just below my rib cage. Problem is when I was pregnant it became very large and stretched. Now the incision has scar tissue and nerve issues. It protudes about 2 inches and when exercising that muscle tightens and is like a charley horse but in your side. I'm doing research to find out what it would take to fix it..

Joshua T Halka, MD · Answer

Hello,
That is definitely quite a scar. These kind of things happen often when people have large surgeries as children. I recently revised a similar scar on a patient who had open heart surgery as a child. Since the original surgery went through the skin, fat, muscle, and into your abdomen, there is tethering from all the scar tissue which formed along this entire tract. The scar should be excised and all this scar issue should be removed down to the muscle. Once that is performed the surgeon would close in many layers, making sure to put things together they way they were before you had surgery when you were an infant. You would still have a scar but it would be flat like the rest of your skin and should heal quite well.
Good luck!

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