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Article |

Scar Tissue—Its Use and Abuse

Robert Hardaway, MD; Harlan R. Thering, MD
Arch Intern Med. 1974;134(4):787. doi:10.1001/archinte.1974.00320220189036.
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This small volume gives the reader a fascinating review of a 30-year study in the prevention and surgical correction of scar formation. The embryology and histology of the skin are discussed, and an all-too-brief section is devoted to wound healing.

Two of the ten chapters are contributed by Helen K. Berry. The first is a short summary of collagen production and degradation, and the second is a discussion of the chemical composition of scar and the chemical changes that occur during the dissolution and softening of scar. The methods used to analyze the changes are thoroughly discussed.

The individual chapters are brief but all are illustrated with drawings, graphs, and a profusion of photographs.

The author reemphasizes the placement of incisions in normal crease lines. If they are placed in lines of tension, hypertrophic scars will result no matter how long the period of immobilization. This is based on the


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