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Dermatologic Surgery , 43(3), 321-339

At first, the body responds to tendon damage with inflammation, which signals repair processes

When Revision Is NOT Appropriate Revision is generally not recommended when: The pouch is normal in size The stoma is not significantly dilated Symptoms are primarily behavioral Weight regain is due to grazing, sugar intake, or high-calorie liquids without anatomical abnormalities Chronic steroid use or uncontrolled medical issues increase surgical risk The patient is not ready to commit to long-term follow-up and dietary changes In such cases, non-surgical approaches are considered first