There have been numerous alternatives to the next sequences of the treatment forms. Initially hypertonic saline was infused daily for three days to “break up” the scar tissue. Initial studies were promising, but unfortunately could not be reproduced.
Dangerous side effects were seen and the technique was abandoned. A special medication, Hyaluronidase, was then used to break down the scar. This procedure was also questioned with conflicting outcomes. Now the catheter is manipulated through the scar when possible, and subsequent steroids are administered to decrease inflammation around the area of scar disruption. The patient is returned to the recovery room and observed for a short period, and discharged home the same day.