Переваги впливу силіконового гелю на післяопераційне заживлення

V.V. Kaminskyi; M.N. Shalko; T.V. Blinova

doi:10.18370/2309-4117.2021.60.52-59

Authors

V.V. Kaminskyi P.L. Shupyk National University of Health of Ukraine; Kyiv City Center of Reproductive and Perinatal Medicine, Kyiv, Ukraine https://orcid.org/0000-0002-5369-5817
M.N. Shalko P.L. Shupyk National University of Health of Ukraine; Kyiv City Center of Reproductive and Perinatal Medicine, Kyiv, Ukraine https://orcid.org/0000-0002-0302-9699
T.V. Blinova P.L. Shupyk National University of Health of Ukraine, Kyiv , Ukraine https://orcid.org/0000-0002-6451-4073

DOI:

https://doi.org/10.18370/2309-4117.2021.60.52-59

Keywords:

postoperative scars, prevention, silicone gel

Abstract

A scar is a product of skin regeneration by connective tissue structures after damage or inflammation to maintain the integrity of the body's integuments. To date, there is no single algorithmic approach to the tactics of treatment and cicatricial defects after cesarean section. This article presents the modern principles and advantages of the Nascar silicone gel on vascularization, pigmentation, thickness, surface area, elasticity of postoperative scars in women after cesarean section. This silicone gel is an effective and safe remedy for the prevention of cicatricial deformities after surgery, starting from the first days after surgery, it has a positive effect on a woman's quality of life, including her intimate life.
Research objective: to evaluate the advantages of the effect of silicone gel on vascularization, pigmentation, thickness, surface area, elasticity of postoperative scars in women after cesarean section compared with no systematic local treatment.
Materials and methods. The study involved 70 women aged 25–40 years after a cesarean section. Women were randomized into 2 groups of 35 each. Patients of group 1 (main) were applied silicone gel Nascar on the scar area with 2 times a day (morning and evening), starting from the 5–7th day of the postoperative period. Patients of group 2 (control group) did not receive local therapy of postoperative scars. Evaluation of the gel effectiveness was carried out according to the POSAS scale (the scar status was determined by the doctor and the patient).
Results. This study showed the high efficacy and safety of the Nascar silicone gel when on the postoperative scar in women after cesarean section. An important advantage of silicone gel therapy compared to its absence was revealed.
Conclusions. The results obtained make it possible to recommend Nascar silicone gel as an effective and safe drug for the prevention of cicatricial deformities after surgical interventions, starting from the first days after suture removal.

Author Biographies

V.V. Kaminskyi, P.L. Shupyk National University of Health of Ukraine; Kyiv City Center of Reproductive and Perinatal Medicine, Kyiv

Academician of the NAMS of Ukraine, MD, professor, head of the Obstetrics, Gynecology and Reproductology Department;
Head

M.N. Shalko, P.L. Shupyk National University of Health of Ukraine; Kyiv City Center of Reproductive and Perinatal Medicine, Kyiv

PhD, associate professor, Obstetrics, Gynecology and Reproductology Department;
Deputy director

T.V. Blinova, P.L. Shupyk National University of Health of Ukraine, Kyiv

Intern, Obstetrics, Gynecology and Reproductology Department

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