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A prospective study in children: Pre- and post-surgery use of vitamin E in surgical incisions
Nicola Zampieri1, Veronica Zuin, Roberto Burro
1Department of Surgical Sciences, Pediatric Surgical Unit, University of Verona, Policlinico G.B.Rossi, Piazzale L.A. Scuro n. 1, Verona, Italy. dr.zampieri@libero.it
Insights
Topical vitamin E significantly improved cosmetic surgical outcomes in children. This treatment reduced keloid formation and enhanced overall patient satisfaction with surgical wound healing.
Area of Science:
- Dermatology
- Pediatric Surgery
- Wound Healing Research
Background:
- Poor cosmetic results are a significant concern in elective pediatric surgery.
- Optimizing surgical outcomes, particularly aesthetic results, remains a key challenge.
Purpose of the Study:
- To investigate the efficacy of topical vitamin E in improving cosmetic results of surgical incisions in children.
- To compare the effects of topical vitamin E versus a petrolatum-based ointment on surgical wound healing and appearance.
Main Methods:
- A prospective, single-blind, controlled study was conducted.
- Group A received topical vitamin E pre- and post-surgery (15 days before, 30 days after).
- Group B (control) received a petrolatum-based ointment.
Main Results:
- No keloid formation was observed in the vitamin E group (Group A).
- 96% of patients/parents reported very good cosmetic results in Group A.
- The control group (Group B) had a 6.5% keloid rate and 78% very good cosmetic results.
Conclusions:
- Pre- and post-operative topical vitamin E application enhances surgical wound healing.
- Topical vitamin E significantly improves the cosmetic outcomes of surgical incisions in pediatric patients.
Background:
One of the main problems of elective surgery is the cosmetic result.
Objective:
This prospective controlled study aims to determine the effects of topical vitamin E on cosmetic results in children.
Methods:
A single-blind study was carried out. Topical vitamin E was used on the intended incision site for at least 15 days, thrice daily, before surgery and for at least 30 days, twice daily, after surgery (group A). The control group received topical petrolatum-based ointment (group B).
Results:
No patients in group A developed keloids. A total of 96% of patients (or parents) considered the cosmetic results very good. No patients had wound infection. In the control group, only 78% of patients (or parents) considered the cosmetic results very good and 13 (6.5%) patients developed keloids after 6 months. There were no cases of wound infection.
Conclusion:
Topical vitamin E before and after surgery improved surgical wound healing and improved cosmetic results.
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