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[A new approach in the compression therapy of postoperative scars]

S V Minaev1, A A Ivchenko1, I I Babich2

  • 1Stavropol State Medical University, Stavropol, Russian Federation.

Khirurgiia
|February 21, 2018
PubMed

Insights

Contractubex prolonged plaster significantly reduced hypertrophic scar formation in children post-surgery. This compression therapy improved both cosmetic and functional outcomes for surgical scars.

Area of Science:

  • Pediatric Surgery
  • Dermatology
  • Wound Healing

Background:

  • Post-surgical scarring is a common concern in pediatric patients.
  • Hypertrophic scars can lead to functional limitations and cosmetic issues.
  • Effective scar management strategies are crucial for optimal patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy of Contractubex prolonged plaster as compression therapy.
  • To assess the impact on skin scarring in children following surgical procedures.
  • To compare outcomes with dynamic observation in a randomized trial.

Main Methods:

  • A prospective, open-label, randomized trial involving 109 pediatric patients (5.3±2.1 years).
  • Patients were divided into two groups: Contractubex prolonged plaster (n=54) and dynamic observation (n=55).
  • Scar deformation was evaluated using the Vancouver scale at 10, 30, and 90 postoperative days.

Main Results:

  • High patient compliance (94.4%) was observed with the Contractubex plaster.
  • Significantly fewer hypertrophic scars formed in the Contractubex group (1 patient) compared to the control group (8 patients) (p=0.042).
  • The treatment demonstrated a statistically significant reduction in adverse scar formation.

Conclusions:

  • Contractubex prolonged plaster provides effective compression therapy for post-surgical scars in children.
  • The treatment yielded good cosmetic and functional results in both the short and long term.
  • This approach is recommended for managing pediatric surgical scars to minimize hypertrophic scar development.

Keywords:
childrencompression therapypostoperative scarprolonged plaster Contractubex

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