PREVENTION OF HYPERTROPHIC SKIN SCAR AFTER CAESAREAN SECTION DELIVERY WHAT SHOULD OBSTETRICIAN DO?
Amr Bakry Abd Algalel Mohamed;
Abstract
C
easeran section skin closure techniques vary widely in the reported literature and the choice lies largely with the surgeon based on experience. Critical to the choice of method is the need for rapid application, accurate skin apposition, economy and reproducibility. However, of paramount importance is the need to achieve excellent cosmesis.
The goal of any skin closure technique is to produce appropriate skin approximation and adequate healing with minimal wound complication , scarring, pain, and cost (Alon et al., 2009).
The first report of the use of subcuticular sutures for wound repair was in 1889, and the first disposable skin stapler was produced by ethicon in 1978 (Alon et al.,2009).
Keloid scar (KS) is a benign hyperproliferative growth of dermal fibroblasts characterized by the excessive deposition of extracellular matrix components. The incidence of KS has been estimated to be approximately 4-6 % in the general population and up to 16 % in people of African cohorts general (Emami et al., 2012). Research in the past decades attempted to identify genetic, cellular, and molecular factors responsible for the incidence and development of KS, yet the mechanism of KS formation is largely unknown (Rossiello et al., 2009). Increased familial aggregation, a higher prevalence in certain races, parallelism in identical twins, and alterations in gene expression favor the contribution of genetic risk factors to the development of KS (Halim et al., 2012). Incidence of hypertrophic scar after surgery is 40 -70% (Gauglitz et al., 2012).
easeran section skin closure techniques vary widely in the reported literature and the choice lies largely with the surgeon based on experience. Critical to the choice of method is the need for rapid application, accurate skin apposition, economy and reproducibility. However, of paramount importance is the need to achieve excellent cosmesis.
The goal of any skin closure technique is to produce appropriate skin approximation and adequate healing with minimal wound complication , scarring, pain, and cost (Alon et al., 2009).
The first report of the use of subcuticular sutures for wound repair was in 1889, and the first disposable skin stapler was produced by ethicon in 1978 (Alon et al.,2009).
Keloid scar (KS) is a benign hyperproliferative growth of dermal fibroblasts characterized by the excessive deposition of extracellular matrix components. The incidence of KS has been estimated to be approximately 4-6 % in the general population and up to 16 % in people of African cohorts general (Emami et al., 2012). Research in the past decades attempted to identify genetic, cellular, and molecular factors responsible for the incidence and development of KS, yet the mechanism of KS formation is largely unknown (Rossiello et al., 2009). Increased familial aggregation, a higher prevalence in certain races, parallelism in identical twins, and alterations in gene expression favor the contribution of genetic risk factors to the development of KS (Halim et al., 2012). Incidence of hypertrophic scar after surgery is 40 -70% (Gauglitz et al., 2012).
Other data
| Title | PREVENTION OF HYPERTROPHIC SKIN SCAR AFTER CAESAREAN SECTION DELIVERY WHAT SHOULD OBSTETRICIAN DO? | Other Titles | الوقاية من ندبة الجرح المتضخمة فى الجلد بعد العملية الولادة القيصرية ما ينبغى على طبيب الولادة فعله | Authors | Amr Bakry Abd Algalel Mohamed | Issue Date | 2014 |
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