Removal of Caesarean Section Skin Scar and Subcutaneous Release Versus Non-Removal in Repeated CS: A Randomized Clinical Trial

Document Type : Original Article

Authors

1 Department of obstetrics and Gynecology Assiut university

2 Plastic Surgery Unit, General Surgery Department, ALSuez University

3 Assiut university, faculty of medicine

Abstract

Background: Women who have had a caesarean section (CS) may have complications related to the healing of their skin scars. These complications might include insufficient scar formation, which can result in wound dehiscence, or excessive scar development in the form of hypertrophic or keloid scarring.
Objective: To Compare cosmetic and skin complications of removal or non-removal of skin scar in repeated CS.
Methods: This randomized control trial research was done on 667 participants with clinical criteria of women with repeated CS, Pregnant women 37 weeks or more. Patients were divided into two groups: group1 skin removal G; in which removed skin scar be incision just above and below the old scar with subcutaneous skin release. G2 non skin removal G; just opening in the previous scar.
Results: After 3 months, the observer-scale POSAS score was significantly lower (5) in CS scar removal than 12 for CS scar non removal. The total patient-scale POSAS score was significantly lower (8) for the group with CS scar removal than 18 for CS scar non removal. Technique was the only predictor that affects both Patient and observer POSAS scores (p<0.001*).
Conclusions: Removal of skin scar is important for wound healing and cosmotic appereance of skin scar .POSAS scores is suitable for assessing scar tissue.

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