Safety assessment of the prophylactic use of silicone gel sheets (Lady Care^®) for the prevention of hypertrophic scars following caesarean section

Preventive Effect of Hydrocolloid Dressings on Hypertrophic Scarring of Post-Cesarean Section Wounds: A Randomized Pilot Study

“…Several reports have been published on the incidence of hypertrophic scarring after C/S; 7,8,35 however, the various studies differed in their definition and timing. Based on scar classification guidelines consistent with international clinical recommendations on scar management, Atkinson et al 7 found that 41% of patients had hypertrophic scars at 12 weeks postoperatively.…”

“…However, they did not report the ratio of midline vertical to transverse incisions. 7 Ito et al 35 found that the incidence of hypertrophic scarring after the application of a silicone gel sheet for 5 months was 36% at 12 months postoperatively, according to photograph assessment by a plastic surgeon. 35 In the present study, 45.8% of the control group had hypertrophic scars 12 months after surgery, in contrast with only 13.0% in the hydrocolloid dressing group.…”

“…7 Ito et al 35 found that the incidence of hypertrophic scarring after the application of a silicone gel sheet for 5 months was 36% at 12 months postoperatively, according to photograph assessment by a plastic surgeon. 35 In the present study, 45.8% of the control group had hypertrophic scars 12 months after surgery, in contrast with only 13.0% in the hydrocolloid dressing group. The rates in the untreated group were similar to those reported by Atkinson et al In the treatment group, the incidence rate was considerably lower than that reported by Ito et al; however, this may have been affected by differences in diagnostic methods, duration of application, and type of dressing used.…”