The stretched scar: A clinical and histological study

Scar outcomes in dermatological surgery

“…15 However, while greater intradermal support may lead to lower complications such as scar spreading, this may be correspondingly accompanied by the risk of abnormal suture reactions in the shorter term. 16 That younger age, site (trunk or limbs) and higher number of deep sutures were independent predictors in our multivariate analysis suggest that increased skin tension is a factor.…”

“…5,7,15 We calculated that for an effect size of 0.26, P = 0.05, and power 0.8, a sample size of 190 patients was required. We aimed to recruit 210 patients.…”

Grundlagen und Techniken der chirurgischen Naht

“…Eine konstante Dehnung lässt sich daher in Narben beobachten, die nicht durch Nähte unterstützt werden. Die Breite einer Narbe in einer nicht durch Nähte unterstützten Wunde kann sich dabei in 3 Wochen bis zu 3 Monaten nach der Inzision verdoppeln und sich zusätzlich um weitere 50% zwischen dem 3. und 6. postoperativen Monat verbreitern [25]. Daher ist in diesem Zeitraum die mechanische Entlastung zur Unterstützung der Narbenreifung von entscheidender Bedeutung und kann effizient durch folgende Maß-nahmen gefördert werden: F Nähte, F Vitamine, F mikroporöse Tapes und Schienen [5,14,22].…”

Emerging Therapies for Scar Prevention

“…There is evidence that there is a higher incidence of hypertrophic scar development in those incisions or wounds that are in areas of increased skin tension. [63][64][65][66] Methods of reducing tension across incisions and other healing wounds have therefore been investigated as a preventative measure in scar development. In a randomized, controlled trial utilizing nonstretch adhesive microporous hypoallergenic paper tape as a method of tension reduction across surgical incisions for 12 weeks postoperatively after caesarian section, they found that the treatment group had significantly decreased scar volume and incidence of hypertrophic scar development.…”