Scars: questions of prevention and treatment

Each year in the developed countries of the world 100 million patients acquire scars; and there are 11 million keloid scars among them.

Aim of the study. Evaluate the effectiveness of treatment and dynamics of scar condition when using self-adhesive dressings (silicone sheet; silicone patch) with a layer of soft silicone.

Patients and methods. A clinical prospective observational study of the dynamics of scarring conditions using selfadhesive dressings with a layer of silicone sheet (soft silicone) was conducted in 27 patients.

Results. It was shown that by the third visit (42 days after inclusion in the study); the color changed towards lightening and disappearing red; in the largest group with dark red scars at the beginning of the study 43.7% completed the study with light pink scars; 43.7% with hyperpigmented and 5.26% with normopigmented (р < 0.0001). Also significant was the dynamics of changes in the position of the scar relative to the level of normal skin (р < 0.0001) with level alignment in case it was initially lower than the level of normal skin. The condition of the scar surface by the third visit normalized; in all patients the surface became even (p = 0.0044). There was a marked increase in the number of easily displaceable scars (from 11.1% to 37.0%; p = 0.0003). Also; by the third visit; itching disappeared in all patients (р < 0.0001).

Conclusion. Overall; the study showed marked improvement across all parameters studied. Silicone sheet; one of the most widely used forms of silicone-based dressings; to be an effective treatment scar management.