Study on the effect of combined action of topical silicone gel and pressure therapy in hypertrophic scar management

Dibyendu Das; Neelam Yadav; Esha Arora

doi:10.18203/2349-2902.isj20202388

Authors

Dibyendu Das Department of Plastic Surgery, N. R. S. Medical College and Hospital, Kolkata, West Bengal, India
Neelam Yadav Department of Plastic Surgery, N. R. S. Medical College and Hospital, Kolkata, West Bengal, India
Esha Arora Department of Plastic Surgery, N. R. S. Medical College and Hospital, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20202388

Keywords:

Hypertrophic scar, Pressure garment, Silicone gel, Vancouver scar scale

Abstract

Background: Widespread hypertrophic scars usually resulting from burn injuries or extensive soft tissue trauma is a common problem presented to plastic OPD. Non-invasive treatment like Pressure/compression therapy and siliconee sheets and gels are well-accepted, evidence-based recommendations for a long time. Very few studies are there for their combined effect on hypertrophic widespread scars. Aims and objectives of the study was to see the outcome of hypertrophic scar management following application of combined therapy of silicone gel and pressure garment.

Methods: In the present study we have taken patients, who were randomly allotted in two groups. In one group only silicone gel was used for scar management while other group we applied silicone gel along with customized pressure garment locally for 6 months. Patients are seen in OPD monthly and after 6 months final results were analyzed, to see the effect of combined therapy.

Results: Although silicone gel is alone is effective in widespread post burn scar, pressure garment provides a synergistic effects when used together. There is no significant change in colour and vascularity, but changes in scar thickness and pliability are most significant in combined therapy group.

Conclusions: For small linear scar silicone gel treatment is alone sufficient, but for widespread hypertrophic scar this should always be used along with pressure garment therapy.

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Author Biographies

Dibyendu Das, Department of Plastic Surgery, N. R. S. Medical College and Hospital, Kolkata, West Bengal, India

M.S.GEN SURGERY,Mch.PLASTIC&RECONSTRUCTIVE Surgery, Assistant professor.

Neelam Yadav, Department of Plastic Surgery, N. R. S. Medical College and Hospital, Kolkata, West Bengal, India

Post. Doctoral trainee, NRS medical college and hospital. Kolkata, India

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