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Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study

OBJECTIVE: To assess the effectiveness and safety of modified silicone gel sheets applied to hypertrophic scars and keloids following laparoscopic surgery. METHODS: Patients who had undergone laparoscopic surgery and who had either conventional or modified silicone gel sheets affixed to their surgic...

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Autores principales: Kakinuma, Toshiyuki, Kagimoto, Masataka, Kaneko, Ayaka, Ichii, Naoki, Kakinuma, Kaoru, Kawarai, Yoshimasa, Yanagida, Kaoru, Tanaka, Hirokazu, Ohwada, Michitaka, Takeshima, Nobuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358567/
https://www.ncbi.nlm.nih.gov/pubmed/35929020
http://dx.doi.org/10.1177/03000605221107597
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author Kakinuma, Toshiyuki
Kagimoto, Masataka
Kaneko, Ayaka
Ichii, Naoki
Kakinuma, Kaoru
Kawarai, Yoshimasa
Yanagida, Kaoru
Tanaka, Hirokazu
Ohwada, Michitaka
Takeshima, Nobuhiro
author_facet Kakinuma, Toshiyuki
Kagimoto, Masataka
Kaneko, Ayaka
Ichii, Naoki
Kakinuma, Kaoru
Kawarai, Yoshimasa
Yanagida, Kaoru
Tanaka, Hirokazu
Ohwada, Michitaka
Takeshima, Nobuhiro
author_sort Kakinuma, Toshiyuki
collection PubMed
description OBJECTIVE: To assess the effectiveness and safety of modified silicone gel sheets applied to hypertrophic scars and keloids following laparoscopic surgery. METHODS: Patients who had undergone laparoscopic surgery and who had either conventional or modified silicone gel sheets affixed to their surgical lesions for 6 months postoperatively (treatment groups), and control patients who had not received postsurgical treatment involving silicone gel sheets, were enrolled. The surgical wounds were assessed visually and using the Japan Scar Workshop (JSW) Scar Scale. Patients were interviewed before, 3 months after, and 6 months after sheet affixation. RESULTS: A total of 45 patients were included, comprising 15 patients per group. Both silicone gel-sheet groups had significantly lower JSW Scar Scale scores at 3 and 6 months after affixation compared with controls. The scores were not significantly different between the conventional and modified treatment groups and no adverse events were observed in the latter. CONCLUSIONS: Modified silicone gel sheets were more effective than controls and comparable to conventional gel sheets, and there were no adverse events related to laparoscopic surgical wounds in the improved silicone gel sheet group, demonstrating the safety and effectiveness of the modified silicone gel sheets.
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spelling pubmed-93585672022-08-10 Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study Kakinuma, Toshiyuki Kagimoto, Masataka Kaneko, Ayaka Ichii, Naoki Kakinuma, Kaoru Kawarai, Yoshimasa Yanagida, Kaoru Tanaka, Hirokazu Ohwada, Michitaka Takeshima, Nobuhiro J Int Med Res Retrospective Clinical Research Report OBJECTIVE: To assess the effectiveness and safety of modified silicone gel sheets applied to hypertrophic scars and keloids following laparoscopic surgery. METHODS: Patients who had undergone laparoscopic surgery and who had either conventional or modified silicone gel sheets affixed to their surgical lesions for 6 months postoperatively (treatment groups), and control patients who had not received postsurgical treatment involving silicone gel sheets, were enrolled. The surgical wounds were assessed visually and using the Japan Scar Workshop (JSW) Scar Scale. Patients were interviewed before, 3 months after, and 6 months after sheet affixation. RESULTS: A total of 45 patients were included, comprising 15 patients per group. Both silicone gel-sheet groups had significantly lower JSW Scar Scale scores at 3 and 6 months after affixation compared with controls. The scores were not significantly different between the conventional and modified treatment groups and no adverse events were observed in the latter. CONCLUSIONS: Modified silicone gel sheets were more effective than controls and comparable to conventional gel sheets, and there were no adverse events related to laparoscopic surgical wounds in the improved silicone gel sheet group, demonstrating the safety and effectiveness of the modified silicone gel sheets. SAGE Publications 2022-08-04 /pmc/articles/PMC9358567/ /pubmed/35929020 http://dx.doi.org/10.1177/03000605221107597 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Kakinuma, Toshiyuki
Kagimoto, Masataka
Kaneko, Ayaka
Ichii, Naoki
Kakinuma, Kaoru
Kawarai, Yoshimasa
Yanagida, Kaoru
Tanaka, Hirokazu
Ohwada, Michitaka
Takeshima, Nobuhiro
Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
title Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
title_full Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
title_fullStr Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
title_full_unstemmed Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
title_short Prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
title_sort prevention and management of hypertrophic scars after laparoscopic surgery using silicone gel sheets: a pilot study
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358567/
https://www.ncbi.nlm.nih.gov/pubmed/35929020
http://dx.doi.org/10.1177/03000605221107597
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