Cerrahi insizyon sonrasi skar olusumunu etkileyen risk faktörleri/Risk factors for scar formation after surgical incision

• Published in: Turkderm Vol. 49; no. 3; p. 213
• Main Authors: Kelekçi, Kiymet Handan, Karaca, Semsettin, Demirel, Emine, Desticioglu, Raziye, Biçer, Ayse Merve, Er, Onur, Aydogmus, Serpil
• Format: Journal Article
• Language: Turkish
• Published: Istanbul Galenos Publishing House 01.07.2015
• Subjects: Childbirth & labor; Dermatology; Risk factors; Scars; Wound healing
• ISSN: 2717-6398; 2651-5164

The risk factors for scar development are still being discussed by dermatologists and surgeons. The aim of this study was to analyze the independent risk factors for the development of incisional scar type which develop after an abdominal delivery. Four hundred-ninety-two women who underwent caesarean operation one year ago or earlier were included in this study. After a detailed anamnesis and physical examination, data including demographic features, type of suture materials, time of suture removal, presence of striae, family history of hypertrophic scar, history of infection and/or hematoma, and total weight gain during pregnancy were recorded from the medical reports of patients. The scars were separated into two groups as atrophic and hypertrophic. The obtained data were compared according to the type of scars. A p value of less than 0.05 was considered statistically significant. Both groups were similar in terms of demographic data. Atrophic scars were found in 408 of 492 patients and hypertrophic scars in 84 patients. Presence of wound site infection or hematoma (odds ratio OR: 5.64, 95%, confidence interval CI: 3.12-10.22), presence of striae (OR: 1.80, 95% CI: 1.12-2.91) and positive family history of hypertrophic scar (OR: 4.25 95% CI: 2.60-6.94) were associated with hypertrophic scar formation, while removal of nonabsorbable suture in less than 8 days (OR: 5.04 95% CI: 2.31-10.99) and wound closing time up to 11 days (OR: 2.80 95% CI: 1.64-4.78) were correlated with atrophic scar formation. Family history of hypertrophic scar, suture removal time after 7 days and complicated wound healing process seem to be risk factors for hypertrophic scar formation after surgical incision. Knowing these risk factors may contribute to the development of strategies to prevent scar formation.