Optimization of the cosmetic appearance of skin scar after caesarean section — part I: obstetric practice

Abstract

Caesarean section (CS) is a surgical way of child delivery by cutting the abdomen and uterus. Although compared to natural childbirth, it carries a greater risk of complications, the percentage of performed cuts is still increasing. The consequence of this procedure is the surgical skin scar. The appearance of this scar depends on many factors, including appropriate pre-and intraoperative procedure, operator skills and experience. The aim of the work is to present actions aimed at increasing the aesthetics of the skin scar after CS including pre-, intra-and postoperative procedures.

Optimization of the cosmetic appearance of skin scar after caesarean section — part II physiotherapy practice

“…Vertical incision is more often associated with postoperative wound dehiscence, postoperative hernia development, and formation of scar contractures (Fig. 3) [25]. Infected, hard-to-healing wounds requiring re-suturing can also lead to the formation of contracted scars with poor cosmetic outcome (Fig.…”

“…Prevention of excessive scarring should be introduced before, during, and after surgery. Wolder et al [25] present pre-, intra-and postoperative procedures aimed at optimization of the cosmetic appearance of the skin scar after CS. Special attention in postoperative care should be paid to high-risk patients after emergency CS, classical CS with vertical incision for laparotomy, obese patients and patients with a history of abnormal scarring.…”