Pressotherapy of a postoperative scar with the application of non-sterile silicone dressings in a 56-year-old woman treated for breast cancer in the Holycross Cancer Centre in Kielce

Macek, Paweł; Terek-Derszniak, Małgorzata; Lipińska, Anna; Błaszkiewicz, Ewa; Król, Halina; Głuszek, Stanisław; Góźdż, Stanisław

doi:10.5114/ms.2015.56671

Cited by 1 publication

(1 citation statement)

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“…Similar conclusions were observed by Macek et al [19], who used non-sterile silicone dressings in a patient after mastectomy and removal of lymph nodes in the axillary fossa because of breast cancer.…”

Section: Reduction Of Fibroblasts and Collagen Productionsupporting

confidence: 87%

Assessment of the usefulness of silicone plaster application on a postoperative scar in women after mastectomy because of breast malignancy: a preliminary report

Lipińska¹,

Terek-Derszniak²,

Lipińska-Stańczak³

et al. 2017

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Introduction: In the natural process of wound healing a scar is formed, which by its build, colour, and function does not resemble healthy tissue. This concerns not only the appearance of the outer integument, but above all, the deeper layers, which are also subject to the process of scarring. In some cases, a disorder of the decomposition and synthesis of collagen takes place and then hypertrophied scars and colloids are formed. Therefore, in physiotherapeutic practice, a scar should be seen in the three-dimensional aspect. Oncology patients can have so-called silicone dressings applied in the healing process of hypertrophied scars and colloids. The therapy using plasters with silicone gel is safe and non-invasive. Aim of the research: To assess the impact of silicone plasters on postoperative scars in the rehabilitation of women after mastectomy. Material and methods: The study, in which women after mastectomy took part, was performed in the Holycross Cancer Centre in Kielce. The assessment of a postoperative scar was based on the Patient and Observer Scar Assessment Scale (POSAS). Results and conclusions: Silicone dressings applied on a postoperative scar influenced its flexibility, colour, and size. The achieved results are satisfactory, and the applied method is effective and promising. However, the methods used to assess the scar, which are commonly recommended but not quite objective, raise some reservations and doubts among the authors. Streszczenie Wprowadzenie: W procesie naturalnego gojenia ran powstaje blizna, która budową, barwą i funkcją nie przypomina zdrowej tkanki. Dotyczy to nie tylko wyglądu powłoki zewnętrznej, lecz przede wszystkim warstw głębiej położonych, które również podlegają procesowi bliznowacenia. W niektórych przypadkach dochodzi do zaburzenia rozkładu oraz syntezy kolagenu i wówczas tworzą się blizny przerostowe oraz keloidy. Dlatego też w praktyce fizjoterapeutycznej blizna powinna być postrzegana w sposób trójwymiarowy. Pacjentom onkologicznym w procesie leczenia blizn przerostowych i keloidów można zaaplikować tzw. opatrunki silikonowe. Terapia za pomocą plastrów z żelem silikonowym jest bezpieczna i nieinwazyjna. Cel pracy: Ocena wpływu plastrów silikonowych na bliznę pooperacyjną w rehabilitacji kobiet po mastektomii.

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Section: Reduction Of Fibroblasts and Collagen Productionsupporting

confidence: 87%