Randomised Control Clinical Trial of Topical Silicone Gel in Post-Lower Segment Caesarean Section Closure scar in Primigravida

Abstract

Scar following caesarean section surgery is an important aspect affecting aesthetics and function in young ladies. This study was done to compare the effectiveness of scar modulation using topical silicone gel in post-lower segment caesarean section scar in primigravida. Case series analysis was conducted between 01 Jul 2018 and 30 Jun 2019 in a tertiary care centre. Post-lower segment caesarean section scars in 52 primigravida were randomised into 2 groups. Group A used topical silicone gel once daily for 3 min of massage. Group B had normal natural scar maturation without any intervention. Observational data collected and photographs were taken at 2 weeks, 4 weeks and 12 weeks. Vancouver scar score used to assess observed data and result compiled. Topical silicone gel gave superior results in reducing overall scar quality at 1 month and 3 months. Topical silicone gel was a superior product for initial management of caesarean scars.