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SCAR MANAGEMENT

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Appropriate atraumatic suture for specific area of body ... Discontinue if adverse effects to surrounding skin. COMPRESSION GARMENTS ... – PowerPoint PPT presentation

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Title: SCAR MANAGEMENT


1
SCAR MANAGEMENTCOMPRESSION GARMENTS
  • Carol Amos
  • August 2004

2
SCAR MANAGEMENT
  • 3 MAJOR INFLUENCES ON SCAR TISSUE FOR A
    SUCCESSFUL COSMETIC OUTCOME
  • PATIENTS SKIN TYPE
  • SURGICAL TECHNIQUE
  • POST OPERATIVE CARE

3
PATIENTS SKIN TYPE3 types of scarring
  • Normal scar tissue
  • Hypertrophic scar tissue
  • Keloid scars

4
SURGICAL TECHNIQUE
  • Appropriately skilled surgeon for type of surgery
    to be performed
  • Appropriate atraumatic suture for specific area
    of body
  • Appropriate surgical closure to reduce tension on
    wound

5
POST OPERATIVE CARE
  • Timely removal of sutures
  • Support for the scar in early stages-dressings
    and steri strips
  • Long term scar support
  • MASSAGE

6
BENEFITS OF MASSAGE
  • Decreases the inflammatory phase
  • Breaks down Blocks off scar tissue
  • Increases Capillary Proliferation healing
  • Assists in de-sensitization of scars
  • Re-hydrates scar tissue

7
METHOD OF MASSAGE
  • Commence 1 week after the removal of sutures-only
    if wound is fully healed
  • Start gently and increase until after the 1st
    week the massage is as firm as possible.
  • Must be continued for 3 months and done at least
    2-3 times per day for 5-10 minutes
  • Type of Moisturiser used is not important to the
    outcome.

8
HYPERTROPHIC AND KELOID SCARS
  • Scar reduction silicone dressings
  • Must be used for a period of months
  • Can be expensive
  • Directions for use must be adhered to
  • Discontinue if adverse effects to surrounding skin

9
COMPRESSION GARMENTS
  • Creates Faster Wound Healing
  • Controls swelling
  • Increases Blood Flow to the wound
  • Supports the scar, skin, muscle and fat
  • Reduces risk of complications

10
IMPORTANCE OF ESPECIALLY DESIGNED GARMENTS
  • Garments without a crotch not necessary to
    remove them during the day
  • Zippered sides easy to put on.
  • Stretch fabric engineered especially for post
    operative garments- Latex free
  • Cooler and dryer- more comfortable and helps
    healing
  • Better compression
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