Abstract

BISBAL, J.. Efficacy of a polyurethane self-adhesive dressing in preventing hypertrophic scars. Cir. plást. iberolatinoam. [online]. 2011, vol.37, n.4, pp.341-347. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922011000400005.

Our goal is to evaluate the efficacy of a polyurethane self-adhesive dressing in preventing hypertrophic scars in a group of patients undergoing breast reduction surgery. After the initial wound healing period, all patients were submitted to the preventive procedure with compression and adhesive dressing: 66 patients (35.6±10.8 years old) used Trofolastin^® reduction scar as adhesive (subjects) and 47 patients (38.7±12 years old) were treated with other adhesives (controls). In the control group, 23.4 % of patients presented hypertrophic scars, whereas this percentage was only 9.1 % in subjects (p < 0.05). Moreover, 27 patients of the control group (56.5 %) presented scars with a Vancouver score equal or higher than 4 in contrast with only 6 cases (9.1 %) in the group of subjects (p < 0.0001). In conclusion, the prophylactic use of Trofolastin^® reduction scar, once the initial wound healing period is complete, significantly reduces the risk of hypertrophic scars (relative risk 6.32 [95 % CI 2.83-14.09], according the Fisher's exact test).

Keywords : Scars; Hypertrophic scars.

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