Papers of The 1st Japan Scar Workshop

4. Retrospective Analysis of The Incidence of Hypertrophic Scars Following Cesarean Section

Tosa M1, Murakami M1, Hyakusoku H2
1: Department of Plastic and Reconstructive Surgery, Nippon Medical School2nd Hospital, Kanagawa, Japan
2: Department of Plastic and Reconstructive Surgery, Nippon Medical School, Tokyo, Japan

The development of hypertrophic scars and keloids is an unsolved problem in the process of wound healing. Recently, hypertrophic scars following cesarean section are being encountered at an increasing frequency. We studied wound healing consequences in 446 women who underwent cesarean section during 2001-2003 at our hospital to determine the incidence of hypertrophic scars. Of the 446 patients, 133 (30%) had hypertophic scars that had developed by 3 months after the operation. However, none of the patients consulted a doctor in the early stages before the hypertrophic scar worsened. This negligence was due to the patients being unaware of the need to consult a medical specialist. These results indicate that patients undergoing cesarean section should be well-informed about the development of abnormal scar formation and the need to seek early treatment.
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