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A PROSPECTIVE STUDY TO ASSESS THE CORTICOSTEROID OINTMENT EFFICIENCY IN PREVENTION OF POST-OPERATIVE HYPERTROPHIC SCARS AFTER THE C-SECTION

Dr. Fatima Dilshad, Dr Sundas Zafar, Dr Khadija Sarwar

Aim of Study: This study was carried out to assess the corticosteroid ointment efficiency in prevention of post-operative hypertrophic scars after the C-section surgical procedure. Study design: A prospective cohort study. Place and time duration: The current study was held at Services Hospital Lahore for the duration of one year starting from July, 2017 to June, 2018. Material and Methodology: A total number of 61 patients were selected in our study. They were divided into two groups as 31 control patients and 30 treatment patients. All patients were having wounds of surgery. Patients were satisfied for the study pattern and well briefed about it. Characteristics of wounds of all patients were analyzed by the means of modified Vancouver Scar Scale (MVSS) score which contains pliability, vascularity, pigmentation and height at the start of this study (10th day of post-operation), after 12 weeks and after 24 weeks. Every other day basis gave the corticosteroid ointment to the treatment group for 12 weeks duration. Evaluated time bound changes and comparative evaluations in each group. Analysis of data was performed via SPSS 20. Results: There were 61 patients included in this study. Average age of the patients was 31.28±3.95 years. Treated the treatment group with corticosteroid ointment first for 12 weeks and 24 weeks. After the 12th and 24th week analysis found that vascularity and height subsection scores of treatment group were considerably reduced as compared to control group. Whereas, pigmentation and pliability reduced equally in each group. Satisfaction for scar healing was high in treatment group as 06 (20%) patients and on the other hand there were 4 (12.9%) patients found satisfied in the control group. After treatment itching was reported by two patients. Conclusions: At the end of our study we found that height and vascularity parameters although showed improvement in 12 weeks and after 24 weeks but the other clinical results were same in both groups. This might be because of the reason that we stopped treatment after 12 weeks. More studies on the larger scales are therefor recommended for the future researches. Keywords: Wound healing Cicatrix, Methyl prednisolonate, corticosteroid ointment, keloids, hypertrophic scars (HS).

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