From the Research
Treatment Options for Keloid Scar Formation at C-Section Site
- Surgical excision of the keloid scar during C-section, with or without adjunct therapy, has been shown to be effective in reducing the rate of recurrence 1
- The use of silicone gel sheets, such as Lady Care®, has been found to be safe and effective in preventing abnormal scarring, including keloid formation, after C-section 2
- Corticosteroid injection, specifically triamcinolone acetonide, immediately after surgical excision of the keloid scar, has been proposed as a potential treatment option to reduce recurrence 3
- Other treatment modalities, including pressure therapy, radiotherapy, cryotherapy, laser therapy, and imiquimod, have been explored and reported to be beneficial in the treatment of keloids, although none have been found to be absolutely satisfactory or optimal for all keloid subtypes 4
- Postoperative radiotherapy, administered immediately after C-section, has been found to be safe and effective in treating keloid scars, with a control rate of 77% and minimal toxicity 5
Emerging Therapies
- Stem cell therapy, mitomycin C, verapamil, interferons, bleomycin, botulinum toxin type A, and angiotensin-converting enzyme inhibitors are being explored as potential emerging therapies for the treatment of keloids 4
Considerations
- The choice of treatment option may depend on various factors, including the size and location of the keloid scar, the patient's skin type and tone, and the presence of any underlying medical conditions
- A combinational therapeutic approach may offer the best results, with higher patient satisfaction compared to monotherapy 4