Postpartum scars

Cesarean scar

1. Cesarean section scar is a mark left on the wound after operation, usually white or gray, smooth, hard texture. About two to three weeks after the scalpel is scarred, the scar begins to grow, and the area becomes reddish, purple, and hard, with the skin protruding. There are new nerve endings on the scar, but they are chaotic.

2, the formation of scarring is related to skin color and constitution. The deeper the complexion, the easier it is to have scar constitution. Whether trauma or surgery, as long as the wound goes deep into the dermis, the human body will produce scar tissue, the wound will be linked up. Because the human body for wound healing mechanism is different, if the wound in the epidermis, belongs to the regeneration mechanism, the epidermis will grow the same as the original tissue cells, so will not leave scars. However, when the cortex injures the dermis, the healing mechanism belongs to the repair system, the human body will produce scar tissue to connect the wound, resulting in the healing of the scar left.

Will there be scar after cesarean section?

1. Any surgical operation, because there is wound healing, postoperative natural scars, so cesarean section is bound to leave surgical scars. Every year, many female friends come to the hospital to ask for repair of cesarean section scars, some patients scars are obvious, there are signs of proliferation, some patients scar condition is good, but affect the beauty.

2. Caesarean section because the wound penetrates into the dermis, in order to prevent the wound from cracking, the skin will create strong and tough scar tissue to effectively connect the wound, so the scar is produced. But many mothers wonder why a friend’s caesarean scar is so beautiful and her own scar is ugly. In fact, the two most important factors that determine the beauty and ugliness of scars are physical fitness and tension.

3. From the physical aspect, the easiest to leave a scar is “crab foot swollen”. This pathological scar hyperplasia is genetically related, once there is a wound on the body, the scar will rapidly proliferate and expand, so far there is no very effective treatment. In addition, the darker the color, the easier it is to leave scar.

4, apart from physical fitness, tension is also the main cause of scar. Tension can be said to be the force of wound opening, and the amount of scar tissue is proportional to the size of tension, the greater the tension, the greater the tendency to open the wound, when the human body sensed this tendency, will create a large number of scar tissue will be linked to the wound, forming a red convex and hard ugly scar.

How to scar after delivery

1. Laser method

Cesarean scar repair is performed in three steps: cesarean scar repair.

The first step is local injection of drugs to inhibit reticular hyperplasia.

The second step, combined with a specific wavelength of dye pulse laser irradiation, closure of proliferative blood vessels, which can release the proliferation of scars, so that the scar gradually flattened and thinned;

The third step is to restore the scar repair to the shape of a thin line.

Experts recommend that, in order to avoid earthworm-like scars, in this caesarean scar repair after 2-4 weeks to carry out 1-2 pulsed laser irradiation.

2. Operative method

This method is more suitable for the scar is ugly, or due to infection, foreign bodies caused by hypertrophic scar tissue, because the cesarean section scar repair can be removed scar, and its re-suture. For straight scars, the incision can also be redesigned to beautify the scar. For the small abdominal protrusion of the ugly scar, experts suggest that first do cesarean section scar repair liposuction or abdominal plastic, abdominal muscle fascia tension, restore tension, and then the redundant skin resection, cesarean scar repair in the state of minimum tension suture incision, so as to maximize the improvement Scar and body.

How to dilute the scar after cesarean section

1, color depth and physical fitness.

Scar formation is related to skin color and body constitution. The darker the color, the easier it is to get scar. Whether trauma or surgery, as long as the wound goes deep into the dermis, the human body will produce scar tissue, the wound will be linked up. Because the human body for wound healing mechanism is different, if the wound in the epidermis, belongs to the regeneration mechanism, the epidermis will grow out of the same tissue cells, so will not leave scars. However, when the cortex is injured to the dermis, the healing machine belongs to the repair system, the human body will produce scar tissue to connect the wound, resulting in the healing of the scar left.

2. Choose suitable suture mode.

Suture methods for cesarean section wounds, from nylon non-absorbable sutures that must be removed in the early stage to synthetic sutures that can be hidden in the wound most commonly used so as to make the wound suture more beautiful and self-absorbed (commonly known as flesh thread), and now beauty nails, beauty clips, have their advantages and disadvantages.

3. Meat line

Generally speaking, it is convenient to sew the wound with meat thread. After operation, there is no need to remove thread. It can not only shorten hospitalization days, but also alleviate the pain of the wound. However, if a few patients have poor absorption of meat thread, they will produce small abscess at the suture site, causing wound pain and discomfort, or even cause granuloma tissue production.

4, beauty nails or beauty clips.

The wound can be removed after healing (5-7 days after surgery), so it will not be left in the wound, causing irritation, but in the process of nail removal or thread removal, it may cause pain and discomfort, and the place where the nail may be pinched may leave a few traces. Both methods have their advantages and disadvantages. It is suggested that the mother who wants to have a caesarean section should choose the most suitable method after discussing with the doctor.

5. Pain relieving pain

After surgery, doctors will take intramuscular or intravenous painkillers to help mothers relieve pain, so that mothers can rest as smoothly as possible, reduce unnecessary movement and rub the wound.

6. Diet

Generally, if cesarean section is successful, it will not move to the gastrointestinal tract, so if the recovery is good, you can drink a small amount of water, fluid or juice on the first day to help restore gastrointestinal peristalsis, if there is no vomiting, flatulence and other discomforts, such as patients exhaust, to determine the restoration of gastrointestinal tract unobstructed, can slowly restore solid food Food for food. Diet should be light and avoid stimulating foods so that the wound can heal as soon as possible.

7. The wound

The thicker the subcutaneous fat layer is, the greater the chance of wound infection. Therefore, care must be taken for postpartum wounds. Some people because of physical relationship, the scar will grow bigger, if there is such a constitution, soon after the surgery can use silicone film, reduce the occurrence of crab foot swelling. Do not get wet or dirty before the wound heals. If it gets wet, it must be wiped off immediately and coated with iodine. After discharge from hospital, make sure that the wound is well healed. Use breathable paper tape and stick it on the wound. When using breathable paper tape, pay attention to the need to smooth and close with the wound, to oppress the scar, prevent the wound widening and thickening, about 3-4 days to replace, and lasts for 3-6 months.

How to repair scar after cesarean section

1, surgery to remove scar.

Principle: reduce the width of the scar by surgical way or change the way of scar to the direction of skin texture.

Surgery can remove proliferative scars and scar tumors on the belly and also remove scars that interfere with movement near joints. It is commonly used in combination with steroid injection and silicone patch therapy. When used alone, it is possible to cause abnormal scar regeneration.

2. Corticosteroid injection

Principle: The treatment of proliferative hemangioma can be achieved by controlling the abnormal proliferation of capillary endothelial cells and the formation of immature neovascularization. Corticosteroid injection is a first-line treatment for hypertrophic scars and scarring. Intramuscular injection every 4-6 weeks takes months or until the scar becomes flat. Pain during injection often affects patient compliance and may require local anesthesia.

3. Stress therapy

Principle: Mainly through pressure, narrow the vessel lumen in the scar, reduce blood flow, resulting in lack of nutrition in the scar tissue, the proliferation of scar tissue was significantly inhibited, and achieve the purpose of treating scars. This is the standard treatment for proliferative burn scars. Although the mechanism of action is not clear and there is no rigorous experimental evidence, pressure coats are often used in hospitals. This special bandage garment needs continuous use for up to 12 months.

4. Radiotherapy

Principle: Radiation can penetrate human tissue. When it irradiates scar tissue, its radiation energy transmits to the tissue, causing physical and chemical damage to the scar, thereby inhibiting and destroying the growth of the scar, to achieve the purpose of treating the scar. Because of the possibility of side effects, radiation therapy is usually used only to treat adult scar tumors that do not respond to other treatments.

5. Laser therapy

Principle: Use different wavelengths of color light acting on different tissues, selective treatment, to ensure that the skin is not damaged, light into the skin, the particles into powder, so that they jump between increased, and then be absorbed and removed by macrophages, if the scar tissue is dark color, repeated treatment, constantly changing light The wavelength. Lasers are used to treat various types of scars, but the results are good or bad. Although there have been some effective reports, there is still insufficient medical evidence for laser therapy as a new therapeutic regimen.

6. Cryotherapy

Principle: Using the low temperature below 0 C, the scar tissue can be destroyed effectively under the condition of freezing, so as to achieve the purpose of permanent scar removal. Freezing scars with liquid nitrogen may be effective for severe acne scars, but some related side effects have limited the treatment to very small scars.

7. Silicone patch therapy

Principle: since 1980s, it has been widely used to prevent and treat hypertrophic scars and keloids. It is generally believed that the sealing and hydration of silica gel can increase the moisture content of cuticle, soften and mature the scar, so as to prevent and cure the scar. After a few weeks of applying silicone gel, the scar begins to soften. After 2-3 months, the color becomes pale and the scar flattens. With the improvement of scar, itching, pain and other symptoms also disappeared.

Scar nursing after cesarean section

1. Do not uncover the scab prematurely after the operation. If the scab is uncovered prematurely, it will take away the epidermal cells which are still in the repair stage, even tear off the dermal tissue, and stimulate the itching of the wound.

2, avoid sunlight, prevent UV stimulation to form pigmentation.

3. Apply some external medicine, such as skin relaxation, triamcinolone acetonide and dexamethasone, to relieve itching.

4. Improve the diet, eat more fruits, eggs, lean meat, skin and other foods rich in vitamin C, E and essential amino acids, these foods can promote blood circulation, improve the epidermal metabolism. Avoid eating hot food such as chilli, garlic and garlic.

5. If you want the scar to disappear completely and return the skin to its original appearance, you still need to cooperate with the use of products to remove the scar.

6. Keep the scar clean and hygienic, wipe the sweat in time, do not scratch with your hands, use clothes to rub the scar or hot-wash with water to stop itching, lest aggravate local irritation, promote connective tissue inflammatory reaction, causing further itching.