Linear scar reduction using silicone gel sheets in individuals with normal healing

Journal of Wound Care (Impact Factor: 1.07). 12/2012; 21(12):602-9. DOI: 10.12968/jowc.2012.21.12.602
Source: PubMed


To examine the application of silicone gel sheets on linear scars due to surgical procedures.

Ten individuals, with scars less than I year old, participated in the study. The Participant and Observer Scar Assessment Scale (POSAS) was used to evaluate scars on seven characteristics rated by visual analogue scales 0fAS). Participants applied silicone gel sheets to half of their scar for 6 months, and every 2 weeks POSAS data forms were completed. Linear mixed-effects analysis of variances (ANOVA)were used to determine if significant differences occurred between groups (treated and untreated scarsides) across the 6 months of data collection. To see if differences were found from the initial evaluation to final visit, Mann-Whitney U tests analysed between-group changes (treated and untreated scar sides), while Wilcoxon signed ranks tests compared within-group changes (evaluation of each scar side over time).

No significant differences in VAS ratings were observed when the two scar sides were compared, with the exception of overall opinion of the scar, as rated by an observer. For each group,significant changes from baseline to study end were observed for colour, stiffness and irregularities, as rated by the participant. Significant improvements for the treated versus untreated group were observed for pliability and pigmentation, as rated by the observer scale.

There was no evidence for improved healing when using silicone gel sheets. The results do not support using silicone gel sheets on linear scars for individuals with no history of abnormal scarring.

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    • "The primary endpoint was the appearance of wound at the 6th post-operative week assessed through a validated scar assessment scale, the Patient and Observer Scar Assessment Scale (POSAS) [15]. POSAS was initially developed for burn scars, but it has been used and validated for several different types of wounds [17] [18] [19] [20] [21]. It is composed of two subscales, the Observer Scale (OSAS) and the Patient Scale (PSAS). "
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