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.
