#157 Scar mark by a cut (2) (English)

Scar mark by a cut

The factors that determine the degree of the scar for a wound that requires a suture:

1. Were appropriate measures taken when initially injured?

2. Who and how was the suture of the wound processed?

3. During the epithelialization of wound, how was the wound disinfected?

4. Were the stiches removed at appropriate times, and to prevent to wedge of the wound, was the taping therapy followed?

5. To prevent the formation of a pigmented scar, was the UV light avoided?

6. As the scar soared from the wound site, was the condition of the wound carefully examined for proper treatments?

The aforementioned factors can be explained more explicitly…

1. Right after the getting a wound, the area must be cleansed to extract foreign substances and bacteria. If they are not properly removed, the healing time can be delayed, increasing the chance of forming a scar.

* Using a saline solution is efficient in cleansing.

2. The suture of the wound must be proceeded by a plastic surgeon with sufficient anatomic knowledge. As the anatomical continuity is restored, the healing progression is quickened.

3. To accelerate the epithelialization, it is essential to disinfecting with axenic and moist dressing. Dry dressing can cause the formation of a scab (crusta), delaying the healing time. Also, the excessive secretion of histamine can lead to itchiness. Scratching the wound site can remove the scab and damage the wound again, resulting with a scar.

* Moist dressing is when you place a moist gauze with a dry gauze, so the discharge at the wound can be easily moved towards the dry gauze through the wet gauze. Recently, silicon pad is widely used. In virtue of the vacuum effect, the growth of the cells that create corneous tissue is hindered and the fibrosis blast cell can be managed.

4. For the wound to be healed anatomically, the suture is used. However, since suture adds tension to the tissue around the wound, the stiches must be removed at an appropriate time to avoid scars forming. To prevent the gap in the wound, the insufficient tension near the site can be maintained with taping (3-6months).

5. When the wound, while it is in its healing process, is exposed to the UV light, the melanin cell in the stratum basale of the epidermal tissue is stimulated and the melanin pigment is secreted in vast amounts, causing the scar to be darkly pigmented. Hence, it is important to prevent the exposure to sunlight.

6. When there is excessive synergic effect, momentarily, the dark red soared scar is formed, which intensifies the itchiness. In this case, scar can be prevented by the application of the ointment to a wound, silicon seat, or triamcinolone injection.

LCY