Experience of Using Silicone Gel Sheet (Lady Care3) for Laparoscopic Surgical Wounds: An Investigation into Safety and Efficacy
Toshiyuki Kakinuma*, Kaoru Kakinuma, Yoshio Matsuda, Ikuo Sato, Kaoru Yanagida, Michitaka Ohwada
Journal Title:Annals of Case Reports & Reviews
Background and Objective: While there has been an increase in the number of laparoscopic surgery in Japan, few studies have reported about scars from wounds by laparoscopic surgery. Silicone gel sheets are widely used as part of multidisciplinary treatment for hypertrophic scars and keloids, and their usefulness has been reported. The present study examined the efficacy and safety of a silicone gel sheet (Lady Care3) for laparoscopic surgical wounds.
Subjects and methods: Subjects were 15 cases who underwent laparoscopic surgery during the period from March 2017 to March 2018. Silicone gel sheets (Lady Care3) were applied to the wounds (umbilicus, lower abdomen) for one week to six months postoperatively. The JSW Scar Scale was used in evaluating the wounds. The wounds were evaluated visually and through interviews before the application of silicone gel sheets, at three months following surgery, and six months following surgery.
Results: The JSW Scar Scale scores for the umbilicus surgical wound were 7.4±2.4 before application, 2.7±1.6 at three months following surgery, and 0.9±0.7 at six months following surgery. Those for the lower abdomen surgical wounds were 4.7±2.3, 0.8±1.1, and 0.3±0.5, respectively. Three cases reported pruritus; however, all were mild, and it was tolerable to continue to use silicone gel sheets in those cases.
Conclusion: Significant decreases were observed in the JSW Scar Scale scores from an early postoperative stage, and no serious adverse events were observed. Therefore, the present study suggested that the silicone gel sheet (Lady Care3) is safe and efficacious.
Keywords: Hypertrophic scar, keloid, silicone gel sheet, laparoscopic surgery