Every year, modern gynecology is increasingly practicing caesarean section delivery. But a scar as a reminder of pregnancy can stay with a woman for life. But medicine does not stand still, therefore, developed ways and means to help restore the beauty of the body of a young mother.
Types of incisions for caesarean section
Caesarean section involves dissection of the anterior abdominal wall, fatty tissue and the anterior wall of the uterus. For medical reasons, the incision is longitudinal from navel to pubis, transverse in the lower abdominal segment, and classic in the upper part of the uterus.
Types of incisions in the uterus after cesarean section:
- cross section in the lower segment of the uterus - a frequently used and less traumatic incision. With this incision, there is less blood loss than with the rest and faster wound healing;
- The classic transverse incision in the upper part of the uterus, which is characterized by large blood loss, as it passes in the place of accumulation of blood vessels;
- vertical incision from the navel to the pubis is done with the wrong development of the uterus.
With cross-sections, a cosmetic suture is applied with self-absorbing threads, which self-destruct themselves.. The suture absorption rate depends on the composition of the thread. For example, natural catgut threads dissolve within 7 to 10 days, and for a semi-synthetic thread it may take up to 210 days for it to disappear from the woman’s body.
The vertical incision is sewn with interrupted stitches.. It is these seams that ensure the connection of soft tissues and prevent their divergence.Nodal seams overlap with vertical section
Stitches are removed for 5-7 days depending on the speed of scarring and wound healing.
Cesarean section scars
The most common incision for caesarean section is a transverse incision in the lower segment of the uterus. In addition to being the safest incision in terms of blood loss, the scar from it becomes almost imperceptible one year after delivery. What can not be said about the incision in the upper segment of the uterus, and even more so about the vertical. This is due to the fact that it passes precisely in the place of the suprapubic fat fold.
After a cesarean section, the stitches hurt unbearably for the first 2 to 3 days after delivery. Painkillers in the form of intramuscular injections, which are administered to a young mother every 6 hours, help to cope with the pain. In the following days, women themselves refuse to anesthetize. The seam can hurt, whine for one or two months, then this pain gives way to itching and, as a rule, six months later, the woman permanently forgets about the discomfort in the abdominal cavity.
Photo Gallery: Comparison of sutures from cesarean section immediately after delivery and a year later
- The seams for 5 - 7 are treated with green.
- One year after birth, the seam becomes almost imperceptible.
- Vertical incision after cesarean section sutured with interrupted sutures
- A vertical incision after a cesarean section remains to decorate the woman's stomach for life
How to deal with scars from sutures after cesarean section
When performing a cesarean section, most doctors try to make the suture as small as possible. But doctors are not gods and they are not able to make it almost imperceptible. Moreover, the nature of the suture depends on the size of the child, the course of the operation, the anatomical and physiological features of the development of the internal genital organs of a woman.
According to statistics, the size of the cross seam in the lower uterine segment is, on average, 12 cm. I had a child weighing only 1900 grams and 30 cm tall, while I have a scar of 17 cm. This is due to an emergency caesarean section due to fetal hypoxia.
Not all women are willing to put up with a postpartum "smile" on their bodies and in every way they try to get rid of the scar or make it less noticeable. The benefit of the development of plastic surgery and modern medical products does not stand still.
The following ways of dealing with scars are known to modern society:
- medication. With the help of Contractubex;
- using laser correction;
- with the help of plastic surgery.
The only thing that remains with a woman for life from children - the scars that were received as a result of childbirth. No matter how many years have passed, and no matter how far medicine has come, the scar will remain a memory for a woman about that wonderful moment when her baby was born.
Contractubex in the fight against postpartum scars
Drug treatment of scars is the most accessible and less expensive for most women. But it is effective only in the formation of primary scars, so it is necessary to begin treatment immediately after removing the sutures, that is, on the 7th - 8th day.
Kontraktubeks - one of the most famous drugs in the fight against scars. Available in the form of gel and plasters for external use.Gel Kontraktubeks used to reduce scar tissue
Contractubex contributes to:
- improve the color of the scar, as it removes cyanosis and redness;
- increase the elasticity of soft tissue;
- minimal scar tissue formation.
The course of treatment of the scar gel will be at least 4 months, if you start immediately after removing the stitches. If you start applying the gel after some time, the process may take up to a year. Apply Kontraktubeks should be a thin layer, gently rubbing into the scar, 2 to 3 times a day.
The use of the patch is possible immediately after removal of the sutures. The duration of its use can vary from 4 months to a year.The patch is a disposable transparent plate.
The adhesive is glued onto a clean, dry scar for 6 - 12 hours during the day or night. After this time, it is removed and disposed of. For maximum effect, it is recommended to use patches every day.
It is forbidden to use the plaster on open wounds, as well as before removing the sutures.
Laser correction of postpartum scars
Laser correction of postpartum scars - polishing of the upper coarsened scar tissue using a laser. This method is considered to be the most benign compared to surgery. Fully remove the scar will not work, but it can be made almost visually imperceptible and even with the surface of the skin. Usually, about 10 sessions of laser therapy are required to obtain the desired result.After laser correction, scars become almost invisible.
It is possible to remove scars or make them less visible when exposed to aluminum oxide. The principle of operation of this procedure is similar to laser correction. The only difference is that aluminum oxide is more gently and gently acting on the skin. As a rule, the course of postpartum scar removal with aluminum oxide is 8 sessions, with intervals of 10 days between each of them.
It is worth noting that the use of laser and aluminum oxide in the removal of postpartum "smiles" is advisable only for "young scars", that is, up to a year after delivery. If the scar is older, then plastic surgery comes to the rescue.
Postpartum scar surgery
Miniabdominoplasty. This is the term used to call postpartum scars. The operation is performed under general anesthesia and lasts 2 to 3 hours depending on the length and nature of scar scarring. The essence of this procedure is that the plastic surgeon reopens the suture and removes coarse healed skin tissue. Then the wound is gently sutured with thinner threads. After the operation, the patient remains in the hospital for 3 days under the supervision of a doctor.Mini-abdominoplasty performed for scars older than one year
Like it or not, mini abdominoplasty is also accompanied by suturing. Therefore, a minor scar still remains. And already to get rid of this scar, you can resort to laser correction.
Three years have passed after giving birth. A transverse incision was made in the lower segment of the uterus and a cosmetic suture was applied. I can not call my scar terrible, but he is far from beautiful. Therefore, more than once the thought arose to correct it with the method of plastic surgery. But according to experts, it makes no sense to make plastic, if you are still going to give birth. After all, a second incision is made on the first scar.
Video: how to care for scars
Any surgical operation involves the imposition of sutures. And in most cases, scars after cesarean section adorn the body of a woman all her life. But if it is not possible to completely get rid of this "smile", then you can try to make it less noticeable. For the most part, it all depends on the psychological attitude of the woman. The less you focus on the scar, the less it is noticed by the people around you.