Surgery Book

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Silicone Sheeting

Aka: Silicone Sheeting, Silicone Elastomer Sheeting, Silicone Gel Sheeting, Kelo-cote
  1. Indications
    1. Prevention or Treatment of Hypertrophic Scar or Keloid
  2. Contraindications
    1. Open wound
  3. Mechanism
    1. Softens and flattens scar via Occlusion
  4. Technique
    1. Start once wound closure has occurred
    2. Cut sheeting 1-2 cm larger than involved area
    3. Apply directly over wound and leave in place for 12-24 hours per day for 2-3 months
    4. Wash the sheet and the scar with soap and water daily between applications
    5. Example: Start Day 28 for 3 months after wound closure
  5. Advantages
    1. Simple and painless with few adverse effects
    2. Consider in children intolerant to local steroid
  6. Efficacy
    1. Reduces hardness, elevation and Pruritus
    2. Improves >80% of Keloids
  7. References
    1. Berman (2007) Dermatol Surg 33(11): 1291-303

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