Modern methods of surgical treatment for placenta accreta in the uterine scar after cesarean section

The plaster after cesarean section can be waterproof, contracting, silicone and wound healing. It is applied to the seam and changed once a day. The patch ensures that the woman does not experience pain, protects the suture from the penetration of an infectious agent, and prevents the proliferation of connective tissue. As a rule, it is worn for no more than 14 days, but some types can be used for 3 months.

The price of patches after cesarean section varies and can be 600, 1200 and even 5 thousand rubles per package of a maximum of 21 patches.

Indications for taping

Taping the abdominal muscles is recommended for:

  • Presence of local fat deposits
  • Development of cellulite
  • The appearance of sagging, sagging and stretch marks in the abdominal area after childbirth or after rapid weight loss
  • The presence of diastasis of the rectus abdominis muscles, that is, their stretching
  • Presence of a scar after cesarean section

Under the influence of tapes, the metabolic process intensifies, the cells are actively saturated with oxygen, rejecting excess fluid and recovering. Today, abdominal taping for diastasis has gained popularity among women who, after pregnancy, want to quickly tighten their stomach.

Reviews

Reviews about the Cosmopor patch are mostly positive. Most patients continue to use the medical dressing at home after discharge from the hospital. Below are the main advantages of the product, which are noted by both patients and medical staff:

  • Excellent fixation (the patch stays in place for several days).
  • Good condition of the skin under the bandage (no itching or redness, the skin does not sweat).
  • Aesthetic appearance (the adhesive plaster is thin and pleasant to the touch).
  • Availability (can be purchased at any pharmacy, and also choose the right size).
  • The package contains instructions for use.

There are also negative reviews. Some patients complain of marks that remain after peeling off. It is also noted that the patch is not completely waterproof.

Lymphatic drainage taping

Lymphatic drainage kinesio taping will help eliminate stretch marks and sagging skin after pregnancy, as well as tone muscles. Such applications are aimed at removing excess fluid from the intercellular space, saturating cells with useful substances and launching regenerative processes. To carry out drainage taping, you need to prepare a standard tape - cut it into a “noodle” shape - according to the instructions in the diagram. Or you can purchase ready-made pre-cut kinesio tape. It is important to note that such applications are glued without tension, and the “anchors” are located in the area of ​​​​the accumulation of lymph nodes. An example of a lymphatic drainage application for the abdomen in the photo below:

Perforated tapes help achieve enhanced lymphatic correction. Unlike standard ones, they do not need to be pre-cut. There are special slots along the entire surface of such kinesio tapes, which provide a lymphatic drainage effect. Due to the fact that different pressure is created on the tissue in the taped area, the flow of lymph and blood flow accelerates. Therefore, recovery processes occur more intensely. Lymph tapes with perforation actively fight not only stretch marks and sagging skin, but also cellulite, subcutaneous fat deposits, hematomas, lymphostasis, scars and many others. More information on how to use lymphatic kinesio tapes for aesthetic correction of the abdomen can be found in the instructions.

Patch

One of such effective and simple means for caring for damaged skin is the sterile self-adhesive postoperative plaster “Cosmopore E”. It is a rectangular bandage with adhesive edges and a soft, moisture-absorbing pad in the middle. The patch performs several tasks:

  1. Prevents access to the wound by pathogenic microorganisms.
  2. Protects skin from irritation and mechanical damage.
  3. Absorbs wound secretions while allowing the skin to breathe, which promotes rapid healing.

The Cosmopore E patch is easy to use and can be used not only in medical institutions, but also at home. After all, it is considered universal and helps not only after operations, but also in case of household injuries.

Taping for diastasis

After childbirth, women may experience severe separation of the rectus muscles in the abdominal area (diastasis). Using kinesio taping in combination with proper nutrition can bring your abdominal muscles back to normal. Taping diastasis in comparison with other methods of postpartum restoration of the rectus muscles has a number of advantages:

  • this method is painless and comfortable;
  • therapy is characterized by low cost;
  • Taping can be combined with physical exercise;
  • tape has a 24-hour effect on the body.

For your information! If the application of the tapes was carried out correctly, the tapes may not be removed from the abdomen throughout the week. The water resistance of the material that underlies the tapes allows you to shower and swim in the pool.

It has been proven that thanks to the tapes, tissues are restored faster. Taping for diastasis helps:

  • Minimize the sensation of pain;
  • Support the muscles in the area of ​​injury;
  • Stimulate blood movement with further elimination of stagnant processes;
  • To tone flabby muscles, eliminate overstretching;
  • Form the correct muscle corset.

Tapes are applied to the rectus abdominis muscles in women who have given birth while lying on their back. Tapes are applied across the entire width of the stretched muscles, tightening them up to 50%. Here you should know that the base ends of kinesio tapes are glued without tension. Taping of diastasis should last 2 - 6 months until the muscles return to normal.

Varieties

The manufacturer produces several types of adhesive plasters for healing wounds, cuts and postoperative sutures, which differ in their composition, size and other characteristics:

  1. “Cosmopor Antibacterial” with silver is a waterproof sterile plaster that perfectly protects injuries from the penetration of various bacteria and infections.
  2. Hydrofilm – ideal for minor cuts and burns, as well as dry surgical wounds. This patch is transparent and semi-permeable.
  3. Hydrofilm + – has a moisture-absorbing wound pad that serves as protection during washing and showering.
  4. On a roll – used for securely fastening catheters, as well as for fixing various dressings.

The Cosmoport patch is excellent for use after caesarean section. It protects the seam perfectly. In addition, such a postoperative dressing allows you to shower without removing or peeling it off. This reliable and effective use speeds up wound healing and healing.

A special advantage of the Hydrofilm adhesive plaster is that its transparent base allows you to monitor how the injury is healing. This helps the doctor monitor the healing process and prevent infection. Most often, Hydrofilm is prescribed for epithelization of an injury.

The Cosmopor postoperative plaster allows you to speed up the process of suture resorption, and its absorbent lining absorbs ichor or other discharge from the wound.

Taping after caesarean section

After a cesarean section, scars may remain for a long time with some discomfort, hindering movement. To restore the tissue of long-lasting scars, both fresh and old, it makes sense to use tapes. In practice, it has been noted that during the taping process, the process of tissue regeneration is enhanced, scars become shallower, and the skin becomes smoother.

Seam taping is performed by placing a mesh crosswise over the scar. The location of the strips should be diagonal with respect to the lymph flow. The tension of the tape depends on the condition of the scars. A well-fused scar allows for strong tension. It should be remembered that strips should be applied to scars with folds.

In cases where the wound has not healed sufficiently, kinesio taping of the abdomen is possible only in areas located next to the suture. This factor will allow the wound to heal faster. Taping a healed scar is done as follows:

  1. The elastic tape is cut lengthwise into narrow strips of 1-1.5 cm.
  2. If the scar has healed well, then the tension can be 85% (but no more). If the scar after a cesarean section has healed recently, then the tension becomes weak.

Simultaneously with taping the scar after a cesarean section, you can stick tapes on the rectus and oblique abdominal muscles using the method described above.

Advantages

The Cosmopor E patch has a number of undeniable advantages:

  • It is made of natural breathable materials.
  • The absorbent pad on the inside of the patch does its job well, but does not stick to injured skin.
  • The adhesive base applied to the edges creates a reliable fixation, so the Cosmopore E patch does not cause allergic reactions or irritation.
  • In addition, it adheres well to the skin, but is easily removed without damaging the skin or leaving marks.
  • During production, the postoperative dressing is individually packaged and remains sterile until it is used.
  • It should be noted that the Cosmopore E adhesive plaster is produced taking into account injuries of various sizes, as well as the fact that the need for the product may be different.

The variety of forms of release of the bandage is a great advantage. "Cosmopor" can be purchased in pharmacies from the smallest size (7.2 x 5 cm) to the largest (35 x 10 cm). In addition, the patch is sold not only in whole packages, but also individually.

Contraindications

Along with the positive results that kinesio taping promises, this method has a number of contraindications. Typically, abdominal taping for diastasis is prohibited if:

  • there are skin diseases (open wounds, dermatitis);
  • there is fever and swelling after an illness;
  • thrombosis diagnosed;
  • cancer occurs and metastases are detected;
  • there are diseases of unknown etiology (in this case, glued tapes can lead to unwanted complications);
  • Diabetes mellitus has been diagnosed (in this case, consultation with an endocrinologist will be required).

Since applying tapes is not allowed on wounds and injured areas, in cases where applying tapes is unavoidable, an antiseptic pad or sterile material is applied to a small area of ​​skin. This factor will not allow infection to enter the wound or provoke allergies. Considering the presence of serious contraindications to taping, experts recommend resorting to the services of specialists. The health worker will be able to correctly assess the person’s condition and, using the method of palpation and visual inspection, identify contraindications to the procedure.

If you ignore the help of a specialist, there may be a risk of swelling due to improper taping. In such a situation, you will need to immediately remove the bandage and adjust its application. Only a specialist will be able to make the right decision based on the patient’s well-being regarding reapplication of strips or refusal to use the technique described above.

About company

The manufacturer of the patch is the German company Paul Hartmann. This is a global company with a century-old history, specializing in the manufacture of medical supplies and patient care products. Hartmann has been developing and producing new medical products since 1885. The company is constantly improving and introducing the latest technologies into production. Therefore, even the simplest products (bandages, bandages, plasters) are transformed, becoming more convenient to use and ergonomic. It should also be noted that, in addition to the main protective properties, the company’s products also perform a healing function.

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