Choosing an ointment for healing postoperative sutures

Any wound with a violation of the integrity of the skin requires special treatment of the wound surface with medicinal agents. For open wounds, wound-healing ointments with a quick effect are ideal, which accelerate the regeneration of damaged tissue and prevent infection. Let's consider budget options for ointments and creams for the treatment of open injuries.

What ointments quickly heal wounds and cuts?

January 27, 2022
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Content

• What to consider when choosing a wound healing ointment
• Types of wound healing ointments
• Important information about wounds
• The most effective wound healing ointments
• Actovegin
• Methyluracil
• Baneocin
• Levomekol
• Dioxidine
• Nitacid
• Eplan
• Rescuer
• Panthenol
• Vulnuzan
• Solcoseryl

Many have encountered such troubles as abrasions, cuts or deep wounds. It happens that the wound does not heal for a long time and this causes serious discomfort. To prevent the wound from festering and healing faster, there are special ointments that regenerate the skin. We will tell you about the best wound healing ointments.

There are several stages of wound healing:

• initial (inflammation of the wound);
• intermediate (granulation tissue appears on the surface of the wound);
• final phase (scar is formed).

Read also Doctors recommend: the best ointments for drawing out pus from a wound Any wound (cut, punctured, torn or chopped) can begin to fester. You are not insured against such a complication, even if the wound is minor. At the first signs of wound suppuration, you need to start using ointments that draw out the pus. If the problem gets worse, you will have to surgically “clean” the wound. Therefore, we will try to figure out why the wound may fester and which ointment is better to choose in order to prevent this or get rid of the pus.

What to consider when choosing a wound healing ointment

1. Type of wound.
   If it is an insect bite or a knife cut in nature, it is better to immediately consult a doctor to avoid complications.
2. Skin type.
   If you have dry skin, it is better not to use drying ointments (for example, salicylic acid). Select ointment for oily skin with caution to avoid clogging of pores.
3. Place of defeat.
   If you have injured not the skin, but the mucous membrane, for treatment, choose special wound healing agents for the mucous membranes.
4. Wound area.
   If the area of ​​damage is large, it is better to choose an aerosol; if the wound is small, a cream or ointment will do.
5. Possible complications.
   If the wound is inflamed, choose ointments with antibiotics, heparin and analgesics. If there is pus in the wound, use bactericidal wound healing agents.
6. Stages of healing.
   The inflammation stage is accompanied by bleeding and pain, so choose antiseptics, antibiotics and drugs to draw out pus (if necessary). During the healing stage, use ointments to regenerate the skin.
7. Allergic reactions.
   If you are prone to allergies, carefully study the composition of the ointment to avoid unwanted reactions to the drug.
8. Age and condition of the patient.
   Hormonal ointments and antibiotics should not be used during pregnancy and breastfeeding. Again, wound healing ointments are used with caution in allergy sufferers.

How does a wound heal?

Laser scar removal: prices, before and after photos

Laser scar removal is carried out using a procedure called laser skin resurfacing. This method is suitable for mature scars whose size has stabilized and is no longer increasing. Laser resurfacing works well not only with hypertrophic and keloid scars (for example, a cesarean scar can be almost completely removed with a laser), but also with shallow atrophic scars after acne.

Laser scar removal: before and after photos

What lasers can be used:

• Fully ablative lasers – fully ablative “carbon dioxide CO2 laser” and “erbium Er:YAG laser” – can improve the condition of hypertrophic and keloid scars by 50-81% after just 1 procedure.
  However, this type of laser is quite traumatic, and re-epithelialization of the laser-treated skin flap will last 7-10 days (for CO2 laser) and 4-7 days (for Er:YAG). Er:YAG laser is less traumatic for tissue, but requires more procedures to achieve a similar effect - compared to a CO2 laser. We do not recommend the use of these types of lasers - not only because of the long rehabilitation period, as well as a large number of side effects, but also because of the fairly high percentage of relapses of hypertrophic and keloid scars.

• Fractional ablative lasers - when using conventional ablative lasers, which we described above - absolutely the entire surface of the skin flap is subject to thermal damage. But ablative fractional CO2 or Er:YAG lasers act on the skin fractionally (i.e., between micro-areas of thermal damage there will be areas of undamaged skin). This can significantly reduce the rehabilitation period and reduce the risk of side effects. Many patients note that fractional ablative lasers allow them to achieve a more aesthetic appearance of the scar - compared to completely ablative lasers.
• Pulsed dye lasers (PDLs) – they are non-ablative lasers, i.e.
  they leave the surface of the skin intact, and all areas of thermal damage occur in the deep layers. For the treatment of hypertrophic and keloid scars, ILCs with a wavelength from 585 to 595 nm are used, for example, the VBeam Perfecta laser. These lasers greatly reduce the vascularization of scars (the number of blood capillaries), which determines their bright red/purple color. They also significantly reduce the height and thickness of hypertrophic and keloid scars. For example, in the authoritative scientific journal “Dermatologic Surgery” in 2016, clinical studies were published that showed that the severity of hypertrophic scars after 1-2 sessions of ILC decreased immediately by 57–83%. It should also be noted that the risk of relapse after ILC was the smallest - in comparison with all other types of lasers. In our opinion, ILCs are the optimal choice for the correction of hypertrophic scars and keloids, however, in this case, a larger number of procedures may be required.

Laser scar removal (ICL, fractional ablative) –

Laser scar removal: prices Cost varies depending on the area where the scar is located, as well as its size. Therefore, to remove scars with a laser, the cost per 1 cm2 will average about 1,800 rubles (the upper price limit is up to 3,000 rubles).

Possible side effects after the procedure -

• pain, burning (disappears within 12-72 hours),
• swelling (disappears within 48 hours),
• bleeding (disappears within 12 hours),
• formation of crusts, peeling (within 5-7 days),
• complete healing after laser scar removal – 10-21 days,
• risk of pigmentation,
• risk of infection,
• risk of scar re-formation.

Types of wound healing ointments

Before purchasing an ointment for wound healing, ask what exactly it is intended for:

• disinfectant
  – protects against infection, intended for treating scratches, abrasions, cuts and cracks of the skin;
• antibiotic ointment
  - necessary for treating inflamed wounds, often in the presence of pus, ulcers, bleeding wounds, erosions, burns, postoperative sutures;
• regenerating
  - such an ointment will help abrasions and frostbite heal faster;
• drying
  – suitable for the treatment of weeping wounds, purulent inflammations, wounds in the mouth.

Important information about wounds

1. The wound heals through a complex process that occurs in the body. This is the coordinated work of the immune, endocrine, circulatory, and enzyme systems. To help the wound heal faster, you can help your body - take vitamins C, B6 and B12 (or drink a vitamin complex). If you have a deep wound, this will help you recover faster.
2. If within 24 hours after receiving the wound it does not dry out, the skin around the wound is red and hot, be sure to visit a doctor. You may need to take antibiotics or use them topically.
3. Many people make the mistake of pouring iodine or brilliant green into the wound. This should never be done, because such drugs are intended for treating the edges of the wound. Iodine and brilliant green can aggravate the situation and cause a chemical burn. The wound itself can be treated with peroxide or chlorhexidine.
4. Mechanical, thermal and chemical wounds require different treatments. Self-treatment is only permissible in the case of a mechanical injury with a small wound surface. In other cases, you should definitely consult a doctor.

What not to do when treating a wound

Naftaderm liniment 10% 35 g

The composition contains naftalan oil, which disinfects, relieves itching and inflammation. The product is intended for the treatment of infected skin. If the edges are swollen or the patient has a fever, you should immediately contact a specialist for help. When using, it is important to strictly adhere to the instructions, observe the dosage and duration of treatment.

pros

:

• effective for injuries that heal poorly;
• not capable of causing addiction;
• contains no hormones;
• relieves allergic reaction.

Minuses

:

• can be used from 12 years of age;
• overpriced;
• can cause dry skin.

Actovegin

"Actovegin" is a wound-healing ointment with complex action. The main task of the drug is the destruction of bacteria and tissue regeneration. You can buy Actovegin in the form of ointments, tablets or injections. The drug contains: deproteinized calf blood hemoderivate, povidone. Actovegin increases the concentration of amino acids in the blood and helps heal even old wounds that have not healed for a long time. Actovegin ointment is inexpensive, it lasts for a long time, among the disadvantages is a list of side effects that you should definitely familiarize yourself with.

Actovegin

Nycomed, Switzerland; Takeda, Japan; Kusum Healthcare Pvt. Ltd., India

Actovegin activates cellular metabolism (metabolism) by increasing the transport and accumulation of glucose and oxygen, enhancing their intracellular utilization.
These processes lead to an acceleration of ATP (adenosine triphosphoric acid) metabolism and an increase in the energy resources of the cell. from 231

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Methyluracil

An excellent ointment with a non-steroidal antiseptic for the treatment of weeping and purulent wounds. Active ingredients of the drug: methyluracil and miramistin. Thanks to Methyluracil ointment, collagen production is stimulated, skin cells are restored, and inflammation is relieved. If you use this wound healing ointment for a long time and the effect is weak, it is better to consult a doctor. Before applying the ointment, the wound must be cleaned of pus and dead tissue. You can buy Methyluracil inexpensively in almost any pharmacy; the ointment is suitable for deep wounds and can be used from birth.

Methyluracil ointment

OJSC "Nizhpharm", Russia

Methyluracil ointment has anabolic activity.
By normalizing nucleic acid metabolism, it accelerates the processes of cellular regeneration in wounds, accelerating the growth and granulation maturation of tissue and epithelization. When applied topically to a wound, it has photoprotective properties. from 40

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Surgical treatment of scars –

Surgical treatment of scars involves excision of scar tissue and creation of a cosmetic suture. There are various methods of tissue suturing (for example, intradermal), which make it possible to ensure that the seam will be practically invisible in the future. For cosmetic stitches, very thin suture material is used.

Baneocin

Baneocin ointment works as an antiseptic and has a healing effect. You can buy Baneocin both in the form of an ointment (to help the wound heal better) and in the form of a powder (it can be applied immediately after injury). The drug contains two antibiotics: bacitracin and neomycin. "Baneocin" relieves inflammation of wounds and is also suitable for the treatment of pustular rashes. The ointment helps in the fight against umbilical infection in newborns, and is also indicated for the treatment of diabetics. Contraindications include: cannot be used on mucous membranes, with a large area of ​​damage, during treatment with other antibiotics, or with renal failure. Among the disadvantages are the high price and a list of contraindications.

Baneocin

Sandoz, Germany

Infectious and inflammatory skin diseases caused by microorganisms sensitive to the drug: - bacterial skin infections of limited prevalence, incl.
weeping contagious impetigo, infected trophic ulcers of the lower extremities, infected eczema, bacterial diaper dermatitis, secondary bacterial infection in diseases caused by Herpes simplex, Varicella zoster (including infection of vesicles with chickenpox); —prevention of umbilical infection in newborns; - prevention of infection after surgical (dermatological) procedures: for additional treatment in the postoperative period (after tissue excision, cauterization, episiotomy, treatment of cracks, perineal rupture, weeping wounds and sutures). from 183

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Levomekol

The active ingredients of Levomekol wound ointment are dioxomethyltetrahydropyrimidine (methyluracil) and chloramphenicol. The first component destroys most bacteria, the second increases cellular immunity. "Levomekol" is applied in a thin layer to a cleaned and disinfected wound, and a sterile bandage is applied on top. You need to apply the ointment three to four times a day until complete healing. "Levomekol" is suitable for the treatment of both minor cuts and weeping, purulent and thermal wounds that take a long time to heal. Doctors prescribe Levomekol ointment in the postoperative period to help scars heal faster. You can buy Levomekol without a prescription; the price of the drug is budget. Among the disadvantages are the presence of an antibiotic in the composition (and these are additional contraindications), not very convenient application, and some patients may be intolerant to the components of the drug.

Levomekol

OJSC "Nizhpharm", Russia

An ointment that has an antimicrobial, anti-inflammatory, drying effect and is used for: Purulent wounds (including those infected with mixed microflora) in the first (purulent-necrotic) phase of the wound process.
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Read also : What medications should be in a home first aid kit? Today we’ll talk about what medications should be in a home first aid kit, so that in case of illness or an unexpected deterioration in health, you can quickly help yourself (this could be a headache, an allergic reaction, fever, injury or food poisoning).

Unitpro Derm Soft KPE302

Professional cream. With its help, the protective functions of the skin on the hands are enhanced, dehydration is prevented, and redness goes away. As a complement, Unitro Derm Soft softens dry skin. The components in the composition are not capable of causing an allergic reaction. Thanks to the presence of vitamin A, the active components penetrate the epidermis faster and deeper, thereby accelerating the regeneration process.

Unitro Derm Soft is applied in a thin layer (up to 1 ml) to previously cleansed skin. If necessary, it can be applied to the face.

pros

:

• does not cause an allergic reaction;
• low price per unit of goods;
• does not leave stains on clothes;
• quickly absorbed into the epidermis;
• according to reviews of the regenerating cream, it is also suitable for the face;
• restores the balance of the microflora of the skin.

Minuses

:

• Some components in the composition may cause allergies.

Dioxidine

This ointment is suitable for the treatment of bedsores and weeping burn wounds. The active ingredient of the drug is hydroxymethylquinoxaline dioxide (antibiotic). “Dioxidin” relieves inflammation, destroys pathogenic bacteria (even the most resistant ones), and promotes the healing of wounds that do not heal for a long time. Apply the ointment to the wound, cleaned of pus and dead particles. The drug can be used in combination with other medications, it has a long shelf life. Among the disadvantages are sales only by prescription and use in patients over 18 years of age.

Dioxidine

OJSC "Nizhpharm", Russia; PJSC "Biosintez", Russia; Novosibkhimpharm OJSC, Russia

Broad-spectrum antibacterial bactericidal drug.
Purulent bacterial infections caused by sensitive microflora when other chemotherapeutic agents are ineffective or poorly tolerated. External use - superficial and deep wounds of various locations; - long-term non-healing wounds and trophic ulcers; - phlegmon of soft tissues; - infected burns; - purulent wounds with osteomyelitis. Intracavitary administration - purulent processes in the chest and abdominal cavity; - for purulent pleurisy, pleural empyema, lung abscesses, peritonitis, cystitis, wounds with deep purulent cavities (soft tissue abscesses, pelvic cellulitis, postoperative wounds of the urinary and biliary tract, purulent mastitis). Treatment of burn and purulent-necrotic wounds promotes faster cleansing of the wound surface, stimulates reparative regeneration and marginal epithelization, and has a beneficial effect on the course of the wound process. from 35

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Proper wound treatment

Nitacid

This wound-healing ointment is well suited for the treatment of purulent wounds. Nitacid contains sulfonamide and nitazole, which destroy almost all known types of bacteria. The drug is prescribed for disinfection of postoperative sutures, treatment of purulent lesions and abscesses. "Nitacid" is also effective for burns of varying degrees. For purulent wounds, apply a tampon with ointment to the damaged area once a day. Burns should be treated twice a week. Among the disadvantages is a list of contraindications (as with any antibiotic), as well as possible individual intolerance to the components of the ointment.

Nitacid

PrJSC Pharmaceutical Company “DARNITSA”, Ukraine

Nitacid is used as a means of local therapy in patients with infected wounds, purulent-inflammatory diseases of the skin and soft tissues (including trophic ulcers, amputation stumps of limbs, bedsores, fistulas, phlegmons, postoperative wounds and abscesses). Nitacid is also indicated for superficial and deep burns of II-IV degree.
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Norman derm Normal KPE201

The product is intended for application to any area of ​​the skin. Designed to relieve inflammation, soften the damaged area, as well as retain moisture and restore the epidermal barrier. Due to the absence of dyes or parabens, the product does not cause allergies. Apply the cream to dry skin before bed so that it is better absorbed. This will prevent redness and moisturize the skin well.

pros

:

• low cost;
• does not contain dyes or silicones;
• relieves inflammation, moisturizes and regenerates the skin;
• the product is intended for any skin type (even very sensitive);
• acceptable for any part of the body;
• does not cause allergic reactions.

Minuses

:

• when applied in large quantities, it may not have time to be absorbed and will leave marks on clothing.

Eplan

A universal anti-inflammatory agent that is recommended for use immediately after injury. "Eplan" quickly stops bleeding, reduces pain, and relieves swelling. You can buy Eplan both in the form of a liquid solution, and in the form of a cream or special napkins soaked in the drug. The active ingredient of the drug is glycolan. "Eplan" can be used to disinfect a wound and destroy pathogenic microflora before applying other wound healing agents. "Eplan" is prescribed for bedsores, frostbite, burns, cuts, abrasions, herpes, ulcers, weeping eczema.

Eplan

Oberon, Russia

Burns of various types: solar, chemical thermal; Frostbite; various skin injuries, including bruises, cuts, wounds, cracks and abrasions; Radiation damage to the skin; Bedsores and trophic ulcers; Psoriasis; Streptococcal or staphylococcal pyoderma; Dyshidrosis (pompholyx, which can be complicated by a secondary infection) or microbial eczema; Acne vulgaris; Papillomavirus infection, the presence of condylomas, herpes or warts; Otitis, otomycosis; Boils in the nose; Sycosis; Swelling and itching from the bites of insects such as mosquitoes, bees, wasps, etc.; Preventive a skin protection product when working with chemicals and aggressive environments, including detergents, fertilizers, solvents, etc. Eplan cream is also used in veterinary medicine for similar diseases of domestic animals.
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Contraindications

Not recommended:

• with high sensitivity to the active substance;
• children under 3 to 12 years old;

When pregnancy occurs, it is advised to strictly follow the instructions and adhere to the dosage regimen. Candles may cause:

• dizziness;
• heartburn;
• headache.

The lactation period is an extremely important period of time. The physiological development of the baby depends on this, and it is better to listen to the doctor’s advice, even in relation to such a safe drug as methyluracil.

Rescuer

“Rescuer” ointment works as an antiseptic, provides excellent pain relief and relieves inflammation. “Rescuer” helps with bruises, minor cuts, scratches and abrasions. The composition of the “Rescuer” ointment: purified milk lipids, beeswax, sea buckthorn oil concentrate, tea tree oil, lavender oil, echinacea extract, turpentine, vitamin E. As you can see, “Rescuer” is made from natural ingredients, so it has almost no “side effects” and contraindications. This wound-healing remedy will help with burns, minor cuts, frostbite, dermatitis and diaper rash, acne and cracked nipples during breastfeeding. You can buy “Rescuer” in almost any pharmacy; it has an affordable price. But you need to keep in mind that the drug is not intended for complex wounds when there is suppuration.

Rescuer

Alpha Intel Sp, Poland; Lyumi, Russia

Balm “Rescuer” is intended for quick help with various traumatic injuries and acute inflammations of the skin;
for irritations; diaper rash; protection from weathering, sun and frost; for the care of skin damaged by harmful environmental factors. Promotes accelerated healing of fresh wounds and burns without scarring. The absorbable effect of the balm allows you to restore a person’s performance in less than a day in case of sprained ligaments, severe bruises, and superficial hematomas. from 21

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Panthenol

“Panthenol” is found in many home medicine cabinets, since it is a universal drug for both adults and children. When Panthenol is applied to the wound area, pantothenic acid is formed, which activates the restoration of tissue cells. You can buy “Panthenol” not only in the form of an ointment, but also in the form of a cream and spray. Panthenol spray is excellent for treating burns, as it forms a protective film on the skin - protecting, cooling and analgesic. The positive effect of using this wound-healing ointment occurs instantly; it can be used by pregnant and lactating women. The only drawback of this product is the relatively high cost.

Panthenol

JSC Pharmstandard-UfaVITA, Russia

For oral and local use: inflammatory diseases of the oral cavity, nose, larynx, respiratory tract (including after tonsillectomy), gastric mucosa, paresthesia in neurological diseases, treatment of defects of the uterine pharynx mucosa.
For parenteral use: postoperative intestinal atony, paralytic ileus, pantothenic acid deficiency in malabsorption syndrome. For external use: wounds and burns; dermatitis, abscesses, boils, bedsores, diaper rash; treatment and prevention of cracks and inflammation of the nipples of the mammary gland during lactation; care for infants. from 27

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The best external remedy for scars and scars -

We have already said above that external preparations will be effective only if they are used during the period of scar maturation (24stoma.ru). Moreover, an ointment or cream for scars and scars must be used for at least 2-3 months before you can notice the first results. If you missed the period of scar maturation, then external remedies will not be effective and you will need more radical treatment methods (for example, laser). Let's look further at what external means we can use to get rid of scars.

1) Remedies for scars and scars based on silicone -

Scar products based on medical silicone have been used since approximately 1983. Silicone gels work on the principle of occlusion and hydration. After applying silicone to the surface of the skin, it is absorbed, leaving an invisible “occlusive bandage” on the surface (this layer prevents the evaporation of water from the surface of the skin/scar, but at the same time allows air to pass through). As a result, this increases the hydration of scar tissue, i.e. saturating it with water reduces the growth of blood capillaries.

As a result, this has a positive effect on the restructuring of the scar during its maturation, which increases the likelihood of reducing its size (while simultaneously improving such indicators as elasticity and extensibility). The hardness of the scar decreases, its color improves, and itching decreases. It must be said that in addition to silicone gels, there are also special silicone dressings that are worn from 12 to 23 hours daily - for several months.

• Gel Dermatix (USA) – costs 2,400 rubles per 15 g tube.
• Kelo-Coat gel (USA) – price 2400 rubles per 15 g tube.
• Zeraderm Ultra - price about 5,000 rubles per 20 g tube (this is an analogue of the first two drugs, but with a richer composition, which, in addition to silicone, additionally includes coenzyme Q10, vitamins A and E, as well as SPF 15).

The silicone dressings we talked about above are made on a fabric basis and are translucent. They have multiple uses, i.e. you don't need to change it to a new one every day. Silicone dressings come in specific sizes, but you can cut the size you need with scissors. The silicone bandage should be on the skin for 13 to 23 hours daily; it can only be removed for antiseptic treatment of the skin and the bandage itself.

• Dermatix silicone dressing - price from 1,400 rubles (size 4x13 cm), about 5,000 rubles (size 13x25 cm).

2) Scar remedy based on onion extract –

Onion extract is used in the treatment of burns, hypertrophic and keloid scars. It contains the flavonoids quercetin and kaempferol, which have an inhibitory effect on fibroblast proliferation and collagen production, which directly affects the formation of scar tissue. In addition, onion extract increases the expression of MMP-1 (matrix metalloproteinases, which belong to endopeptidases - enzymes that destroy the extracellular matrix of connective tissue).

Matrix metalloproteinases tend to destroy newly formed pathological collagen, which makes up scar tissue. An example of a drug with onion extract is the Contractubex gel. It also contains sodium heparin, which increases the hydration of scar tissue, i.e. saturating it with water. The drug Contractubex (Germany) costs only about 600 rubles for a 20 g tube and about 1000 rubles for a 50 g tube.

3) Products with proteolytic enzymes –

There is a Russian drug Fermenkol, which contains a complex of proteolytic enzymes (collagenolytic proteases), as well as sodium heparin. It is understood that these enzymes should destroy the excessively formed pathological collagen that makes up hypertrophic and keloid scars. Fermenkol gel costs from 1,500 rubles per 30 g tube, but there is also a form in the form of a solution (for electrophoresis).

There are clinical studies that show that enzymes penetrate the skin quite poorly due to the large size of the molecules. Therefore, the most effective method is the use of Fermenkol solution in medicinal electrophoresis procedures (this method significantly increases the penetration of enzymes into the rumen). The phonophoresis technique with gel will be slightly less effective, and the most ineffective method is conventional gel applications. Therefore, it is better to use gel applications only during breaks between electrophoresis courses, and not as monotherapy.

Vulnuzan

This ointment for wound healing contains mother liquor of Lake Pomorie, castor oil, tylose C-30, anhydrous lanolin, distilled water. This drug perfectly treats wounds and burns. “Vulnuzan” consists entirely of plant components, does not provoke allergic reactions, helps with wound suppuration, the ointment is suitable for mucous membranes and is quite affordable. Among the disadvantages is that you can’t buy “Vulnuzan” in every pharmacy; the ointment is not suitable for pregnant and lactating women.

Vulnuzan

Sopharma AD, Bulgaria

Vulnusan ointment is a drug with anti-inflammatory, antimicrobial and tissue regeneration-improving effects.
A preparation of natural origin for external use, obtained by processing the mother liquor of Lake Pomorie. It has anti-inflammatory, antimicrobial and tissue regeneration-improving effects. from 124

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Unitro Derm Aqua hydrophobic KPE304

The medicine is intended as protection against water-soluble harmful substances. This includes solutions of alkalis, acids from salts, cement mortar, lime and other water-based substances. The active components in the composition allow you to quickly relieve inflammation and irritation, and perform a softening and moisturizing function.

Unitro Derm Aqua quickly and deeply penetrates the layers of the epidermis, thereby accelerating the regeneration process. The drug is applied to clean skin before work, the procedure is repeated after each hand washing. When applying, special attention should be paid to the area around the nails and between the fingers.

pros

:

• does not contain artificial dyes or other harmful components;
• absorbs quickly and leaves no marks on clothes;
• does not tighten the skin after application;
• water repellency;
• does not cause an allergic reaction;
• low cost.

Minuses

:

• not detected.

Solcoseryl

A very effective wound healing ointment that is suitable for both skin and mucous membranes. "Solcoseryl" restores damaged skin cells after burns and frostbite. The drug is based on deproteinized hemodialysate; Solcoseryl can be applied to the mucous membranes of the nose, mouth and external genitalia. It is necessary to distinguish between “Solcoseryl ointment” and “Solcoseryl gel”. These drugs are not interchangeable, so be sure to check with your doctor which one is right for you. Solcoseryl ointment heals deep and weeping wounds, improves metabolic processes in tissues, and reduces pain. The only drawback of this drug is that it has no antimicrobial effect.

Solcoseryl

Solko Basel, Switzerland

Solcoseryl is an activator of metabolism in tissues.
It is a deproteinized hemodialysate of the blood of healthy dairy calves. Solcoseryl increases reparative and regenerative processes, promotes activation of aerobic metabolic processes and oxidative phosphorylation, increases oxygen consumption in vitro and stimulates glucose transport into cells under hypoxic conditions and into metabolically depleted cells, increases collagen synthesis (in vitro), stimulates proliferation and migration cells (in vitro). from 172

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Scar cream: reviews of effectiveness

It makes no sense to search the Internet for reviews of ointment or cream for scars and scars, because... At the moment, almost 99% of all reviews on forums are hidden advertising and anti-advertising. There are hundreds of marketing agencies in Russia, whose thousands of employees (under the guise of consumers) write posts on forums about medications, cosmetics, toothpastes and other various products. Therefore, we will use the results of published scientific studies, which are available on the website of the National Library of Medicine.

In general, clinical studies (source) show that silicone-based products are indeed capable of somewhat reducing the volume of scars, reducing their hardness and increasing elasticity, as well as improving the color of hypertrophic scars and keloids. When used prophylactically on the area of ​​surgical incisions, products with silicone are highly likely to prevent the development of pathological types of scars that occur with hyper-formation of scar tissue.

Regarding the effectiveness of drugs based on onion extract, there are 2 very large clinical studies (source), in which 771 and 1269 people took part. The study showed that Contractubex also led to an improvement in the appearance of hypertrophic and keloid scars, and when used prophylactically immediately after epithelization of the wound, it increased the likelihood that the scarring will not be pathological.

However, there are comparative studies of the effectiveness of products with silicone and onion extract. For example, “Comparison of efficacy of silicone gel, silicone gel sheeting, and topical onion extract including heparin and allantoin for the treatment of postburn hypertrophic scars” 2009, authors – Karagoz H., Yuksel F.. (translation – “Comparison of effectiveness silicone gel, silicone gel coating, and topical onion extract, including heparin and allantoin, for the treatment of hypertrophic burn scars.” This study concluded that onion extract formulations were slightly less effective than silicone gels and silicone dressings.

In addition, we found 2 more studies interesting, which concluded that combination therapy (a drug with silicone + onion extract) gives a more pronounced result in improving the appearance of the scar than treatment with any of these drugs separately. This is stated, for example, in the study “Contractubex® and Silicone-gel sheeting to treat keloid and hypertrophic scars concluded that co-administration led to the best response”, authors – Hosnuter M., Payasli C..

Conclusions: There are actually many more clinical studies, and some of them provide conflicting results. But in this review, we tried to present only studies with high 1-2 levels of evidence (in total there are from 1 to 5, where 1 is the highest), and in which a large number of subjects took part. Therefore, we can conclude that products with silicone and onion extract do increase the likelihood that the appearance of the scar will be better than when these products are not used.

Well, the last thing about the Russian remedy Fermenkol. Unfortunately, there is no information on the effectiveness of this drug in the Cochrane Research Library. Clinical studies were carried out only at the local level, but they show (source) that a good result can only be obtained by using Fermenkol solution in drug electrophoresis procedures (and the effect will be visible after the 1st course of treatment of 10-15 procedures), or using phonophoresis technique with gel.

The use of conventional gel applications (in the form of monotherapy) gives a very mediocre, statistically insignificant result. We hope that this argument of ours has helped you understand which ointment for scars or cream for scars and scars will be better.