Application of a Chest Compression Device Combined with Extended Self-Care for Scar Prevention in Patients After Keloid Excision Surgery

Objective: To explore the effectiveness of a chest compression device combined with extended self-care for scar prevention in patients following keloid excision surgery. Methods: Forty patients (36 lesions) who underwent keloid excision surgery at the Department of Plastic and Reconstructive Surgery, First Medical Center, PLA General Hospital from June 2022 to June 2024 were selected. They were randomly divided into an experimental group and a control group, with 20 patients in each group. The control group received traditional elastic garment compression therapy, while the experimental group used a chest compression device designed for scar prevention. Scar width, hypertrophy, and Vancouver Scar Scale (VSS) scores were compared between the two groups at 6 months post-operation. Results: There were no statistically significant differences between the two groups in terms of gender, age, disease duration, lesion area, or location (P > 0.05). However, VSS scores (except for pliability) in the experimental group were significantly lower than those in the control group (P < 0.05). Conclusion: The chest compression device for scar prevention is more effective than traditional elastic garments in preventing scar hypertrophy after chest wall keloid excision surgery, and it has high clinical value, making it worthy of promotion.