Paper Title
ASSESSMENT OF THE IMPACT OF SELECTED OSTEOPATHIC TECHNIQUES AND TROPOKOLLAGEN GUNA INJECTIONS ON THE CONDITION OF THE SCAR AFTER CESAREAN SECTION AND THE FUNCTIONAL STATE OF THE WOMAN AFTER CHILDBIRTH

Abstract
INTRODUCTION: Cesarean section (CS) is a widely performed surgical procedure, with an increasing numberof CS deliveries globally, including Poland, where the rate is approximately 43%. While the WHO suggests only 15% of deliveries require a CS, many are performed for relative indications or based on maternal choice. Healing of the cesarean scar is complex and can lead to issues such as pain and impaired sensation. Effective scar therapy is crucial for recovery and quality of life, involving approaches like massage, physiotherapy, osteopathy, and pharmacotherapy. AIM OF THE STUDY: This study aimed to evaluate the effectiveness of osteopathic techniques and Tropokollagen Guna injections on cesarean scar condition and the functional recovery of women post-delivery. STUDY MATERIAL AND METHODS: The study involved 32 women, divided into three groups: Group I (osteopathy), Group II (Tropokollagen Guna injections), and Group III (control). Participants were aged 20-40 years and had undergone a cesarean section 6 weeks to 12 months prior. The study used various methods, including Bioelectrical Impedance Analysis (BIA), medical thermography, ultrasound, the Vancouver Scar Scale (VSS), and medical history questionnaires. Osteopathic Therapy (Group I): The therapy included fascia unfolding and spinal cord dural sac mobilization techniques, aimed at improving tissue mobility, circulation, and reducing pain. Tropokollagen Guna (Group II): Tropokollagen Guna injections, a collagen-based treatment, were administered to promote scar healing and improve tissue structure. RESULTS: Both therapy groups showed significant improvements in scar conditions, including reduced adhesions, enhanced tissue resistance, and increased skin temperature (indicating improved circulation). The VSS scores showed a marked improvement in scar characteristics such as vascularization, pigmentation, and pliability. Ultrasound imaging confirmed the elimination of tissue adhesions in the therapy groups. The functional status, assessed through questionnaires, also showed improvement in both therapy groups. DISCUSSION AND CONCLUSIONS : The study demonstrated the positive impact of osteopathic techniques and Tropokollagen Guna injections on both cesarean scar healing and the functional recovery of women post-delivery. Although the sample size was small, the results are promising and suggest further research is needed to establish comprehensive therapeutic protocols. The use of thermography and other diagnostic tools proved useful in evaluating the effects of the therapies. The findings highlight the importance of holistic approaches in post-CS recovery and the need for further studies to confirm the long-term benefits of these therapies. Keywords - osteopathy, tropokollagen, cesarian section