Document Detail


Laser-assisted skin healing (LASH) in hypertrophic scar revision.
MedLine Citation:
PMID:  19951192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laser-Assisted Skin Healing (LASH) is based on the therapeutic effects of controlled thermal post-conditioning. The authors have previously demonstrated on humans that an 810-nm diode-laser system could assist wound closure leading to an improvement of wound healing with a resulting indiscernible scar. A 47-year-old woman (skin type II), who developed systematically hypertrophic scars after surgery, was enrolled for a hypertrophic scar revision. Excess scar tissue was removed. Immediately after the conventional closure of the incision, laser irradiation (120 J/cm(2)) using a 0.8 cm(2) spot size (rectangular spot, length = 20 mm, width = 4 mm) was applied. Topical silicone gel sheeting (Cerederm((R))) was applied for 2 months afterwards to prevent a thick scar from reforming. No complications occurred during the course of this study. No recurrence of hypertrophic scarring was noticed 6 months after scar revision. This study reports, for the first time, the possibility of improving the appearance of hypertrophic scarring in scar revision by altering through thermal stress the wound-healing process. Since the appropriate initial management of wounds is of importance, the LASH technique could be offered as a new approach to prevent hypertrophic scarring.
Authors:
Alexandre Capon; Gwen Iarmarcovai; Serge Mordon
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology     Volume:  11     ISSN:  1476-4180     ISO Abbreviation:  J Cosmet Laser Ther     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-02     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136419     Medline TA:  J Cosmet Laser Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  220-3     Citation Subset:  IM    
Affiliation:
CHRU, Lille, France.
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MeSH Terms
Descriptor/Qualifier:
Cicatrix, Hypertrophic / prevention & control,  radiotherapy*
Cosmetic Techniques / instrumentation*
Female
Humans
Laser Therapy, Low-Level
Middle Aged
Recurrence
Reoperation
Wound Healing / radiation effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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