Document Detail

Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser.
MedLine Citation:
PMID:  7739306     Owner:  NLM     Status:  MEDLINE    
Despite increasing knowledge of wound healing and collagen metabolism, hypertrophic scars and keloid scars are difficult to eradicate. Median sternotomy scars are often hypertrophic or keloidal. We treated them with a 585 nm flashlamp-pumped pulsed-dye laser, which selectively injures cutaneous microvessels without inducing scars. 16 adult patients with hypertrophic or keloidal median sternotomy scars after heart surgery received two treatments to one half of their previously untreated scars every 6-8 weeks and were reviewed at 6 months. Symptoms and clinical, histological, photographic, and surface texture assessments were obtained for treated and untreated areas of scar and evaluated independently by two observers blind to the treatment and by digital image analysis of skin surface casts. There was a significant improvement in erythema, scar height, skin surface texture, and pruritus in laser-treated scar areas; this improvement persisted for at least 6 months.
T S Alster; C M Williams
Related Documents :
16180226 - Subjective morbidity and quality of life after sentinel node biopsy and axillary lymph ...
15114126 - Evaluation of abdominal wall strength after tram flap surgery.
19662486 - Comparison of the effects of short- and long-pulse durations when using a 585-nm pulsed...
24668716 - Spontaneous regression of low-grade cervical intraepithelial lesions is positively impr...
23178416 - Life-threatening ace inhibitor-induced angioedema after 11 years on lisinopril.
16630986 - Oral rapamycin after coronary bare-metal stent implantation to prevent restenosis: the ...
Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Lancet     Volume:  345     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-06-07     Completed Date:  1995-06-07     Revised Date:  2009-02-26    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1198-200     Citation Subset:  AIM; IM    
Department of Medicine, Georgetown University Medical Center, Washington, DC, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cicatrix, Hypertrophic / etiology,  therapy*
Keloid / etiology,  therapy*
Laser Therapy*
Middle Aged
Postoperative Complications / therapy*
Sternum / surgery
Treatment Outcome

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

Previous Document:  Hypoglycaemia associated with use of inhibitors of angiotensin converting enzyme.
Next Document:  Randomised comparison of subcutaneous heparin, intravenous heparin, and aspirin in unstable angina. ...