Evaluation of clinical outcomes of the surgical treatment of keloid and hypertrophic scars using laser light
https://doi.org/10.37895/2071-8004-2019-23-4-38-44
Abstract
Purpose. The article presents the authors’ clinical experience in the surgical treatment of keloid and hypertrophic scars using the curative algorithm which has been developed at the Skobelkin State Scientific Center of Laser Medicine (SSC LM) in Moscow because the discussed problem is quite actual for today, though not enough covered in the domestic literature. Material and methods. 94 patients with keloid and hypertrophic scars of varying severity and location were operated on in 2014–2019. Of all patients, 29 were operated with a carbon dioxide laser (Lancet-2); the rest, 65 patients, were operated on with the same CO2 laser but in addition, they had low-level laser therapy with laser therapeutic devices Uzor or Omega in their preoperative and postoperative periods. A technique of laser photohydraulic preparation which has been developed in the Skobelkin State Scientific Center of Laser Medicine (Moscow) for cutting and separating skin grafts was used. Results. Recurrences were recorded in 7 patients (11.4%) out of 61 cases; all these patients were under long-term observation. Their outcomes were much better than after standard surgical techniques where the percentage of relapses, according to the published data, is 45% and more. Conclusion. The combined application of low-level and high-level laser energy for the surgical treatment of hypertrophic and keloid scars has undoubted advantages over the existing surgical techniques. However, surgical interventions in pathological scarring of wounds are recommended to perform not earlier than in 6–12 months after their healing. Indications for surgical treatment of hypertrophic and keloid scars are ineffective conservative treatment or cicatricial contractures of the joints.
About the Authors
N. A. Danilin
Skobelkin State Scientific Center of Laser Medicine (SSC LM)
Russian Federation
Moscow
Russian Federation
Moscow
I. V. Kurdyaev
Skobelkin State Scientific Center of Laser Medicine (SSC LM)
Russian Federation
Moscow
Russian Federation
Moscow
S. V. Abdulaeva
Skobelkin State Scientific Center of Laser Medicine (SSC LM)
Russian Federation
Moscow
Russian Federation
Moscow
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Review
For citations:
Danilin N.A., Kurdyaev I.V., Abdulaeva S.V. Evaluation of clinical outcomes of the surgical treatment of keloid and hypertrophic scars using laser light. Laser Medicine. 2019;23(4):38-44. (In Russ.) https://doi.org/10.37895/2071-8004-2019-23-4-38-44
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