[Neuromodulation in the treatment of hand's scars].

Autor:	Spagnoli AM; Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, University of Rome La Sapienza Policlinico Umberto I, Rome, Italy., Fino P, Fioramonti P, Corrias F, Lo Torto F, Scuderi N
Jazyk:	italština
Zdroj:	Annali italiani di chirurgia [Ann Ital Chir] 2012 Mar-Apr; Vol. 83 (2), pp. 103-7.
Abstrakt:	Aim: In the present study, we investigated effects of a local anesthetic, in the treatment of pathologic scars. Materials and Methods: this retrospective report describes our experience with 97 patients who underwent lidocaine 2% injections in surgical scars of the hand. The results were evaluated using 4 parameters: cutaneous structure, pain, thikness and colour of the scar. Results: The mean outcome was the pain control. 2 out of 97 showed a 100% improvement in all the parameters. In 95 of 97 patients the improvement was between 60-100%. Discussion: Lidocaine controls different pathways of inflammation. Flogosis is the first phase of cicatrization and so lidocaine could be used in the treatment of pathologic scars. A previous study confirms the role of lidocaine, injected to control the pillar pain in the carpal tunnel's surgery in the improvement of scars. Conclusion: Lidocaine, as neuromodulation treatment, acts on inflammation, temperature, perfusion and partial pressure of oxygen.
Databáze:	MEDLINE
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