Microneedling in Abdominal Scarring after DIEP-flap Breast Reconstruction to Improve Scar Quality: A Randomized Controlled Split Scar Trial.

Autor:	Everaars KE; From the Department of Plastic Surgery, Radboudumc, Nijmegen, the Netherlands.; Research Center Healthy and Sustainable Living, Research group Innovation in Healthcare Processes in Pharmacology, University of Applied Sciences Utrecht, Utrecht, the Netherlands., Meulendijks AM; Department of Epidemiology, Maastricht University, the Netherlands., Tjin EPM; Research Center Healthy and Sustainable Living, Research group Innovation in Healthcare Processes in Pharmacology, University of Applied Sciences Utrecht, Utrecht, the Netherlands., Eskes AM; Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.; Menzies Health Institute Queensland and School of Nursing and Midwifery, Griffith University, Gold Coast, Australia.; Amsterdam Public Health, Amsterdam, the Netherlands., Hummelink S; From the Department of Plastic Surgery, Radboudumc, Nijmegen, the Netherlands., de Laat EH; From the Department of Plastic Surgery, Radboudumc, Nijmegen, the Netherlands., Ulrich DJO; From the Department of Plastic Surgery, Radboudumc, Nijmegen, the Netherlands.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Jan 24; Vol. 12 (1), pp. e5487. Date of Electronic Publication: 2024 Jan 24 (Print Publication: 2024).
DOI:	10.1097/GOX.0000000000005487
Abstrakt:	Background: Deep inferior epigastric perforator (DIEP) flap breast reconstruction leads to large scars in the breast and abdominal region. Common symptoms related to abdominal scarring include changes in color, stiffness, thickness, and irregularity of the skin. The aim of this study was to examine whether microneedling improves the abdominal scar quality after DIEP-flap breast reconstruction. Methods: A prospective randomized controlled within subject comparison design (N = 30) was used to study the effect of microneedling treatments on the abdominal scar, versus no treatment. Three electrically powered microneedling sessions were performed every 4 weeks on one side of the abdominal scar. Abdominal scar assessment was performed at baseline and 3-, 6-, and 9-month follow-up using the Patient and Observer Scar Assessment Scale (POSAS). Treated and untreated sides were compared using a t test or Wilcoxon signed-rank test in case the data were not normally distributed. Results: Twenty-seven women completed the study. Microneedling treatment led to lower POSAS scores compared with the untreated scar side after the 3- and 9-month follow-up. At the 9-month follow-up, the POSAS total score (Mdn = 17, interquartile range = 18.3 versus Mdn = 21.4, interquartile range = 17.5) was statistically lower for the treated side compared with the untreated side, implying a better-appraised scar quality. The observer POSAS total score was statistically lower for the treated side compared with the untreated side. Conclusions: Based on patient and observer ratings, overall abdominal scars after DIEP-flap surgery improve significantly after microneedling treatment. Scar symptoms reduce faster under the influence of microneedling treatment compared with no treatment. Competing Interests: The authors have no financial interest to declare in relation to the content of this article. Dermapenworld and Dermapen Benelux loaned the Dermapen4 during the study and provided the necessary disposable needle cartridges and hygienic sleeves for the participants. Dermapenworld and Dermapen Benelux had no role in the study design, data collection, analysis and interpretation of data, writing, or the decision to submit the article for publication. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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