Assessment of the Combined Efficacy of Needling and the Use of Silicone Gel in the Treatment of C-Section and Other Surgical Hypertrophic Scars and Keloids
| Autor: | Marianna Donnarumma, Giuseppe Monfrecola, Sadia Ammad, Rosanna Izzo, Benedetta Brazzini, Gabriella Fabbrocini, Claudio Marasca |
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| Přispěvatelé: | Fabbrocini, Gabriella, Marasca, Claudio, Ammad, Sadia, Brazzini, Benedetta, Izzo, Rosanna, Donnarumma, Marianna, Monfrecola, Giuseppe |
| Rok vydání: | 2016 |
| Předmět: |
needling
Adult medicine.medical_specialty Cicatrix Hypertrophic Administration Topical Treatment outcome Scars Cosmetic Techniques Dermatology 030230 surgery Salt lake Silicone Gels Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Silicone medicine Humans silicone gel Advanced and Specialized Nursing Dry needling business.industry hypertrophic scar Surgical procedures Combined Modality Therapy Surgery stomatognathic diseases Treatment Outcome chemistry Needles Keloid Surgical Procedures Operative Female Hypertrophic scars medicine.symptom business |
| Zdroj: | Advances in Skin & Wound Care. 29:408-411 |
| ISSN: | 1538-8654 1527-7941 |
| DOI: | 10.1097/01.asw.0000490028.37994.14 |
| Popis: | OBJECTIVE: To evaluate the individual effectiveness of needling therapy using the Dermapen (Dermapen, Salt Lake City, Utah) and topical therapy with silicone gel (Kelo-cote, Sinclair Pharma, London, England), and their combined effectiveness for the treatment of linear surgical scars, hypertrophic scars, and keloids. MATERIALS AND METHODS: Twenty patients were randomly selected and equally divided into 2 groups (A and B), with each group of 10 including 6 patients with keloids and 4 with hypertrophic scars. Treatment assignments were random. In group A, the entire scar was treated by skin needling, with silicone gel applied to half of the scar. Patients in group B were treated with silicone gel on the whole scar, with only half of the scar also treated with skin needling. During follow-up visits, clinical photographs, evaluation of the scars' thickness, skin ultrasound, and modified Vancouver Scar Scale were performed. RESULTS: Group A showed an average improvement of 68% (P < .01) on the half of the scar with the combination treatment (skin needling plus silicone gel) compared with a 52% improvement on the half of the scar that was treated with only skin needling. Group B showed an average improvement of 63% (P < .01) where the combination treatment was performed, compared with 47% improvement on the area treated with only the silicone gel. CONCLUSIONS: In conclusion, the combination of these 2 treatments is safe and effective for the treatment of hypertrophic scars and keloids. These modalities achieved favorable results with each patient adhering to the study paramenters. |
| Databáze: | OpenAIRE |
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