Fractional Ablative Laser Therapy is an Effective Treatment for Hypertrophic Burn Scars: A Prospective Study of Objective and Subjective Outcomes

2018 ◽  
Author(s):  
Nathaniel Miletta ◽  
Katherine Siwy ◽  
Chad Hivnor ◽  
Jason Clark ◽  
Joshua Shofner ◽  
...  
Keyword(s):  
Prospective Study ◽  
Effective Treatment ◽  
Laser Therapy ◽  
A Prospective Study ◽  
Subjective Outcomes ◽  
Ablative Laser ◽  
Fractional Ablative Laser

Fractional Ablative Laser Therapy is an Effective Treatment for Hypertrophic Burn Scars

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nathanial Miletta ◽  
Katherine Siwy ◽  
Chad Hivnor ◽  
Jason Clark ◽  
Joshua Shofner ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Laser Therapy ◽  
Ablative Laser ◽  
Fractional Ablative Laser

Effects of Vulvovaginal Laser Therapy on Postmenopausal Vaginal Atrophy: A Prospective Study

2019 ◽  
Vol 35 (2) ◽  
pp. 99-104 ◽  
Author(s):  
Priyanka Singh ◽  
Christopher Yew Luen Chong ◽  
How Chuan Han
Keyword(s):  
Prospective Study ◽  
Laser Therapy ◽  
Vaginal Atrophy ◽  
A Prospective Study

scholarly journals The Laser Therapy for Hemorrhoidal Disease: A Prospective Study

Cureus ◽  
2021 ◽  
Author(s):  
Rafique Umer Harvitkar ◽  
Giri Babu Gattupalli ◽  
Seshu Kumar Bylapudi
Keyword(s):  
Prospective Study ◽  
Laser Therapy ◽  
Hemorrhoidal Disease ◽  
A Prospective Study

112 Improvements in Burn Hypertrophic Scar After Fractional Ablative Laser Scar Revision

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S74-S75
Author(s):  
Taryn E Travis ◽  
Rebekah R Allely ◽  
Laura S Johnson ◽  
Jeffrey W Shupp
Keyword(s):  
Laser Therapy ◽  
Hypertrophic Scar ◽  
Post Injury ◽  
Scar Revision ◽  
Scar Assessment ◽  
Time Period ◽  
Wide Range ◽  
Baseline Evaluation ◽  
Ablative Laser ◽  
Fractional Ablative Laser

Abstract Introduction Fractional ablative laser therapy use is increasing for treating burn hypertrophic scar (HTS). However, standard components of a routine HTS evaluation prior to starting laser scar revision (LSR) and after each intervention have yet to be determined, and metrics for effective treatment have not been established. Methods Patients who entered a LSR program between September 2018 and September 2019, underwent at least two LSR treatments, and completed post-LSR scar evaluations for each of these treatments were included in the studied sample. Patients were treated with a fractional ablative CO2 laser. A single burn rehabilitation therapist conducted all pre- and post-procedure scar evaluations, which included the Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale (VSS), Institutional Scar Comparison Scale (SCS), durometry, and active range of motion (AROM) measurements. Results From 9/2018 to 9/2019, 25 patients began the LSR program and underwent at least two treatments with post-laser scar assessments for each intervention. Patients underwent an average of 3±1 LSR sessions during the time period for a total of 84 sessions amongst the group. Patients averaged 51±14 years old (range 26–80), with all Fitzpatrick skin types represented (mode type 5). Average HTS age was 14±19 months post-injury (range 3–98 months post injury). After one session of LSR, 91% of patients improved in at least one scar assessment metric (average 3±1.4 areas). After two sessions, all patients showed improvement in at least one metric (average 3.6±1.2 areas). One LSR session was associated with a 10.8±31.9% improvement in AROM of a HTS-affected joint, and this increased to 38.1±41.4% after five LSR treatments (p=0.0002). Durometry readings demonstrated decreasing scar hardness compared to adjacent uninjured skin in 90% of patients, and 96% of patients experienced improvements in POSAS, VSS, and SCS scores during a treatment course. Conclusions Improvements in burn HTS can be achieved with fractional ablative laser therapy in a wide range of scar ages and skin types, as early as the first LSR session. These continue to increase as additional sessions are performed. Applicability of Research to Practice This work suggests necessary baseline evaluation components for patients undergoing LSR, as well as a timeline for expected clinical improvements. This data may inform conversations with burn survivors and providers when considering laser therapy for symptomatic HTS.

scholarly journals Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study

2017 ◽  
Vol 18 (7) ◽  
pp. 601-606
Author(s):  
B Smriti Jagdhari ◽  
Motwani Mukta ◽  
A Golhar Saket ◽  
Anil V Golhar
Keyword(s):  
Prospective Study ◽  
Laser Therapy ◽  
Myofascial Pain ◽  
Mouth Opening ◽  
Stimulated Emission ◽  
Cervical Pain ◽  
Group I ◽  
Therapeutic Evaluation ◽  
Myofascial Pain Dysfunction ◽  
A Prospective Study

ABSTRACT Aim The aim of this study was to find out the therapeutic correlation between cervical dysfunction and myofascial pain dysfunction syndrome (MPDS). Materials and methods The study included 46 patients out of which 23 had MPDS with cervical pain (group I), and 23 patients had only MPDS (group II). Detailed history and examination of the patients were carried out, and the factors taken into consideration were pain and tenderness of muscles of mastication and neck muscles, maximum comfortable mouth opening, and cervical range of motion. All the patients were randomly divided and advised physical exercises, light amplification by stimulated emission of radiation (LASER) therapy, and the combination of both exercise and LASER. Patients were assessed for the relief of signs and symptoms of myofascial pain and cervical pain posttreatment, every month for 2 months. Results Both the groups showed a similar response to all the different treatment modalities. In group I, the patients also had relief in their cervical pain although the treatment was directed for MPDS. Patients from both the groups who were advised LASER and combination of both exercise and LASER showed better response in terms of reduction in visual analog scale, number of tender muscles, and increased maximum comfortable mouth opening posttreatment and during the follow-up, as compared with the patients who were advised only exercise. Conclusion Patients having cervical pain showed significant improvement comparable with patients having no cervical pain. Hence, the conclusion drawn was that there is a positive interrelationship between MPDS and cervical (neck) pain; MPDS may act as a catalyst for precipitating cervical pain. Clinical significance Cervical pain showed significant improvement to physiotherapy in the form of exercise, LASER, and combination treatment, though the effective modality was LASER and combination of exercise and LASER therapy. How to cite this article Jagdhari BS, Mukta M, Saket AG, Golhar AV. Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study. J Contemp Dent Pract 2017;18(7):601-606.

A Prospective Study of Bile Leaks after Laparoscopic Cholecystectomy for Acute Cholecystitis

2006 ◽  
Vol 72 (3) ◽  
pp. 265-268 ◽  
Author(s):  
Edward P. Dominguez ◽  
Dave Giammar ◽  
John Baumert ◽  
Oscar Ruiz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Prospective Study ◽  
Acute Cholecystitis ◽  
Effective Treatment ◽  
Open Cholecystectomy ◽  
Bile Leak ◽  
Elective Setting ◽  
A Prospective Study ◽  
Bile Leaks

Surgeons are increasingly performing laparoscopic cholecystectomy in the setting of acute cholecystitis. The acutely inflamed gallbladder poses a more technically demanding dissection with potential for an increase in bile leak rates. Clinical and subclinical bile leak rates after laparoscopic and open cholecystectomy in the elective setting are known. This study prospectively evaluates the rate of clinical and subclinical bile leaks after laparoscopic cholecystectomy in the setting of acute cholecystitis. One hundred patients underwent laparoscopic cholecystectomy for acute cholecystitis, as determined intraoperatively and by history, ultrasound, fever, or leukocytosis. On postoperative Day 1, the patients underwent cholescintigraphy (PIPIDA scan) analyzed by a board-certified radiologist for evidence of bile leaks. Postoperative cholescintigraphy revealed eight scans positive for bile leaks. Regardless of scan result, no patient experienced a clinically symptomatic bile leak. Laparoscopic cholecystectomy is a safe and effective treatment for acute cholecystitis with acceptable clinical and subclinical bile leak rates.

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