Palao Ricard, Gallego-Escuredo Jose Miguel, Bohbot Serge
Department of Plastic, Aesthetic, Reconstructive Surgery and Burns Centre, Vall d'Hebron University Hospital, Barcelona, Spain.
Spain Medical Affairs, URGO Medical, Barcelona, Spain.
Plast Reconstr Surg Glob Open. 2023 Mar 10;11(3):e4866. doi: 10.1097/GOX.0000000000004866. eCollection 2023 Mar.
Abdominoplasty, one of the most commonly performed aesthetic procedures, aims at correcting excess abdominal skin and fat, but generates a long abdominal scar. The efficacy of an automated portative 1210-nm laser in improving the appearance of surgical scars has been previously demonstrated in a double-blind randomized controlled trial. The purpose of this work was to document the use of this laser in real-life practice.
Eighteen patients undergoing abdominoplasty and treated with the evaluated laser (UrgoTouch, Laboratoires Urgo; one single session immediately after the surgery) were included in this prospective, mono-center, observational study. Change in scar characteristics was assessed using the validated Observer Scar Assessment Scale, and the patients' and surgeon's satisfaction was rated using a four-point scale.
The aesthetic outcome of the scars was very positive with a mean Observer Scar Assessment Scale score of 17.0 (SD 4.6) and 14.4 (SD 3.8) on the 6-60 point scale (60: the worst possible outcome) at 6 and 12 months, respectively. A high degree of satisfaction was also expressed by both surgeon and patients at 6 weeks, 6 months, and 12 months. No laser-related incident was reported during the study, including in patients with darker phototypes.
These findings seem to be consistent with previous clinical evidence on the use of this laser on fresh incisions. The high degree of satisfaction reported by both surgeon and patients seems to comfort the benefits of this procedure at short- and long-term and support the use of this laser in daily practice of plastic surgery.
腹壁成形术是最常见的美容手术之一,旨在矫正腹部多余的皮肤和脂肪,但会产生一条长长的腹部疤痕。先前在一项双盲随机对照试验中已证明,自动便携式1210纳米激光在改善手术疤痕外观方面的疗效。这项工作的目的是记录该激光在实际临床中的应用情况。
本前瞻性、单中心观察性研究纳入了18例行腹壁成形术并接受评估激光治疗的患者(UrgoTouch,Urgo实验室;术后立即进行单次治疗)。使用经过验证的观察者疤痕评估量表评估疤痕特征的变化,并使用四点量表对患者和外科医生的满意度进行评分。
疤痕的美学效果非常好,在6个月和12个月时,观察者疤痕评估量表的平均评分分别为17.0(标准差4.6)和14.4(标准差3.8)(满分60分:最差可能结果)。在6周、6个月和12个月时,外科医生和患者均表示高度满意。研究期间未报告与激光相关的事件,包括肤色较深的患者。
这些发现似乎与先前关于该激光用于新鲜切口的临床证据一致。外科医生和患者报告的高度满意度似乎证实了该手术在短期和长期的益处,并支持在整形外科的日常实践中使用这种激光。