Kemerich Jhulie Anne Pinheiro, de Rezende Laura Ferreira, Braz Melissa Medeiros, Ferreira Fabiana Dos Santos, Pivetta Hedioneia Maria Foletto
Universidade Federal de Santa Maria, Santa Maria, Brazil.
Centro Universitário das Faculdades Associadas de Ensino de São João da Boa Vista, São Paulo, Brazil.
Lasers Med Sci. 2025 Apr 10;40(1):185. doi: 10.1007/s10103-025-04439-2.
To evaluate the effectiveness of photobiomodulation associated with functional elastic bandaging in reducing wound measurements and improving healing in patients with surgical wound complications.
This is an interventional study. Twelve women were included after breast cancer surgery. The surgical wound assessment was performed using the Bates-Jensen Wound Assessment Tool and ImageJ software, pre- and post-intervention. The intervention protocol was performed twice a week for 7 weeks. Photobiomodulation was performed twice a week for 7 weeks with a cluster that has a central 660 nm laser spot, four 658 nm LED spots and four 858 nm LED spots, with an energy of 4.18 J/cm² per spot. The elastic bandages were applied to promote support and approximation of the tissue around the surgical wound.
Significant reduction in lesion area after the treatment protocol, when comparing T1 x T3 (p = 0.011), T1 x T4 (p < 0.001) and T2 x T4 (p = 0.003), improvement in general wound conditions (p = 0.007), even in the presence of necrosis.
The established protocol demonstrates its potential therapeutic effect on healing complications resulting from breast cancer surgery. The physiotherapeutic approach proposed in this study proved to be effective in the recovery from surgical wound complications, with a direct impact on the patient's health status and continuity of cancer treatment. Furthermore, this protocol becomes an alternative for the treatment of these complications, reducing the need for new interventions, which has a direct impact on the patient's physical and emotional health.
评估光生物调节联合功能性弹性绷带包扎在减少手术伤口并发症患者伤口尺寸及促进愈合方面的有效性。
这是一项干预性研究。纳入12名乳腺癌手术后的女性。在干预前后，使用贝茨 - 詹森伤口评估工具和ImageJ软件进行手术伤口评估。干预方案每周进行两次，共7周。光生物调节每周进行两次，共7周，使用一个具有中心660纳米激光光斑、四个658纳米发光二极管光斑和四个858纳米发光二极管光斑的集群，每个光斑能量为4.18焦耳/平方厘米。应用弹性绷带以促进手术伤口周围组织的支撑和贴合。
在比较T1与T3（p = 0.011）、T1与T4（p < 0.001）以及T2与T4（p = 0.003）时，治疗方案后病变面积显著减小，总体伤口状况得到改善（p = 0.007），即使存在坏死情况。
既定方案显示出对乳腺癌手术愈合并发症的潜在治疗效果。本研究中提出的物理治疗方法在手术伤口并发症的恢复中被证明是有效的，对患者的健康状况和癌症治疗的连续性有直接影响。此外，该方案成为治疗这些并发症的一种替代方法，减少了新干预措施的需求，这对患者的身体和情绪健康有直接影响。
