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1.
Niger J Clin Pract ; 23(9): 1318-1323, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32913174

RESUMO

Background: Preparation for surgery has traditionally included the removal of body hair from the intended surgical wound site. The effect of this practice on postoperative wound infection is yet to be fully elucidated. Aims: This study sought to determine if preoperative chemical depilation reduces the risk of surgical site infection (SSI). Methodology: Two methods of preoperative hair removal: razor shaving and depilatory cream were compared. The eligible patients were randomized into two groups and the presence of postoperative wound infection was evaluated using the Southampton wound grading system. Data were analyzed using SPSS version 21 Chicago-Illinois, statistical significance was inferred at Pvalue ≤ 0.05. Results: In total 100 patients were analyzed with 20 patients excluded due to co-morbidities and noncompletion of the study. The overall prevalence of SSI was 18.0% (7 (14.0%) and 11 (22.0%) in the depilatory cream and razor shaving groups, respectively). The difference in the rate of SSI was not statistically significant (P = 0.436). Hair was completely removed in 47 (94.0%) compared to 38 (76.0%) patients in the razor shaving group (P = 0.012) while skin injuries were noted in 21 (42.0%) vs 1 (2.0%) patients who had razor shaving and chemical depilation(P = <0.0001), respectively. Conclusion: There was no significant difference in SSI rates in patients that had preoperative chemical depilation when compared with razor shaving.


Assuntos
Remoção de Cabelo/métodos , Cuidados Pré-Operatórios/métodos , Infecção da Ferida Cirúrgica/prevenção & controle , Cicatrização/fisiologia , Adulto , Feminino , Remoção de Cabelo/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Restrição Física , Lesões dos Tecidos Moles/complicações , Lesões dos Tecidos Moles/epidemiologia , Infecção da Ferida Cirúrgica/epidemiologia , Adulto Jovem
2.
Dermatol Online J ; 26(4)2020 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-32621692

RESUMO

Hidradenitis suppurativa is a chronic, painful disease that significantly reduces quality of life. Laser hair reduction is one modality that can be used in combination with other treatments to ameliorate the condition. We argue that insurance should provide coverage for this necessary service.


Assuntos
Remoção de Cabelo/economia , Hidradenite Supurativa/economia , Cobertura do Seguro , Seguro Saúde , Terapia com Luz de Baixa Intensidade/economia , Cabelo/efeitos da radiação , Remoção de Cabelo/métodos , Hidradenite Supurativa/terapia , Humanos , Estados Unidos
3.
Ann R Coll Surg Engl ; 102(9): 685-688, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32302208

RESUMO

INTRODUCTION: Pilonidal disease is a chronic condition involving the sacrococcygeal area. It can have a significant impact on quality of life, social activities and occupation. Surgery is the mainstay of treatment. However, laser depilation has been proposed as an adjunct to surgery and has shown improved results in some studies. We present our experience of laser depilation in the treatment of pilonidal disease in a district general hospital setting in the UK. MATERIALS AND METHODS: A prospectively maintained database of all consecutive patients who received laser depilation after elective surgery for pilonidal disease was analysed. Patients were offered a minimum of two sessions of laser depilation. The primary outcome measure was disease recurrence. Evidence of new symptoms or signs of pilonidal disease after one year from the latest surgical intervention was defined as recurrent disease. Data are presented as medians with interquartile ranges. RESULTS: A total of 64 patients underwent laser depilation after elective surgery between 1 June 2013 and 1 June 2018; 57 were eligible for final analysis. Sixty-five per cent of patients received six or more sessions of laser treatment. There were no short- or long-term complications related to laser depilation. Patients who had more than two sessions of laser depilation showed an improved recurrence rate. Overall, recurrence rate in our series was 12% at a median follow-up of 172 weeks. CONCLUSION: Laser depilation is a safe and effective adjunct to surgery in minimising the recurrence of pilonidal disease. Patients with primary pilonidal disease and those who are undergoing minimally invasive surgery may also benefit from adjuvant laser depilation. Further high-quality control trials are required to assess its efficacy and safety.


Assuntos
Remoção de Cabelo/métodos , Terapia a Laser/métodos , Seio Pilonidal/prevenção & controle , Prevenção Secundária/métodos , Adolescente , Adulto , Feminino , Hospitais de Distrito , Hospitais Gerais , Humanos , Masculino , Pessoa de Meia-Idade , Seio Pilonidal/cirurgia , Estudos Prospectivos , Reino Unido , Adulto Jovem
4.
Lasers Med Sci ; 35(4): 797-806, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31919681

RESUMO

Using light sources in phototherapy has presented promising results regarding several types of facial and body skin affections for centuries. The neodymium-doped yttrium aluminum garnet (ND:YAG) 1064 nm laser has become a standard treatment in dermatology for dermatological disturbances related to the pilous follicle and the structures surrounding it. Despite the reports of its clinical benefits, few scientific studies show its actual safety and efficacy. To substantiate the effects, benefits, and safety of applying an ND:YAG 1064 laser in the epilation process during esthetic treatment, a systematic review was carried out between October 2018 and January 2019, on studies published in the last 20 years. Randomized clinical trials in humans were considered that evaluated the efficacy, safety, and benefits of ND:YAG laser application at 1064 nm wavelengths for hair removal. A total of 198 articles were identified; 58 articles remained after their titles and abstracts were read; and 21 articles were selected after the removal of duplicates. After the integral reading, 13 of these articles were included in the systematic review (734 patients). The ND:YAG 1064 nm laser presents safety and promising, beneficial effects in epilation. However, further scientific studies with better methodologic quality are necessary to better standardize ND:YAG laser therapy and clarify its parameters for photoepilation.


Assuntos
Remoção de Cabelo/métodos , Lasers de Estado Sólido/efeitos adversos , Humanos , Pele/efeitos da radiação , Resultado do Tratamento
5.
J Dtsch Dermatol Ges ; 18(1): 27-32, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31671255

RESUMO

BACKGROUND AND OBJECTIVES: Dermatoscopy may be hindered by body hair, and the development of an automated hair removal algorithm (AuHRA) might improve the diagnostic accuracy. However, the physicians' exact level of hindrance and the clinical benefit attained by AuHRA has not been assessed. The objectives of this study are to quantify the physicians' level of hindrance by body hair and the level of improvement in the visibility of underlying dermatoscopic patterns after application of AuHRA to digital images of hair-covered nevi. PATIENTS AND METHODS: A cross-sectional reader study including 59 sets of dermatoscopic images of benign nevi that were presented to six dermatologists. Each set included three images of one individual nevus (unshaved/physically shaved/digitally shaved with AuHRA), which were compared to each other within each set to assess the level of improvement caused by hair removal. RESULTS: In comparison to unshaved lesions, dermatologists attributed the highest mean level of improvement to a physical shave (+1.36, p < 0.001) followed by AuHRA's digital shave (+0.79, p < 0.001). The majority of dermatologists considered the application of AuHRA as helpful and confirmed a medical need. CONCLUSIONS: The dermatologists in our study confirmed a substantial impairment of the dermatoscopic examination by body hair. We demonstrated a clinical benefit attained by AuHRA in comparison to unshaved or physically shaved lesions.


Assuntos
Algoritmos , Remoção de Cabelo/métodos , Nevo/diagnóstico , Neoplasias Cutâneas/diagnóstico , Estudos Transversais , Dermoscopia/métodos , Diagnóstico Diferencial , Humanos , Exame Físico
6.
Asian J Androl ; 22(1): 28-33, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31489848

RESUMO

Inflatable penile prostheses are an important tool in the treatment of medically refractory erectile dysfunction. One of the major complications associated with these prostheses is infections, which ultimately require device explanation and placement of a new device. Over the past several decades, significant work has been done to reduce infection rates and optimize treatment strategies to reduce patient morbidity. This article reviews the current state of knowledge surrounding penile prosthesis infections, with attention to the evidence for methods to prevent infection and best practices for device reimplantation.


Assuntos
Disfunção Erétil/cirurgia , Implante Peniano/métodos , Prótese de Pênis , Infecções Relacionadas à Prótese/prevenção & controle , Infecção da Ferida Cirúrgica/prevenção & controle , Antibacterianos/uso terapêutico , Anti-Infecciosos Locais/uso terapêutico , Antibioticoprofilaxia/métodos , Bandagens , Portador Sadio/diagnóstico , Portador Sadio/tratamento farmacológico , Clorexidina/uso terapêutico , Materiais Revestidos Biocompatíveis , Remoção de Dispositivo , Diabetes Mellitus/epidemiologia , Disfunção Erétil/epidemiologia , Infecções por Bactérias Gram-Negativas/epidemiologia , Infecções por Bactérias Gram-Negativas/imunologia , Infecções por Bactérias Gram-Negativas/prevenção & controle , Infecções por Bactérias Gram-Negativas/terapia , Remoção de Cabelo/métodos , Humanos , Hospedeiro Imunocomprometido/imunologia , Masculino , Cuidados Pré-Operatórios/métodos , Infecções Relacionadas à Prótese/epidemiologia , Infecções Relacionadas à Prótese/imunologia , Infecções Relacionadas à Prótese/terapia , Reoperação , Fatores de Risco , Traumatismos da Medula Espinal/epidemiologia , Infecções Estafilocócicas/epidemiologia , Infecções Estafilocócicas/imunologia , Infecções Estafilocócicas/prevenção & controle , Infecções Estafilocócicas/terapia , Staphylococcus aureus , Staphylococcus epidermidis , Campos Cirúrgicos , Instrumentos Cirúrgicos , Infecção da Ferida Cirúrgica/epidemiologia , Infecção da Ferida Cirúrgica/imunologia , Infecção da Ferida Cirúrgica/terapia
8.
J Pediatr Surg ; 55(4): 761-766, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31126689

RESUMO

PURPOSE: This study aimed to standardize the technique of pediatric endoscopic pilonidal sinus treatment (PEPSiT) associated with laser epilation. METHODS: All pediatric patients presenting with acute or chronic pilonidal sinus disease (PSD) who underwent PEPSiT in our institution over a 36-month period (July 2015-July 2018), were included in the study. Pre- and postoperative management, recurrence rate, postoperative pain, hospital stay, analgesic requirements, and patient satisfaction levels were evaluated. RESULTS: A total of 59 patients (23 girls and 36 boys) underwent PEPSiT during the study period. Ten/59 patients (16.9%) had recurrent PSD after open repair, and 4/59 (6.7%) presented a concomitant pilonidal cyst. All children underwent laser epilation pre- and postoperatively over the last 15 months. The average length of surgery was 27.5 min (range 20-45). The average pain score during the first 48 postoperative hours was 2.7 (range 2-5), and the average analgesic requirement was 20 h (range 16-24). The average hospitalization was 22.4 h (range 18-36). At 1 month postoperatively, external openings were healed in all patients. During follow-up, 1 recurrence (1.6%) was recorded and successfully re-treated with PEPSiT. CONCLUSIONS: We believe that PEPSiT represents the technique of choice for treatment of PSD in the pediatric population. It is crucial to standardize the technique consisting of pre- and postoperative laser epilation, PEPSiT, and accurate postoperative wound management with eosin and sulfadiazine spray. LEVEL OF EVIDENCE: Treatment study - Level IV.


Assuntos
Endoscopia/métodos , Seio Pilonidal/cirurgia , Adolescente , Analgésicos/uso terapêutico , Endoscopia/efeitos adversos , Feminino , Remoção de Cabelo/efeitos adversos , Remoção de Cabelo/métodos , Humanos , Terapia a Laser/efeitos adversos , Tempo de Internação , Masculino , Duração da Cirurgia , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/etiologia , Satisfação do Paciente , Recidiva , Resultado do Tratamento , Cicatrização
9.
Rom J Ophthalmol ; 63(3): 281-286, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31687633

RESUMO

Objective: To describe the chronological features of choroidal neovascular membrane (CNV) development subsequent to accidental firing of diode laser into the eye of a young female during hair epilation. Methods: Descriptive case report. Results: The patient presented one week after the laser injury to a local ophthalmologist complaining of RE (right eye) blurred central vision. Snellen's visual acuity (VA) was 6/ 7.5. Optical coherence tomography (OCT) showed focal disruption of the ellipsoid and the interdigitation zones. Four weeks later, she presented with worsening symptoms and RE VA 6/ 15. Funduscopy revealed a perifoveal grayish lesion with adjacent retinal hemorrhage, which, on fluorescein angiography, was leaking, compatible with CNV. OCT showed a dome-shaped sub-retinal pigment epithelium lesion with extension into the subretinal space and little subretinal fluid. The patient was treated with one intravitreal bevacizumab injection. There was rapid regression of the CNV and improvement of VA to 6/ 7.5 at one-month visit and to 6/ 6 at 6-month visit. Conclusion: All the laser procedures should be conducted with intensive care for both the patient and the laser surgeon since inadvertent effects are constantly being reported due to lack of adherence to safety measures.


Assuntos
Neovascularização de Coroide/etiologia , Remoção de Cabelo/efeitos adversos , Terapia a Laser/efeitos adversos , Acuidade Visual , Adulto , Inibidores da Angiogênese/administração & dosagem , Bevacizumab/administração & dosagem , Neovascularização de Coroide/diagnóstico , Feminino , Remoção de Cabelo/métodos , Humanos , Injeções Intravítreas , Receptores de Fatores de Crescimento do Endotélio Vascular/antagonistas & inibidores , Tomografia de Coerência Óptica
10.
Am J Emerg Med ; 37(11): 2119.e1-2119.e2, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31477356

RESUMO

This is the case of a 23-year-old female with a past medical history of ADHD and Depression who was evaluated in the emergency department for perioral cyanosis and hypoxia after application of the eutectic mixture of lidocaine and prilocaine (EMLA) local anesthetic prior to a laser-assisted hair removal procedure. This report illustrates a case of methemoglobinemia which is a rare but significant complication of topical anesthetic use.


Assuntos
Anestésicos Locais/efeitos adversos , Remoção de Cabelo , Combinação Lidocaína e Prilocaína/efeitos adversos , Metemoglobinemia/induzido quimicamente , Feminino , Remoção de Cabelo/métodos , Humanos , Metemoglobinemia/diagnóstico , Adulto Jovem
11.
Dermatol Ther ; 32(3): e12907, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30964592

RESUMO

Long pulse 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser is a very versatile laser due to its deep penetration and absorption by hemoglobin, melanin, and water, which has gained increasing popularity over recent years for the treatment of leg veins and permanent hair removal as well as skin rejuvenation. The long-pulse Nd:YAG laser was appointed as treatment of choice for the treatment of 0.5-3.0 mm deoxygenated, unsightly leg veins. Hair removal is another application of long pulse Nd:YAG lasers, and decreased light absorption by melanin at 1,064 nm reduces the risk of pigmentary side effects, which makes long pulse Nd:YAG laser the safest laser in darker skin types. The long pulse Nd:YAG lasers are also being employed for skin rejuvenation based on their ability to heat dermal water and stimulate collagen production. We have reviewed the parameters of Nd:YAG laser and shared our experiences in these indications that may be useful for good clinical response with minimal side effects.


Assuntos
Técnicas Cosméticas , Remoção de Cabelo/métodos , Lasers de Estado Sólido/uso terapêutico , Perna (Membro)/irrigação sanguínea , Rejuvenescimento/fisiologia , Envelhecimento da Pele/fisiologia , Humanos , Higiene da Pele
13.
Arch Gynecol Obstet ; 299(6): 1607-1618, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30953189

RESUMO

PURPOSE: To gather standardized information about current practices and doctors' opinions on preoperative hair removal (PHR) from the surgical site and to evaluate the extent of PHR as one of the elements of enhanced recovery after surgery (ERAS) pathways that is established in the clinical routine in gynecology and gynecology-oncology departments in Germany. METHODS: We performed a nationwide survey among 638 primary, secondary and tertiary health care gynecological departments in Germany. Data were obtained by sending a multiple-choice questionnaire about preoperative management of hair removal. The authors also evaluated the awareness of doctors regarding PHR as well as the method and time frames of PHR. The results were compared to the existing standard of procedure (SOP) and guidelines. RESULTS: 148 units (23.2%) took part in the survey; participants in the survey were mostly chief physicians in 47.3% of the cases. Half (50.7%) of all the responses came from certified gynecological cancer centers. A SOP regarding PHR was reported as present in 113 clinics (76.4%). 83.8% of all units are performing PHR for midline laparotomy, 52.7% in laparoscopic operations, and 45.3% in vaginal operations. 48% used a clipper, while 43.2% utilized a single-use razor. 56.1% shaved instantly before the operation, whereas 35.8% did it the day before and earlier. 40.3% of chief physicians believe that PHR causes more surgical site infections (SSI) compared to only 11.5% of junior doctors. CONCLUSION: PHR in gynecological departments in Germany is performed very heterogeneously and SOPs are often not based on guidelines and ERAS principles. Around one-third of the German gynecological clinics keep strictly to the guidelines. The awareness on PHR and SSI among junior doctors is very low.


Assuntos
Neoplasias dos Genitais Femininos/cirurgia , Ginecologia/normas , Remoção de Cabelo/métodos , Médicos/normas , Cuidados Pré-Operatórios/métodos , Feminino , Alemanha , Humanos , Inquéritos e Questionários
14.
AORN J ; 109(5): 583-596, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31025350

RESUMO

The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered. Although there is evidence to support the practice of clipping instead of shaving, current recommendations are to remove hair only when absolutely necessary. Human hair is bacteria-laden and challenging to disinfect, and clipping can be a safe method of hair removal that does not damage the skin. This article considers the removal of hair at the incision site with clippers, either before the patient enters the OR or in a manner that completely contains clipped hair, for every procedure, not just when absolutely necessary. There have been only two studies to date comparing clipping with no hair removal; more research is needed on this subject.


Assuntos
Remoção de Cabelo/métodos , Assistência Perioperatória/métodos , Desinfecção/métodos , Desinfecção/tendências , Remoção de Cabelo/instrumentação , Remoção de Cabelo/tendências , Humanos , Infecção da Ferida Cirúrgica/prevenção & controle
15.
J Cosmet Laser Ther ; 21(6): 316-322, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31018716

RESUMO

Conventional treatments for excessive hair are tedious and time consuming. Laser hair removal has become the leading therapy option for long-term results. It works on the principle of selective photothermolysis, whereby photons destroy the hair follicle while sparing the surrounding tissue. As demand increases, there has been an increase in the regulation of these treatments. Laser hair removal is not risk-free and side effects are associated with the treatment. Adequate training is vital to minimise adverse side effects. Certain countries have regulatory boards that laser operators need to register with, as well as the completion of mandatory hours. Others require laser operators to register with a Care Quality Commission (CQC) to ensure that minimum training and safety standards are met. Currently, in South Africa, the lack of regulatory boards and mandatory hours poses a risk to the public as anyone with little or no qualification is allowed to perform laser hair removal treatments, placing patients at risk. This review looks at some of the devices used and basic mechanisms of action of laser hair removal, its associated risks, side effects and current regulation.


Assuntos
Remoção de Cabelo/métodos , Terapia com Luz de Baixa Intensidade/métodos , Competência Clínica , Remoção de Cabelo/efeitos adversos , Humanos , Lasers/efeitos adversos , Lasers/classificação , Terapia com Luz de Baixa Intensidade/efeitos adversos , Segurança do Paciente
16.
J Drugs Dermatol ; 18(4): s135-137, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-31017752

RESUMO

Individuals with skin of color are a rapidly growing portion of the cosmetic procedures market. There are unique challenges to treating skin conditions in skin of color patients. This article and roundtable discussion focus on the use of energy-based modalities, particularly a 650-microsecond 1064nm laser that delivers energy in a collimated beam. Alone or in combination with other therapies, the 650-microsecond 1064nm laser has been used successfully to treat melasma, acne, postinflammatory hyperpigmentation, pseudofolliculitis barbae, hair removal, acne keloidalis nuchae, and aging skin in skin of color. J Drugs Dermatol. 2019;18(4 Suppl 1):s135-137.


Assuntos
Remoção de Cabelo/instrumentação , Lasers de Estado Sólido/uso terapêutico , Terapia com Luz de Baixa Intensidade/instrumentação , Envelhecimento da Pele/efeitos da radiação , Dermatopatias/terapia , Adulto , Feminino , Remoção de Cabelo/métodos , Humanos , Lasers de Estado Sólido/efeitos adversos , Terapia com Luz de Baixa Intensidade/métodos , Masculino , Pigmentação da Pele/efeitos da radiação , Resultado do Tratamento , Adulto Jovem
17.
Dermatol Ther ; 32(3): e12880, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30945799

RESUMO

The diversity and utility of laser procedures have increased over the recent years and nowadays, applications for medical and cosmetic reasons have increased considerably. Problematic intraoral and cutaneous hirsutisms have been described as a consequence of complex reconstruction usually after oncology surgery. We present three patients in whom hair removal laser was performed on grafts and flaps in different compromised anatomical areas: oral cavity, penis, and auricular pavilion. All three patients were men; in two of them the hairy graft was a consequence after oncologic surgery reconstruction whereas the third patient presented hair in his auricular pavilion after cochlear implant due to a congenital ear malformation. In all the patients, neodymium:yttrium, aluminum, garnet laser (Nd:YAG) (1,064 nm) laser was performed with excellent aesthetic and functional outcomes with only three sessions. Hair removal laser is a well-accepted and effective method of achieving permanent decrease in hair density. Several lasers have been used successfully, including the long-pulse Alexandrite (755 nm), the long-pulse diode (810 nm), and the Nd:YAG laser (1,064 nm). There is currently no standard protocol for laser use on hairy grafts or flaps and there is limited published data regarding skin graft revision to enhance aesthetics and function.


Assuntos
Remoção de Cabelo/métodos , Terapia a Laser/métodos , Transplante de Pele , Retalhos Cirúrgicos , Adulto , Humanos , Masculino , Pessoa de Meia-Idade
18.
Lasers Surg Med ; 51(8): 735-741, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-30889289

RESUMO

OBJECTIVES: Photoepilation is a commonly used technology in home-use devices (HUDs) and in professional systems to remove unwanted body hair using pulses of laser or intense pulsed light (IPL). Albeit HUDs and professional systems operate at different fluences and treatment regimes, both demonstrate high hair reduction. The underlying mechanisms, however, remain unknown partly due to high divergence of the existing literature data. The objective of this study was to develop an ex vivo photoepilation model with a set of criteria evaluating response to light pulses; and to investigate dose-response behavior of hair follicles (HFs) subjected to a range of fluences. METHODS: After ex vivo treatment (single pulse, 810 nm, 1.7-26.4 J/cm2 , 4-64 ms pulse) human anagen HFs were isolated and maintained in culture for 7-10 days. Response to light was evaluated based on gross-morphology and histological examination (H&E and TUNEL stainings). RESULTS: HFs treated ex vivo demonstrated a dose-dependent response to light with five distinct classes defined by macroscopic and microscopic criteria. Fluences below 13.2 J/cm2 provoked catagen-like transition, higher fluences resulted in coagulation in HF compartments. CONCLUSION: Observed changes in the HF organ culture model were reflected by clinical efficacy. The developed photoepilation model provides an easy and fast method to predict clinical efficacy and permanency of light-based hair removal devices. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.


Assuntos
Folículo Piloso/patologia , Folículo Piloso/efeitos da radiação , Remoção de Cabelo/métodos , Lasers Semicondutores/uso terapêutico , Terapia com Luz de Baixa Intensidade/métodos , Adulto , Idoso , Análise de Variância , Relação Dose-Resposta à Radiação , Feminino , Remoção de Cabelo/instrumentação , Humanos , Técnicas In Vitro , Pessoa de Meia-Idade , Amostragem
20.
J Pediatr Surg ; 54(1): 174-176, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30661599

RESUMO

PURPOSE: The purpose of the study was to evaluate the outcome of pit-picking on adolescents with pilonidal disease. METHODS: Patients presenting to a Pilonidal Clinic were managed by evacuation of any un-drained collections, soaking, and as needed, hair removal. Once active inflammation resolved, they underwent pit-picking under local anesthesia. Those with >3 pits underwent sequential pit-pickings 2 months apart. Hirsute patients also underwent laser hair epilation. Pilonidal disease was stratified by severity. Patient symptoms were collected prospectively and reviewed. RESULTS: Fifty-eight patients underwent at least one pit-picking from February 2016 to September 2017. There were 40 (69%) males with a mean age of 17.7 years (range 13-24). Thirty-seven hirsute patients (64%) underwent a series of laser epilation treatments. Patients required from 0 to 3 days of non-narcotic analgesia, and all returned promptly to pre-procedure activities. Seven patients (12%) were lost to follow-up. Of the 51 patients with follow-up data, 47 (92%) were symptom-free an average of 5.0 months (range 1-20) post-procedure. Four patients (8%) had persistent intermittent drainage. CONCLUSION: Pit-picking is a simple office procedure that may resolve pilonidal disease in many adolescents. A longer follow-up interval is needed to determine the long-term recurrence rate. TYPE OF STUDY: Case Series. LEVEL OF EVIDENCE: Level IV.


Assuntos
Remoção de Cabelo/métodos , Seio Pilonidal/cirurgia , Adolescente , Adulto , Feminino , Humanos , Masculino , Recidiva , Adulto Jovem
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