The Effects of Laser Therapy in Treating Hypertrophic Scars and Keloids after Median Sternotomy:A Scoping Review  

作　　者：Laura Schianchi Fabrizio Vaira Massimo Chessa Serena Francesca Flocco Arianna Magon Gianluca Conte Karina Geraldina Zuniga Olaya Giacomo Bortolussi Erika Cioffi Matteo Riccardo Di Nicola Santo Raffaele Mercuri Rosario Caruso 

机构地区：[1]Adult Congenital Heart Disease Unit,IRCCS Policlinico San Donato,San Donato Milanese,Milan,20097,Italy [2]Dermatology and Cosmetology Unit,IRCCS Ospedale San Raffaele,Milan,20132,Italy [3]Faculty of Medicine and Surgery,Vita-Salute San Raffaele University,Milan,20132,Italy [4]Health Professions Research and Development Unit,IRCCS Policlinico San Donato,San Donato Milanese,Milan,20097,Italy [5]Department of Congenital Cardiac Surgery,IRCCS Policlinico San Donato,San Donato Milanese,Milan,20097,Italy [6]Cardiac Surgery,IRCCS Policlinico San Donato,San Donato Milanese,Milan,20097,Italy [7]Department of Biomedical Sciences for Health,University of Milan,Milan,20133,Italy

出　　处：《Congenital Heart Disease》2024年第4期363-374,共12页先天性心脏病（英文）

摘　　要：Background:Hypertrophic scars and keloids,common complications following median sternotomy for cardiac surgery,significantly impact patient quality of life due to their aesthetic and symptomatic burden.Recent advancements in laser therapy have made it a prominent option for managing these complex scars,yet a com-prehensive understanding of its efficacy is lacking.The aim of this scoping review is to explore the effects of laser therapy in managing hypertrophic scars and keloids after median sternotomy.Methods:This scoping review ana-lyzed studies up to February 2024 from databases including PubMed,EMBASE,CINAHL,Scopus,Web of Science,and the Cochrane Library.We included any study that assessed laser therapy’s effects on hypertrophic scars and keloids following median sternotomy.Studies were selected based on predefined inclusion criteria with-out publication year,design,or origin restrictions.Results:Six studies met the inclusion criteria,involving a total offive RCTs and one review.These studies primarily tested 585 and 595-nm pulsed dye laser(PDL)treatments,focusing on scar appearance,patient symptoms,and treatment satisfaction.Most studies reported significant improvements in scar height reduction and patient symptom relief after treatment,with mixed results for scar erythema and elasticity.Adverse events were generally mild and transient.Conclusions:Laser therapy offers a beneficial approach for improving the appearance and symptoms of hypertrophic scars and keloids post-median sternotomy.However,further research is necessary to optimize treatment parameters and explore the long-term psychosocial impacts of this therapy.This review highlights the need for more comprehensive studies to establish standardized treatment protocols and evaluate their effectiveness.

关 键 词：Laser therapy hypertrophic scars KELOIDS median sternotomy cardiac surgery pulsed dye laser scar management 

分 类 号：R654.2[医药卫生—外科学]