Application of doppler flowmetry as a measure of assessment of vascularization of pathological postoperative facial scarring

Authors

  • Yu. M. Melnychuk Danylo Halytskyi Lviv National Medical University
  • R. Z. Ohonovskyi Danylo Halytskyi Lviv National Medical University
  • I. Ya. Domnytskyi Danylo Halytskyi Lviv National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2018.3.9444

Keywords:

postoperative pathological scars, extracorporeal shock wave therapy, silicone gel, Doppler flowmetry

Abstract

The aim of the work: to study the application of Doppler flowmetry as a diagnostic method for assessing the combined method of prevention of pathological scar formation in the face of the skin.

Materials and Methods. 25 patients were examined, which were subsequently divided into 2 groups. The comparison group (n = 10) included patients in whom wound healing was the primary tension and no prophylactic procedures were performed. The main group (n = 15) included patients in whom wound healing was the primary tension and a combination of shock waves sessions and Strataderm silicone gel application was used.

Results and Discussion. In the control Doppler of postoperative scarring, in patients referring to the comparison group, isolated blood circulatory loci around the scar were visualized, signs of edema or inflammatory infiltration were not detected.

At controlled Doppler flowmetry of postoperative scarring in patients of the main group, expressed blood supply locus of varying intensity with the presence of nutritional vascular structures throughout the area of ​​the examined area.

References

Fistal, N.N., & Soloshenko, V.V. (2008). Lazernaya dopplerovskaya floumetriya pri lechenii ozhogov [Laser Doppler flowmetry in the treatment of burns]. Kirurgiya – Surgery, 11, 53-57 [in Russian].

Mermans, J.F., Peeters, W.J., & Dikmans, R. (2013). A comparative study of colour and perfusion between two different post surgical scars. Do the laser Dopplerimager and the colorimeter measure the same features of a scar? Skin. Res. Technol., 19 (2), 107-114.

Fraccalvieri, M., Sarno, A., & Gasperini, S. (2013). Can single use negative pressure wound therapy be an alternative method to manage keloid scarring? A preliminary report of a clinical and ultrasound/colour-power-doppler study. Int. Wound J., 10 (3), 340-344.

Li, J.Q., Li-Tsang, C.W., & Huang, Y.P. (2013). Detection of changes of scar thickness under mechanical loading using ultrasonic measurement. Burns, 39 (1), 89-97.

Medhi, B., Sewal, R.K., & Kaman, L. (2013). Efficacy and safety of an advanced formula silicone gel for prevention of post-operative scars. Dermatol. Ther., 3 (2), 1570167.

Fioramonti, P., Cigna, E., & Onesti, M.G. (2012). Extracorporeal shock wave therapy for the management of burn scars. Dermatologic. Surgery, 38 (5), 778-782.

Téot, L. (2013). Prevention of pathologic scars. Soins, 58 (772), 50.

Wang, X.Q., Mill, J., Kravchuk, O., Kimble, R.M. (2010). Ultrasound assessed thickness of burn scars in association with laser Doppler imaging determined depth of burns in paediatric patients. Burns, 36 (8), 1254-1262.

Published

2018-10-17

How to Cite

Melnychuk, Y. M., Ohonovskyi, R. Z., & Domnytskyi, I. Y. (2018). Application of doppler flowmetry as a measure of assessment of vascularization of pathological postoperative facial scarring. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 87–90. https://doi.org/10.11603/2414-4533.2018.3.9444

Issue

Section

EXPERIENCE OF WORK