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Scar Prevention by Low Level Laser Therapy on Surgical Wound Post Hand Flexor Tendon Repair / By Amr Abdelgalil Khalil Attia Elgrahi; Under Supervisor of Dr. Eman Mohamed Othman, Dr. Mohammad Hasan Ahmad, Dr. Rokaia Ali Zain El-Abedeen Mohamed Toson.

By: Contributor(s): Material type: TextTextLanguage: English Summary language: English Spoken language: Arabic Producer: 2023Description: 87 pages : illustrations ; 25 cm. CDContent type:
  • text
Media type:
  • Unmediated
Carrier type:
  • volume
Other title:
  • تأثيرالتدخل المبكر لليزر منخفض التردد على الندوب بعد الإصلاح الجراحي لتمزق الوتر القابض لليد [Added title page title]
Subject(s): DDC classification:
  • 615.82
Available additional physical forms:
  • Issued also as CD
Dissertation note: Thesis (M.Sc.)-Cairo University, 2023. Summary: Background: Flexor tendon injury is a common problem requiring suturing repair followed by early postoperative mobilization. Scar formation considered one of many complications produced after surgical repair of flexor tendon. Objective: to evaluate the effect of an early intervention of Low Level Laser Therapy (LLLT) on incisional wound scar formation and range of motion (ROM) of interphalangeal (IP) joints post-surgical repair of hand flexor tendon laceration. Methods: Thirty patients aging between 20 and 40 years were divided into two equal groups of numbers. Laser group received early LLLT in addition to post surgical medical care while control group received only post surgical medical care. The assessment was taken after 4weeks and 12 weeks postoperative by using Vancouver Scar Scale (VSS) to determine the incisional scar maturation and hand goniometer to determine the total active motion (TAM) of affected fingers. Results: Within group comparisons revealed a significant decrease in the VSS and a significant increase in TAM after 12 weeks compared with that after 4 weeks in both groups (p < 0.001). After 4 weeks and 12 weeks, there was a significant decrease in the VSS and a significant increase in TAM in laser group compared to the control group (p < 0.01). Conclusion: Early applications of low laser therapy post-surgical repair of flexor tendon laceration improve TAM and minimize scar formation. Although previous studies shown the presence of a link between scar tissue and TAM, early application of LLLT revealed minimal decrease in scar prevention.Summary: شارك ثلاثون مريضا من الذكور تتراوح أعمارهم بين ٢٠- ٤٠ سنة و تم تقسيمهم الى مجموعتين متساويتين، مجموعة العلاج بالليزر و التي تلقت التدخل المبكر لليزر منخفض التردد بالاضافة للرعاية الطبية بعد الإصلاح الجراحي و مجموعة التحكم و التي تلقت الرعاية الطبية بعد الإصلاح الجراحي فقط. تم التقييم لكل شخص في المجموعتين بعد مرور ٤ أسابيع و بعد ١٢ أسبوع من الإصلاح الجراحي بإستخدام مقياس فانكوفر للندوب لقياس مدى التئام الجرح و مقياس زوايا اليد لقياس مجموع الحركة النشطة للأصابع المتضررة. الاستنتاج: تحسن الحركة الكلية النشطة و قلة في تكون الندبات بعد التدخل المبكر لليزر منخفض التردد بعد جراحة إصلاح تمزق الوتر القابض لليد.
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01 21 07 M.Sc 2023 Am.S (Browse shelf(Opens below)) Not for loan 01010110088328000

Thesis (M.Sc.)-Cairo University, 2023.

Bibliography: pages 75-86.

Background: Flexor tendon injury is a common problem requiring
suturing repair followed by early postoperative mobilization. Scar formation
considered one of many complications produced after surgical repair of flexor
tendon. Objective: to evaluate the effect of an early intervention of Low
Level Laser Therapy (LLLT) on incisional wound scar formation and range of
motion (ROM) of interphalangeal (IP) joints post-surgical repair of hand
flexor tendon laceration. Methods: Thirty patients aging between 20 and 40
years were divided into two equal groups of numbers. Laser group received
early LLLT in addition to post surgical medical care while control group
received only post surgical medical care. The assessment was taken after
4weeks and 12 weeks postoperative by using Vancouver Scar Scale (VSS) to
determine the incisional scar maturation and hand goniometer to determine the
total active motion (TAM) of affected fingers. Results: Within group
comparisons revealed a significant decrease in the VSS and a significant
increase in TAM after 12 weeks compared with that after 4 weeks in both
groups (p < 0.001). After 4 weeks and 12 weeks, there was a significant
decrease in the VSS and a significant increase in TAM in laser group
compared to the control group (p < 0.01). Conclusion: Early applications of
low laser therapy post-surgical repair of flexor tendon laceration improve
TAM and minimize scar formation. Although previous studies shown the
presence of a link between scar tissue and TAM, early application of LLLT
revealed minimal decrease in scar prevention.

شارك ثلاثون مريضا من الذكور تتراوح أعمارهم بين ٢٠- ٤٠ سنة و تم تقسيمهم الى مجموعتين متساويتين، مجموعة العلاج بالليزر و التي تلقت التدخل المبكر لليزر منخفض التردد بالاضافة للرعاية الطبية بعد الإصلاح الجراحي و مجموعة التحكم و التي تلقت الرعاية الطبية بعد الإصلاح الجراحي فقط. تم التقييم لكل شخص في المجموعتين بعد مرور ٤ أسابيع و بعد ١٢ أسبوع من الإصلاح الجراحي بإستخدام مقياس فانكوفر للندوب لقياس مدى التئام الجرح و مقياس زوايا اليد لقياس مجموع الحركة النشطة للأصابع المتضررة. الاستنتاج: تحسن الحركة الكلية النشطة و قلة في تكون الندبات بعد التدخل المبكر لليزر منخفض التردد بعد جراحة إصلاح تمزق الوتر القابض لليد.

Issued also as CD

Text in English and abstract in Arabic & English.

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