EFFECTIVE EVALUATION OF LOW-LEVEL LASER HE-NE IN TREATMENT OF SURGICAL WOUND AFTER LUMBAR SPINE SURGERY

Hồng Vân Vũ , Thị Hồng Hậu Nguyễn , Đình Thọ Phạm , Ngọc Quyền Nguyễn

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Abstract

Objectives: To evaluate the efficacy of low-level laser He-Ne therapy in treatment of surgical wound after spinal surgery. Subjects and methods: descriptive, prospective study was done on 150 patient who underwent lumbar spinal surgery and given antibiotic prophylaxis during 24 hours after operation in combination with laser He-Ne therapy for treatment of surgical wound from 1st day post-operation to discharge. Surgical wound pain was assessed by VAS score at point of before and after using laser He-Ne therapy at the 1st day post-operation; patient satisfaction was evaluated by 5-point Liker scale; the surgical wound was followed-up for 3 months after surgery and the infected wound was noted. Results: the VAS of surgical wound pain was 6.0 ± 1.1 before which reduced to 2.7 ± 0.9 after using laser He-Ne therapy; patient satisfaction was 4.4 ± 0.5 according to 5-point Liker scale. Conclusions: The effects of low-level laser He-Ne therapy in treatment of surgical wound after lumbar spine surgery included the reduction of surgical wound pain, the prevention of surgical site infection, and increasing patients’ satisfaction.

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References

1. Bộ Y tế (2012) ‘Hướng Dẫn Phòng Ngừa Nhiễm Khuẩn Vết Mổ’.
2. Habibi, Z., saedinejad, Z. and Eilami, O. (2014) ‘Single Dose Antibiotic Prophylaxis in Lumbar Stenosis or Disc Surgery: A Review of 117 Cases’, Archives of Neuroscience, 2(1), pp. 10–13. doi: 10.5812/archneurosci.15055.
3. Jackson, R. F., Roche, G. and Mangione, T. (2009) ‘Low-Level Laser Therapy Effectiveness for Reducing Pain after Breast Augmentation’, The American Journal of Cosmetic Surgery, 26(3), pp. 144–148. doi: 10.1177/074880680902600303.
4. Nesioonpour, S. et al. (2014) ‘The effect of low-level laser on postoperative pain after tibial fracture surgery: a double-blind controlled randomized clinical trial.’, Anesthesiology and pain medicine, 4(3), p. e17350. doi: 10.5812/aapm.17350.
5. Samaneh, R. et al. (2015) ‘Laser therapy for wound healing: A review of current techniques and mechanisms of action’, Biosciences Biotechnology Research Asia, 12(September), pp. 217–223. doi: 10.13005/bbra/1626.
6. Shaffer, O. W. et al. (2013) Recommendations Regarding antibiotic prophylaxis in spine surgery., Evidence-based clinical guidelines for multidisciplinary spine care. Antibiotic prophylaxis in spine surgery. Available at: https://www.spine.org/Documents/ResearchClinicalCare/Guidelines/AntibioticProphylaxis.pdf.
7. WHO (2018) Global guidelines on the prevention of surgical site infection. Available at: http://www.who.int/gpsc/ssi-prevention-guidelines.
8. Yamamoto, M. et al. (1996) ‘Perioperative antimicrobial prophylaxis in neurosurgery: clinical trial of systemic flomoxef administration and saline containing gentamicin for irrigation.’, Neurologia medico-chirurgica, 36(6), pp. 370–376. doi: 10.2176/nmc.36.370.