Wound, Wound Heal, Wound Infection
Conditions
Keywords
Coronary arteries bypass grafting, high level laser therapy, Low-level laser therapy, Median sternotomy healing
Brief summary
LASER therapy is potent physiotherapy modalities, providing better sternotomy healing for patients who have undergone CABG surgery, compared with traditional wound care management alone. HLLT and LLLT were found to be the most effective methods for sternotomy healing post-CABG surgery, with HLLT offering superior performance in the case of the high deep penetration and significance less time needed to deliver the same joules/ cm compared to LLLT used for the wound site.
Detailed description
The aim of this study was to investigate the effects of class IV high-level laser therapy (HLLT) versus class IIIb low level laser therapy (LLLT) on sternotomy healing following coronary artery bypass grafting (CABG) surgery. Forty- five patients male patients who had CABG surgery in the age range of 45-65 years were divided randomly into three equal groups (n = 15). The group HLLT laser received HLLT plus traditional wound management, while the group LLLT laser received LLLT plus traditional wound management. The control group only received a traditional wound management in form of saline irrigation, dressing, and topical bivatracin spray according to hospital protocol. All groups were offered 10 sessions over 4 weeks. HLLT and LLLT were found to be the most effective methods for sternotomy healing post-CABG surgery, with HLLT offering superior performance in the case of the high deep penetration and significance less time needed to deliver the same joules/ cm compared to LLLT used for the wound site.
Interventions
DEVICElaser therapy for wound management
comparison between laser effect on post median sternotomy incision compared to traditional wound care
Sponsors
Heidy F. Ahmed
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
he patientsdidnt know the different types of laser which procedure they received & the outcomes assessor done by my supervisors and didn't know which result related to specific group
Intervention model description
group A receive laser therapy class IV+traditional wound care and group (B): Laser therapy class IIIb + traditional wound care and group C receive only traditional wound care
Eligibility
Sex/Gender
MALE
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* aged between 45 and 65 years * male gender; haemodynamic stability * body mass index (BMI) from 18.5 to 29.9 kg/m2 * Non-infected sternotomy site * Normal ejection fraction to ensure normal vascularity.
Exclusion criteria
* included previous thoracic surgery * emergency or urgent coronary artery bypass surgery * respiratory insufficiency after surgery, manifesting hypoxemia with partial oxygen pressure in arterial blood \< 60 mmHg; Ejection fraction \< 50% * Paramedian sternotomy which may cut wire causing sternal mobilization which is the start of deep wound infection * Bilateral mammary harvesting which decrease blood flow to sternum; low cardiac output syndrome with ST segment elevation in multiple electrocardiogram leads, cardiac arrhythmias or hypotension, according to the American College of Cardiology Foundation and American Heart Association * other medical conditions, such as diabetes, uncontrolled hypertension and obesity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PUSH pressure ulcer scaling healing score for wound healing | two consecutive months | measure wound surface area in cm 2 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| VAS visual analogue scale | two consecutive months | visual analogue scale of the pain in numbers from 1-10(10 max pain and 1 min pain) |
Countries
Egypt
Outcome results
None listed