Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/3305 |
Resumo: | Bariatric surgery is a successful means for weight loss in morbid obesity, it is an extensive surgery, which may lead to surgical complications. Low level laser therapy (LLLT) has been increasingly applied due to its effectiveness in decreasing inflammatory response, accelerating tissue repair and analgesic response. The study aim was to investigate LLLT effects in post-operative of bariatric surgery and determine the lasertherapy outcome in this surgical procedure through action in inflammation, wound healing through clinical observation and analgesia. Randomized clinical trial, placebo-controlled, in which 85 patients underwent gastric bypass (RYGB) by open means. Patients were divided into 2 groups: Laser group- 43 patients received the CW diode with 808 nm wavelength, fluence-10J/cm², output power- 100mW, time- 20seconds/pt and total energy 2J/pt. The LLLT was applied at 10 points on surgical bed perimeter in three sessions. Placebo group had 42 patients were receiving the disabled Laser equipment. The temperature through digital thermometer along the scar and 20 cm away from it were measured. Pain was assessed by visual analogue scale (VAS) in POI, 1st and 2nd PO and the surgical wound were analyzed, through digital photography in the POI /1stPO , 7thPO and 30thPO to inspect the surgical scar and for complications like seroma. Laser group (LLLT) demonstrated temperature decrease along wound region, signalizing inflammatory process reduction. As for wound repairing better scar lesion and pain assessment improvement was observed. Three sessions of LLLT showed better anti-inflammatory and anti edematous action, facilitating the analgesic effects. |
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Chavantes, Maria Cristinahttp://lattes.cnpq.br/9684711829191051Duarte, Ivone da Silvahttp://lattes.cnpq.br/3180704729755017Chavantes, Maria Cristinahttp://lattes.cnpq.br/9684711829191051Silva, Daniela de Fátima Teixeira dahttp://lattes.cnpq.br/5912729434641689Dalboni, Maria Aparecidahttp://lattes.cnpq.br/9818040147487320http://lattes.cnpq.br/9824873551870959Ojea, Alecsander Rodriguez2024-04-08T18:53:54Z2015-12-09Ojea, Alecsander Rodriguez. Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica. 2015. 64 f. Dissertação( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/3305Bariatric surgery is a successful means for weight loss in morbid obesity, it is an extensive surgery, which may lead to surgical complications. Low level laser therapy (LLLT) has been increasingly applied due to its effectiveness in decreasing inflammatory response, accelerating tissue repair and analgesic response. The study aim was to investigate LLLT effects in post-operative of bariatric surgery and determine the lasertherapy outcome in this surgical procedure through action in inflammation, wound healing through clinical observation and analgesia. Randomized clinical trial, placebo-controlled, in which 85 patients underwent gastric bypass (RYGB) by open means. Patients were divided into 2 groups: Laser group- 43 patients received the CW diode with 808 nm wavelength, fluence-10J/cm², output power- 100mW, time- 20seconds/pt and total energy 2J/pt. The LLLT was applied at 10 points on surgical bed perimeter in three sessions. Placebo group had 42 patients were receiving the disabled Laser equipment. The temperature through digital thermometer along the scar and 20 cm away from it were measured. Pain was assessed by visual analogue scale (VAS) in POI, 1st and 2nd PO and the surgical wound were analyzed, through digital photography in the POI /1stPO , 7thPO and 30thPO to inspect the surgical scar and for complications like seroma. Laser group (LLLT) demonstrated temperature decrease along wound region, signalizing inflammatory process reduction. As for wound repairing better scar lesion and pain assessment improvement was observed. Three sessions of LLLT showed better anti-inflammatory and anti edematous action, facilitating the analgesic effects.A cirurgia bariátrica é um meio bem sucedido para a perda de peso em obesos mórbidos, e por ser uma cirurgia extensa, pode levar a complicações cirúrgicas. Laser de baixa intensidade (LBI) vem sendo cada vez mais aplicada devido à sua eficácia na redução da resposta inflamatória, acelerando a reparação tecidual e resposta analgésica. O objetivo deste estudo foi investigar os efeitos do LBI em pós-operatório de cirurgia bariátrica e determinar o resultado da laserterapia neste procedimento cirúrgico através de ação na inflamação, cicatrização de feridas, da observação clínica e analgesia. Ensaio clínico randomizado, controlado por placebo, em que 85 pacientes foram submetidos a bypass gástrico (RYGB) por meio cirúrgico aberto. Os pacientes foram divididos em 2 grupos: Grupo Laser - 43 pacientes receberam o diodo CW com comprimento de onda de 808 nm, fluência-10J / cm², potência de 100mW, 20 segundo tempo por ponto e total de 2J de energia por ponto. O laser foi aplicado em 10 pontos no perímetro cirúrgico em três sessões. Grupo do placebo teve 42 pacientes que receberam o equipamento do Laser desativado. A temperatura foi aferida através de termômetro digital ao longo da cicatriz e 20 cm de distância a partir dela. A dor foi avaliada pela escala visual analógica (EVA) no POI, 1º e 2º PO e a ferida cirúrgica foi analisada através da fotografia digital no POI / 1 ° PO, 7º PO e 30º PO para inspecionar a cicatriz cirúrgica e complicações como seroma. O Grupo Laser (LBI) demonstrou diminuição da temperatura ao longo da região da ferida, sinalizando redução do processo inflamatório. Quanto a ferida foi observado melhor cicatrização e na avaliação da dor foi observada melhor analgesia. Três sessões de LBI mostrou melhor ação anti edematosa e anti-inflamatória, facilitando os efeitos analgésicos.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2024-04-08T18:53:53Z No. of bitstreams: 1 Alecsander Rodriguez Ojea.pdf: 1086867 bytes, checksum: ee7117208edc4fcfdc323f081037e40d (MD5)Made available in DSpace on 2024-04-08T18:53:54Z (GMT). No. of bitstreams: 1 Alecsander Rodriguez Ojea.pdf: 1086867 bytes, checksum: ee7117208edc4fcfdc323f081037e40d (MD5) Previous issue date: 2015-12-09application/pdfporUniversidade Nove de JulhoPrograma de Mestrado em MedicinaUNINOVEBrasilSaúdecirurgia bariátricaobesidade mórbidaedemaseromalaserterapiafotobiomodulação ou Laser de Baixa Intensidade (LBI)bariatric surgerymorbid obesityswellingseromalaser therapyphotobiomodulation or Low Level Laser Therapy (LLLT)CIENCIAS DA SAUDEFotobiomodulação na ferida cirúrgica após cirurgia bariátricaPhotobiomodulation in surgical wound after bariatric surgeryinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALAlecsander Rodriguez Ojea.pdfAlecsander Rodriguez Ojea.pdfapplication/pdf1086867http://localhost:8080/tede/bitstream/tede/3305/2/Alecsander+Rodriguez+Ojea.pdfee7117208edc4fcfdc323f081037e40dMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/3305/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/33052024-04-08 15:53:54.061oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2024-04-08T18:53:54Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
dc.title.alternative.eng.fl_str_mv |
Photobiomodulation in surgical wound after bariatric surgery |
title |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
spellingShingle |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica Ojea, Alecsander Rodriguez cirurgia bariátrica obesidade mórbida edema seroma laserterapia fotobiomodulação ou Laser de Baixa Intensidade (LBI) bariatric surgery morbid obesity swelling seroma laser therapy photobiomodulation or Low Level Laser Therapy (LLLT) CIENCIAS DA SAUDE |
title_short |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
title_full |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
title_fullStr |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
title_full_unstemmed |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
title_sort |
Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica |
author |
Ojea, Alecsander Rodriguez |
author_facet |
Ojea, Alecsander Rodriguez |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Chavantes, Maria Cristina |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9684711829191051 |
dc.contributor.advisor-co1.fl_str_mv |
Duarte, Ivone da Silva |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/3180704729755017 |
dc.contributor.referee1.fl_str_mv |
Chavantes, Maria Cristina |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9684711829191051 |
dc.contributor.referee2.fl_str_mv |
Silva, Daniela de Fátima Teixeira da |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/5912729434641689 |
dc.contributor.referee3.fl_str_mv |
Dalboni, Maria Aparecida |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/9818040147487320 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9824873551870959 |
dc.contributor.author.fl_str_mv |
Ojea, Alecsander Rodriguez |
contributor_str_mv |
Chavantes, Maria Cristina Duarte, Ivone da Silva Chavantes, Maria Cristina Silva, Daniela de Fátima Teixeira da Dalboni, Maria Aparecida |
dc.subject.por.fl_str_mv |
cirurgia bariátrica obesidade mórbida edema seroma laserterapia fotobiomodulação ou Laser de Baixa Intensidade (LBI) |
topic |
cirurgia bariátrica obesidade mórbida edema seroma laserterapia fotobiomodulação ou Laser de Baixa Intensidade (LBI) bariatric surgery morbid obesity swelling seroma laser therapy photobiomodulation or Low Level Laser Therapy (LLLT) CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
bariatric surgery morbid obesity swelling seroma laser therapy photobiomodulation or Low Level Laser Therapy (LLLT) |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Bariatric surgery is a successful means for weight loss in morbid obesity, it is an extensive surgery, which may lead to surgical complications. Low level laser therapy (LLLT) has been increasingly applied due to its effectiveness in decreasing inflammatory response, accelerating tissue repair and analgesic response. The study aim was to investigate LLLT effects in post-operative of bariatric surgery and determine the lasertherapy outcome in this surgical procedure through action in inflammation, wound healing through clinical observation and analgesia. Randomized clinical trial, placebo-controlled, in which 85 patients underwent gastric bypass (RYGB) by open means. Patients were divided into 2 groups: Laser group- 43 patients received the CW diode with 808 nm wavelength, fluence-10J/cm², output power- 100mW, time- 20seconds/pt and total energy 2J/pt. The LLLT was applied at 10 points on surgical bed perimeter in three sessions. Placebo group had 42 patients were receiving the disabled Laser equipment. The temperature through digital thermometer along the scar and 20 cm away from it were measured. Pain was assessed by visual analogue scale (VAS) in POI, 1st and 2nd PO and the surgical wound were analyzed, through digital photography in the POI /1stPO , 7thPO and 30thPO to inspect the surgical scar and for complications like seroma. Laser group (LLLT) demonstrated temperature decrease along wound region, signalizing inflammatory process reduction. As for wound repairing better scar lesion and pain assessment improvement was observed. Three sessions of LLLT showed better anti-inflammatory and anti edematous action, facilitating the analgesic effects. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-12-09 |
dc.date.accessioned.fl_str_mv |
2024-04-08T18:53:54Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Ojea, Alecsander Rodriguez. Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica. 2015. 64 f. Dissertação( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/3305 |
identifier_str_mv |
Ojea, Alecsander Rodriguez. Fotobiomodulação na ferida cirúrgica após cirurgia bariátrica. 2015. 64 f. Dissertação( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo. |
url |
http://bibliotecatede.uninove.br/handle/tede/3305 |
dc.language.iso.fl_str_mv |
por |
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por |
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8765449414823306929 |
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600 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Nove de Julho |
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Programa de Mestrado em Medicina |
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UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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