Laser-activated tissue repair: No Scars No Stitches

Wow !

Stuffs of science fiction and Bollywood movies are rapidly coming to pass.  Photochemical tissue bonding, or laser-assisted nanosuturing is a novel technique that allows the surgeon to close the epidermal defect with laser following the application of a light-sensitive dye to the wound edges eliminating the need for epidermal suture placement.

As this article extols it as a new cutting-edge technology that may rewrite the surgical books in terms of standard surgical closure procedures. After the clinical trials the results are described thus:

Results showed that a vast majority of the patients preferred the laser-assisted approach. In all cases, the tensile strength was comparable if not better than the traditional closure technique, and the scar appearance of the laser-treated side in many of the patients was near imperceptible.

Though in a few cases, the scar was not clinically and aesthetically attractive, Dr. Tsao says, the laser-treated side was always the better appearing side. There were no complications, infections or dehiscence associated with either the traditional or the laser-assisted treated wound edges.

Patients were evaluated at two weeks, three months and at six months. Study endpoints included efficacy of wound closure, vascularity, pigmentation, elevation, atrophy and scar appearance. The surgical sites were evaluated by two blinded physicians and patients were also asked to make an evaluation based on the same attributes.

You can read the complete article here at Modern Medicine.

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