Use of Therapeutic LED after Vaporization of Wart Lesions with CO2 Laser: Case Report
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n1.4593Keywords:
Vulvar Neoplasms/therapy, Papillomavirus, Human, Laser Therapy/methods, Low Intensity Light Therapy/methodsAbstract
Introduction: The human papillomavirus (HPV) is a sexually transmitted virus, which can lead to the development of lesions on the skin and mucous membranes. A persistent infection can lead to the occurrence of precursor lesions or cancer in different regions, including vulvar lesions. Case report: Descriptive case report of a physiotherapeutic intervention with therapeutic light emitting diode (LED) in a patient with HPV-induced vulvar lesions who underwent an extensive vaporization procedure. After vaporization, she underwent physiotherapeutic treatment with therapeutic LED to accelerate the healing process, tissue regeneration and minimize pain. A LED blanket was used with 18 red LED diodes – 660 nm and 13 infrared LED diodes 850 nm, being the energy delivered by LED of 1 J every 3 minutes, with 10-minute duration. Two applications were performed during hospitalization, one on the first and the other on the second day after surgery. After hospital discharge, two applications, one per week. After the first two applications of LED in the hospital environment, it was possible to observe, in a subjective way, an improvement in local vascularization. There was also an improvement of local pain, urination after applications and reduction of edema reported by the patient. After two once-a-week outpatient applications, satisfactory healing occurred. Conclusion: LED appears to be a promising resource in the healing of lesions in the vulva caused after laser vaporization, however, further controlled clinical studies are needed to confirm this hypothesis.
Downloads
References
Oliveira AKSG, Jacyntho CMA, Tso FK, et al. “HPV infection - screening, diagnosis and management of HPV-induced lesions”. Rev Bras Ginecol Obstet. 2021;43(3):240-6. doi: https://doi.org/10.1055/s-0041-1727285 DOI: https://doi.org/10.1055/s-0041-1727285
Kamolratanakul S, Pitisuttithum P. “Human papillomavirus vaccine efficacy and effectiveness against cancer”. Vaccines. 2021;9(12):1413, doi: https://doi.org/10.3390/vaccines9121413 DOI: https://doi.org/10.3390/vaccines9121413
Shapiro G. “HPV vaccination: an underused strategy for the prevention of cancer”. Curr Oncol. 2022;29(5):3780-92. doi: https://doi.org/10.3390/curroncol29050303 DOI: https://doi.org/10.3390/curroncol29050303
Hoang LN, Parque KJ, Soslow RA, et al. “Squamous precursor lesions of the vulva: current classification and diagnostic challenges”. Pathology. 2016;48(4):291-302. doi: https://doi.org/10.1016/j.pathol.2016.02.015 DOI: https://doi.org/10.1016/j.pathol.2016.02.015
Thuijs NB, Beurden MV, Bruggink AH,et al. “Vulvar intraepithelial neoplasia: incidence and long-term risk of vulvar squamous cell carcinoma”. Inter J Cancer. 2021;148(1):90-98. doi: https://doi.org/10.1002/ijc.33198 DOI: https://doi.org/10.1002/ijc.33198
Preti Mario, et al. Vulvar intraepithelial neoplasia. Best pract res Clin obstet gynaecol. 2014;28(7)1051-62. doi: https://doi.org/10.1016/j.bpobgyn.2014.07.010 DOI: https://doi.org/10.1016/j.bpobgyn.2014.07.010
Federação Brasileira das Associações de Ginecologia e Obstetrícia. Lesões pré-invasivas da vulva, da vagina e do colo uterino. Protocolos Febrasgo. São Paulo: FEBRASGO; 2021. (Ginecologia, n. 7).
LeBreton M, Caixa I, Brousse S, et al. Vulvar intraepithelial neoplasia: classification, epidemiology, diagnosis, and management. J Gynecol Obstet Hum Reprod (Online). 2020;49(9):101801. doi https://doi.org/10.1016/j.jogoh.2020.101801 DOI: https://doi.org/10.1016/j.jogoh.2020.101801
Kohli N, Jarnagin B, Stoehr AR, et al. An observational cohort study of pelvic floor photobiomodulation for treatment of chronic pelvic pain. J comp eff res (Online). 2021;10(17):1291-9. doi: https://doi.org/10.2217/cer-2021-0187 DOI: https://doi.org/10.2217/cer-2021-0187
Rahm C, Adok C, Dahm-Kähler P, et al. Complications and risk factors in vulvar cancer surgery – a population-based study. Eur j surg oncol. 2022;48(6):1400-6. doi: https://doi.org/10.1016/j.ejso.2022.02.006 DOI: https://doi.org/10.1016/j.ejso.2022.02.006
René‐Jean B, Epstein JB, Nair RG, et al. Safety and efficacy of photobiomodulation therapy in oncology: a systematic review. Cancer Med. 2020;9(22):8279-300. doi: https://doi.org/10.1002/cam4.3582 DOI: https://doi.org/10.1002/cam4.3582
Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção I:59.
Satmary W, Holschneider CH, Morena LL, et al. Vulvar intraepithelial neoplasia: risk factors for recurrence. Gynecol Oncol. 2018;148(1):126-31. doi: https://doi.org/10.1016/j.ygyno.2017.10.029 DOI: https://doi.org/10.1016/j.ygyno.2017.10.029
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.
