Uso da fotobiomodulação no manejo das complicações empacientesadultos pós mamoplastia: revisão sistemática da literatura

Abstract

To evaluate the effectiveness of the use of Low Power Laser (LPL) in the management of complications in adult patients after breast augmentation compared to usual care in reducing postoperative complications. Method: This review used the JBI systematic review methodology. It included studies that addressed the use of low-power laser in the postoperative period of adult patients undergoing breast augmentation. Studies using other adjuvant practices for healing the surgical wound after mammoplasty, studies carried out on children and animals, and reviews of any kind were excluded. The databases used for the search were the National Library of Medicine and National Institutes of Health - PUBMED, Latin American and Caribbean Health Sciences Literature - LILACS, Cochrane Library, CINAHL, EMBASE and SCOPUS. The descriptors used were: healing, low-power laser and mammoplasty. The articles were selected in three stages by two independent reviewers. The methodological assessment of quality and data collection was carried out using the standardized JBI instruments. The structuring of the included and excluded articles was presented following the PRISMA flowchart. And the results were presented in table and narrative form. Results: The final sample consisted of 06 studies, published between 1999 and 2022, three of which were Randomized Clinical Trials and three Case Reports. The types of mammoplasty in the publications were reduction mammoplasty (n=2), augmentation mammoplasty (n=3) and reconstructive mammoplasty (n=1). The related complications were fibrotic nodules (n=1), capsular contracture (n=2), post-operative scars (n=1), dehiscence (n=1) and pain (n=1). Conclusion: This review points to the existence of benefits related to the use of Low Power Laser in the management of complications and healing after breast augmentation. A limitation is the level of evidence of the studies included and the heterogeneity of the irradiation parameters adopted and reported.