[libribook.com] Traumatic Scar Tissue Management 1st Edition

Techniques
Commonly employed techniques include:
• Superficial fluid (if edema is still present)
• Nerve sedating
Time frame
Preoperative
Postoperative
Goal
Address patient specific comorbidities (e.g. *stress, *anxiety, pathologies and other factors that
impact wound healing, such as diabetes, smoking)
Limit use of medications known to have a negative impact on the healing process (e.g. antiinflammatories)
Address factors that contribute to poor wound healing (poor or inadequate nutrition,
*prolonged/overt inflammation, *hypoxia, *pain)
Prevent repeat trauma at scar site
*Improve blood supply, * facilitate adequate circulation and *oxygenation
Keep wound hydrated with proper wound dressing
Prevent infection and *improve immune functioning
*Maximize healing environment (cellular, neural and circulatory considerations)
*Manage microenvironment of the wound (alteration of signaling molecules to promote healthy
scar formation and prevent excessive scarring, reduce mechanical strain impact on inflammatory
mediators, profibrotic cytokines and proliferation of MFBs)
Address psychological *stress and *anxiety
*Address tissue tension, and stress to attenuate collagen deposition
*Factors that may be improved by MT.
(Adapted from Gantwerker & Hom 2012).