Este  estudio muestra como se integra las medicinas complementarias a la cirugia dermatologica, por  supuesto esto en menos de  5 años sera  un procedimiento que  el mismo paciente  opte y también  muchos médicos tengan  la  apertura para un tratamiento mas  amable en  el  perioperatorio.


Common complementary and alternative therapies with potential use in dermatologic surgery: Risks and benefits



Kavitha K. Reddy MDaLauri Grossman DC, CCH, RSHom (NA)b and Gary S. Rogers MDa
a Department of Dermatology, Tufts University School of Medicine, Boston, Massachusetts
b American Medical College of Homeopathy

Background

Ambulatory surgery patients often use complementary and alternative medicine (CAM) therapies. CAM therapies may create beneficial and detrimental perioperative conditions.


Results

A myriad of products may be used perioperatively by the patient. Therapies appearing to have some evidence for potential benefit include bromelain, honey, propolis, arnica, vitamin C and bioflavonoids, chamomile, aloe vera gel, grape seed extract, zinc, turmeric, calendula, chlorella, lavender oil, and gotu kola. Potential complications vary according to product and include platelet inhibition, contact dermatitis and, in rare cases, systemic toxicity.

Limitations

This review focuses on CAM having significant published studies evaluating efficacy for wound healing, anti-inflammatory, antipurpuric, or perioperative-related use. Most published studies have been small and often have design flaws. The scope of CAM is large and not all therapies are discussed.

Conclusion


Selected CAM therapies have been reported to promote wound healing, reduce edema or purpura, and provide anti-inflammatory effects. Because of high rates of CAM use, surgeons should familiarize themselves with common uses, potential benefits, and complications.

 Further study of effects in the dermatologic surgery setting may improve the patient-doctor relationship and enhance outcomes.

Key wordsarnica; bromelain; complementary and alternative medicine; dermatologic surgery; honey; propolis

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