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This study evaluated the effects of laser application of diverse wavelengths applied simultaneously and on different skins. The sample included two participants, a woman with light skin with abdominal hair and a woman with dark skin and hair on the inner part of the lower limbs, who received a laser therapy session. After 45 days from laser application, abdominoplasty and thigh dermolipectomy surgery were performed. In the control sample, the hair follicles were in the anagen phase, showing the presence of Bcl-2 expression. In the treated areas, follicles were observed in an advanced phase (telogen), with the presence of CK-18 and negativity of Bcl-2, highlighting the phase of hair loss at that moment and the complete apoptosis of the investigated follicle. Significant difference was observed in the comparison of the anagen phase (p = .00) and it similarly occurred in the comparison of the telogen phase (p = .00). The presence of a greater amount of follicles in the anagen phase in the control area and follicles in the telogen phase in the treated area demonstrates the efficiency of the laser at different wavelengths when reaching different skin phototypes and hair thickness, being reinforced by apoptosis and cell proliferation markers. Therefore, the hair-removal process has been optimized with various laser wavelengths.

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BACKGROUND: Laser hair removal (LHR) is a common practice with increasing use worldwide. Clinical and dermoscopic changes in melanocytic nevi after LHR have been reported but prospective studies are lacking. OBJECTIVE: To describe dermoscopic changes of melanocytic nevi at different time points after LHR. METHODS: Prospective study in a cohort of female patients undergoing diode LHR. Dermoscopic follow-up of at least three nevi on the legs that underwent hair removal. We included three nonexposed nevi on the arms as controls. Two blinded investigators analyzed dermoscopic images, according to variables selected based on the available literature. RESULTS: Thirty-four patients were included with a total of 148 nevi on the legs and 112 nevi on the arms (controls). 47.9% (71/148) of the nevi on the legs had evidence of dermoscopic changes at the sixth hair removal session, compared to 9.8% (11/112) on controls (p < 0.001). The most frequent change was "bleaching" (41.9%, 62/148). Also, we observed "irregular hyperpigmented areas," and "regression structures" in 5.4% (8/148) and 4.7% (7/148) of the cases at the sixth session, respectively. Neither of these structures were observed in the controls (p < 0.05). LIMITATIONS: Only females were included; we did not perform histopathological evaluation nor reflectance confocal microscopy of changing nevi. CONCLUSION: Melanocytic nevi frequently change after diode LHR. The changes cannot always distinguish between LHR induced and melanoma, so we advise avoiding nevi during laser therapies with melanin targets.

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Resumen Introducción La Infección del sitio operatorio genera un impacto económico y social debido a los altos costos durante la recuperación, la estancia hospitalaria y la afectación de la calidad de vida, por esto, es necesario identificar las intervenciones y recomendaciones para la preparación de la piel, encaminadas a la prevención de la infección del sitio operatorio, basado en la evidencia científica. Materiales y Métodos Se realizó una revisión sistemática de alcance en el marco del Instituto Joanna Briggs y los parámetros Prisma-P. En las bases de datos Medline, OVID, Pubmed, Scielo, BVS y Cochrane, publicadas entre los años 2010-2019, en los idiomas inglés, portuges y español. Resultados Se analizaron 28 artículos. De estos, se identificaron 6 de la categoría general incluidas las guías de prevención de infección del sitio operatorio, 6 para el baño preoperatorio, 6 para la realización del rasurado y 10 de asepsia y antisepsia. Discusión Con respecto al baño preoperatorio, es una práctica recomendada internacionalmente, la evidencia demuestra que esta actividad no representa ningún beneficio; en la categoría de rasurado, la recomendación es no remover el vello a menos que sea absolutamente necesario. Frente a la asepsia del sitio quirúrgico, el aporte es más que todo informativo acerca de los antisépticos y se recomienda el uso de la clorhexidina. Conclusiones De acuerdo a la revisión sistemática de alcance de la literatura, no se evidencia una estandarización en las recomendaciones e intervenciones, para la preparación de la piel en la prevención de Infección del Sitio Operatorio.

Abstract Introduction Surgical Site Infections have an economic and social impact due to high costs during recovery, hospital stay and deterioration in quality of life. Therefore, it is required to identify interventions and recommendations for skin preparation aimed at preventing surgical site infection based on a scientific evidence-based approach. Materials and Methods A systematic scoping review was conducted on English, Portuguese and Spanish articles published in Medline, Ovid, PubMed, Scielo, BVS, and Cochrane in 2010-2019 using the Joanna Briggs Institute approach and Prisma-P parameters. Results After analyzing a total of 28 articles, 6 articles were found to be related to the general category (including guidelines for prevention of surgical site infection), 6 for preoperative bathing, 6 for preoperative hair removal and 10 for asepsis and antisepsis. Discussion Although preoperative bathing is an internationally recognized practice, scientific evidence shows that this activity does not have any benefit. As for preoperative hair removal, it is not recommended except where absolutely necessary. As for surgical asepsis, mostly informative aspects are found about the use of antiseptics and chlorhexidine. Conclusions Based on the systematic scoping review of the literature, a lack of standardization was found regarding interventions and recommendations for skin preparation for the prevention of Surgical Site Infection

Resumo Introdução A Infecção do Local Operatório gera impacto econômico e social devido aos altos custos durante a recuperação, internação e o impacto na qualidade de vida, portanto, é necessário identificar as intervenções e recomendações para o preparo da pele, visando à prevenção de cirurgias da infecção local operativo, com base em evidências científicas. Materiais e Métodos Uma revisão sistemática de alcance foi realizada dentro da estrutura do Instituto Joanna Briggs e dos parâmetros Prisma-P. Nas bases de dados Medline, OVID, Pubmed, Scielo, BVS e Cochrane, publicadas entre os anos 2010-2019, nos idiomas inglês, português e espanhol. Resultados Foram analisados 28 artigos. Destes, 6 foram identificados na categoria geral, incluindo as diretrizes de prevenção de infecção de local cirúrgico, 6 para o banho pré-operatório, 6 para barbear e 10 para assepsia e antissepsia. Discussão Em relação ao banho pré-operatório, é uma prática recomendada internacionalmente, as evidências demonstram que esta atividade não representa nenhum benefício; na categoria de barbear, a recomendação é não remover os pelos, a menos que seja absolutamente necessário. Dada à assepsia do local cirúrgico, a contribuição é principalmente informativa sobre os antissépticos e recomenda-se o uso da clorexidina. Conclusões De acordo com a revisão sistemática do alcance da literatura, não há evidências de uma padronização nas recomendações e intervenções, para o preparo da pele na prevenção da Infecção do Local Operatório.

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AIM: The aim of this study was to describe the successful epilation of intraoral grafts using the diode laser system. METHODS AND RESULTS: Two male patients at a 12-month follow-up - who underwent radical resection of oral cancer located in the mouth floor and tongue followed by reconstruction with cutaneous flap - showed hypertrichosis in the graft region, leading to dysphagia and dysphonia. The diode (980 nm) laser was performed for both cases in order to remove the ectopic hair. Excellent aesthetic and functional outcomes with total hair removal and alteration of the tissue surface were achieved. CONCLUSIONS: There is no currently standard protocol for the laser epilation use on hairy grafts because each graft required a different number of sessions for total epilation. The diode laser system appears to be a successful therapeutic option for patients suffering from hypertrichrosis in the oral cavity.

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RESUMEN Introducción: La remoción del vello genital es muy común, siendo cada vez más popular la remoción total en mujeres en edad fértil. Los principales motivos para eliminar el vello púbico son la higiene, el atractivo físico y la feminidad; sin embargo, no es una práctica exenta de complicaciones. Actualmente, existe poca información sobre esta conducta en embarazadas. Objetivo: Describir la frecuencia y las características de la remoción del vello genital en gestantes de bajo riesgo obstétrico en una institución de primer nivel de Colombia. Material y métodos: Estudio prolectivo de cohorte que siguió durante todo el embarazo a 60 gestantes de bajo riesgo obstétrico en una institución de primer nivel. Se entregó una encuesta autoaplicable trimestral sobre la práctica de remoción del vello genital. Se compararon los resultados en diferentes trimestres del embarazo. Resultados: La mediana de la edad de las gestantes fue 22 años; 61% estaban en su primera gestación. Más del 95% reportó una conducta de remoción total al menos una vez en el mes previo a cada encuesta; la conducta puede calificarse como remoción permanente en más del 65% de los casos. El método empleado con más frecuencia (94%) fue la remoción con cuchilla de afeitar. No se encontraron cambios en esta práctica a lo largo del embarazo. Conclusión: A pesar de las complicaciones conocidas asociadas a esta conducta muchas mujeres rasuran su vello genital debido a diversas razones socioculturales. Este estudio encontró una alta prevalencia de la práctica de remoción de vello genital en gestantes, sin que se evidenciara que dicha conducta cambiase a lo largo del embarazo.

SUMMARY Introduction: Genital hair removal is very common, with the increasingly popular tendency for total removal in women of childbearing age. The main reasons for removing pubic hair are hygiene, physical attractiveness and aesthetic; however, it is not a complication-free practice. Currently, there is little information about this behavior in pregnant women. Aim: To describe the frequency and characteristics of genital hair removal in pregnant women with low obstetric risk in a first level institution in Colombia. Material and methods: Prolective cohort study was conducted that included 60 pregnant women with low obstetric risk in a first level institution. A self-applicable survey on the practice of genital hair removal was delivered each trimester. The results were compared in different trimesters of pregnancy. Results: The median age was 22 years; 61% were primigestant. More than 95% reported total genital hair removal at least the previous month to survey; this conduct could be considered as permanent in 65% of women. The most frequently used method was razor blade removal (93.8%). No changes were found in this practice throughout pregnancy. Conclusion: Despite the known complications associated with this behavior, many women shave their genital hair due to various sociocultural reasons. This study found a high prevalence of the practice of genital hair removal in pregnant women, without evidencing that such behavior changed throughout pregnancy.

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BACKGROUND: Research indicates that young women are being exposed to increasing pressures to remove pubic hair from their bodies, which has the potential for both negative physical and psychological consequences. Women's personal choice and reasoning for partaking in pubic hair removal is influenced by broader social influences; however, there is little theory-based research drawing from established decision-making models investigating the underlying processes that lead young women to engage in pubic hair removal practices. Based on the Theory of Planned Behaviour, it was hypothesised that 1) attitude, subjective norm, and perceived behavioural control would predict intention to remove pubic hair; 2) additional variables (prototype similarity and favourability) from the Prototype Willingness Model would significantly predict intention to remove pubic hair; 3) feminist values would significantly predict decreased intention to remove pubic hair; and 4) intention and perceived behavioural control would predict future self-reported removal of pubic hair. METHOD: The current study included a sample of 270 young women (17-25 years old), who completed an online survey and a follow up survey 4 weeks later (N = 96). RESULTS: Attitudes, perceived behavioural control, and similarity to prototypical pubic hair removers were significant predictors of intention to remove pubic hair. Intention was significantly positively associated and feminist values were significantly negatively associated with actual pubic hair removal. CONCLUSIONS: These findings align with Theory of Planned Behaviour propositions. Furthermore, the expansion of the model highlights how broader social images impact on young women when deciding whether to engage in a behaviour that is intimately associated with their body image.

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Abstract Genital hair is one of the secondary sexual traits that marks the beginning of puberty; its removal has been part of human culture since ancient times. This practice may lead to modifications in vaginal microbiome with potential repercussions on skin health and balance. We conducted a narrative review with the purpose of describing normal skin microbiota, its impact under microenvironment changes and genital hair removal. Menses, pathological conditions and pubic hair removal may alter vaginal microbiota, being the latter of special relevance giving the risk of hair microtrauma, irritations and potential spread of infectious agents. MÉD.UIS.2019;32(3):27-33

Resumo O cabelo genital é um dos traços sexuais secundários que marcam o início da puberdade; sua remoção faz parte da cultura humana desde os tempos antigos. Essa prática pode levar a modificações no microbioma vaginal com possíveis repercussões na saúde e equilíbrio da pele. Realizamos uma revisão narrativa com o objetivo de descrever a microbiota normal da pele, seu impacto nas alterações do microambiente e na remoção de pelos genitais. A menstruação, as condições patológicas e a remoção de pelos pubianos podem alterar a microbiota vaginal, sendo esta última de especial relevância dando o risco de microtraumatismo capilar, irritações e potencial disseminação de agentes infecciosos. MÉD.UIS.2019;32(3): 27-33

Resumen El vello genital es uno de los rasgos sexuales secundarios que marca el comienzo de la pubertad; su eliminación ha sido parte de la cultura humana desde la antigüedad. Esta práctica puede conducir a modificaciones en el microbioma vaginal con posibles repercusiones potenciales en la salud y el equilibrio de la piel. Realizamos una revisión narrativa con el propósito de describir la microbiota cutánea normal, su impacto bajo los cambios del microambiente y la depilación genital. La menstruación, las condiciones patológicas y la depilación púbica pueden alterar la microbiota vaginal, siendo esta última de especial relevancia dado el riesgo de microtraumatismos, irritaciones y posible propagación de agentes infecciosos. MÉD.UIS.2019;32(3): 27-33

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Abstract: Background: Facial threading involves the removal of hairs to restore facial skin smoothness. However, its effectiveness has not been rigorously evaluated. Objective: To evaluate effects of facial threading on skin roughness, hydration, melanin index, and vellus hair on the face, complemented by a subjective evaluation of the tactile feel of the skin and improvement in skin color. Method: Participants who had not used exfoliators for two weeks before the experiment were included. Each participant underwent one session of facial threading every 21 days, for a total of 3 sessions. A three-dimensional skin roughness instrument and a multifunctional skin testing system were used to evaluate changes in roughness, hydration, and pigmentation on the forehead, cheeks, and corners of the mouth. A photomicrographic camera was used to record changes in vellus hair. Subjective reports of skin smoothness and color were recorded. Result: Eighteen participants completed the study. Facial threading produced a significant decrease in skin roughness on the forehead (22.42%, p = .013), right cheek (77%, p = .02), and left corner of the mouth (33.02%, p = .001). Subjective improvement in tactile feel of the skin and coloring were reported. Study Limitations: The study did not include randomization, with further limitations of a small sample size and a single site. Conclusion: Facial threading reduced skin roughness by 26.74% after three threading sessions, with improved subjective assessment of tactile feel and coloring. Future research should include a comparison with other cosmetic products with similar beautifying effects or a control group.

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Abstract Purpose To evaluate the preferences of women and men regarding female pubic hair depilation and identify possible reasons for these preferences. Methods This is a cross-sectional study of men and women over 18 years old who were invited by the official blog of our institution to respond anonymously to an online and self-administered questionnairemade by the researchers. The analyses weremade using the Statistical Analysis System (SAS, SAS Inc., Cary, NC, US) software, version 9.3, and contingency tables were used to verify the distribution of variables. The univariate statistical analysis was performed using the Pearson chi-squared test, and the differences for values of p < 0.05 were considered significant. Results We obtained data from 69,920 subjects (52,787 women and 17,133 men). Themean age was 31.9 years formen, and 28.5 years for women. Most women (64.3%) and men (62.2%) preferred complete removal of female pubic hair, and this preference wasmore pronounced in younger women andmen. Most women reported performing depilation at home (55.8%), with 44.4% using hot wax and 40.1% using a razor blade. About half of the women (44.7%) and men (50.1%) reported sexual activity, having intercourse 2 to 3 times per week. The frequency of intercourse and sexual satisfaction in women correlated with total pubic hair removal. Conclusion Most Brazilian women and men prefer the complete removal of female pubic hair, especially those who are younger andmore sexually active.Women who are satisfied with the appearance of their own genitalia have a stronger preference for complete removal of pubic hair.

Resumo Objetivos Avaliar a preferência de mulheres e homens emrelação à depilação genital feminina, e identificar possíveis razões envolvidas nessa preferência. Método Estudo transversal em que homens e mulheres com mais de 18 anos foram convidados por meio do blog oficial de nossa instituição a responder anonimamente a um formulário on-line e autoadministrado de autoria dos pesquisadores. As análises foram realizadas no programa Statistical Analysis System (SAS, SAS Inc., Cary, Carolina do Norte, EUA), versão 9.3, e tabelas de contingência foram construídas para verificar a distribuição entre as variáveis. A análise estatística univariada foi realizada com o teste qui-quadrado de Pearson, e foram consideradas significativas as diferenças para p < 0,05. Resultados Foram obtidos dados de 69.920 indivíduos (52.787 mulheres e 17.133 homens). A idade média dos indivíduos foi de 31,9 anos entre os homens, e de 28,5 entre as mulheres. A maioria das mulheres (64,3%) e dos homens (62,2%) preferiram a genitália feminina completamente depilada, e essa preferência foi mais pronunciada em mulheres e homens mais jovens. A maioria das mulheres afirmaram se depilar em casa (55,8%), e 44,4% delas usam cera quente, e 40,1% utilizam lâmina de barbear. Quase metade das mulheres (44,7%) e metade dos homens (50,1%) alegaram ter frequência sexual de 2 a 3 vezes por semana. A frequência sexual das mulheres e a satisfação com sua própria genitália foram positivamente relacionadas com a preferência pela remoção total dos pelos pubianos. Conclusões A maioria das mulheres e dos homens brasileiros preferem a remoção completa dos pelos genitais femininos, o que é ainda mais pronunciado nos indivíduos mais jovens e sexualmente ativos. As mulheres satisfeitas com a aparência de sua própria genitália tendem a preferir a remoção completa dos pelos pubianos.

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INTRODUCCIÓN: la remoción del vello genital es cada vez más común entre hombres y mujeres por razones higiénicas, estéticas o eróticas. Sin embargo, no se cuenta con información suficiente sobre la frecuencia de las complicaciones clínicas que implica hacerlo. OBJETIVO: establecer la prevalencia de las condiciones clínicas secundarias a la remoción del vello púbico, encontradas en la consulta médica general o especializada. METODOLOGÍA: estudio transversal con 689 pacientes consecutivos de consulta ambulatoria o de urgencias, atendidos por 22 médicos en Santander, Colombia. RESULTADOS: el 82.9% de los participantes fueron mujeres (81.6% consulta ambulatoria). La prevalencia de remoción del vello genital fue de 79.5% (IC95% 76.3% a 82.5%), más frecuente entre mujeres. Un 2.5% consultó por problemas relativos a remoción del vello genital (52.9% infecciones). La prevalencia global de problemas causados por la remoción del vello genital es del 10.4% (IC95% 8.3 a 13.0%): foliculitis y otras infecciones (70.8%), trauma cutáneo (9.7%) y manifestaciones que denotan fenómenos inflamatorios (19.4%). DISCUSIÓN: este es el primer abordaje realizado en América Latina, sobre potencial carga de la enfermedad generada por la remoción del vello genital. Las cifras son mucho más altas de lo esperado, pasando más de tres cuartas partes de los problemas inadvertidos.

INTRODUCTION: genital hair removal is becoming more common today among men and women for hygienic, aesthetic or erotic reasons. However there is not sufficient information on the frequency of clinical complications involved to do it. OBJECTIVE: to establish the prevalence of clinical conditions secondary to the removal of pubic hair found in general or specialist medical consultation settings. METHODS: cross-sectional study with 689 consecutive patients of outpatient or emergency clinics staffed by 22 doctors in Santander, Colombia. RESULTS: 82.9% of participants were women (81.6% outpatient). The prevalence of genital hair removal was 79.5% (95% CI 76.3% to 82.5%), more common among women. 2.5% consulted for problems of genital hair removal (52.9% infection). The overall prevalence of problems caused by the genital hair removal is 10.4% (95% CI 8.3 to 13.0%): folliculitis and other infections (70.8%), skin trauma (9.7%) and other manifestations related to inflammatory phenomena (19.4%). DISCUSSION: this is the first approach made in Latin America on potential disease burden caused by the genital hair removal. The figures are much higher than expected, spending more than three quarters of unseen problems.

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Objetivo: demostrar que la remoción del vello púbico femenino -una práctica común en la actualidad- es el resultado de los cambios en el vestido y las estrategias de mercadeo de los fabricantes de productos para la eliminación del pelo corporal y hacer una aproximación a lo que dicen las mujeres hoy en términos de las razones para hacerlo. Materiales y métodos: se presentan los antecedentes históricos de la remoción del vello genital, su manejo en otras culturas, la frecuencia y las razones por las que se hace en la actualidad, y se revisan las estrategias comerciales y de comunicación utilizadas. Conclusiones: el imaginario actual de belleza femenina de inicio del siglo XXI implica la modificación del cuerpo en la búsqueda de un ideal de piel tersa y libre de vello, solo posible de manera artificial, haciendo que la sociedad como un todo lo considere normativo por razones estéticas, higiénicas, eróticas y de autoimagen.

Objective: To show that female pubic hair shaving, a common current practice, is the result of changing trends in dress and fashion, and of the marketing strategies of the manufacturers of hair removal devices; and to consider what women today argue as their reasons for this practice. Materials and methods: The historical background for pubic hair removal is presented, including the approach in other cultures, the frequency and the reasons for this practice at present; the marketing and communication strategies are reviewed. Conclusions: The current female beauty imagery in this early part of the 21st century involves the search for an ideal of smooth hairfree skin which is only achievable through artificial means, leading society as a whole to consider it the standard for cosmetic, hygienic, erotic and self-image reasons.

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OBJETIVO: Descrever as práticas e cuidados com a área genital de mulheres universitárias. MÉTODOS: Estudo analítico descritivo, que analisou os hábitos e costumes de 364 estudantes de uma universidade pública do Estado de São Paulo quanto ao uso de roupas íntimas, piercings corporais, tatuagens, depilação e práticas sexuais. Um questionário com 42 perguntas avaliou as práticas habituais mais comuns das universitárias. Todas as perguntas foram autorrespondidas e os questionários, sem qualquer identificação, foram colocados em urnas lacradas para garantir o sigilo das informações. As respostas foram tabuladas em planilha Microsoft® Excel 2007 para obtenção de análise univariável. RESULTADOS: A média de idade das universitárias estudadas foi de 21 anos (DP±2,7), sendo 84% brancas. Participaram do estudo voluntárias das áreas de biológicas (50%), exatas (29%) e humanas (21%). Observou-se que 61,8% das entrevistadas usam calcinhas de algodão, porém, ao mesmo tempo, 75,4% usam calças jeans apertadas, e que somente 18,4% deixam de usar calcinha para dormir. Apenas uma participante relatou ter piercing genital e nenhuma tinha tatuagem. A maioria das universitárias faz depilação genital, sendo que aproximadamente um terço delas o faz de forma completa. Após depilar, dois terços usam produtos como anti-inflamatórios e/ou hidratantes na região. Apenas 62% usam camisinha masculina e 17,6% lubrificante na relação sexual. Metade pratica sexo oral receptor; 17,9% sexo anal e 26,6% delas relatam ter dor no ato sexual. Corrimento vaginal foi relatado após a relação sexual em 25,6% dos casos. CONCLUSÃO:Mulheres jovens de universidade pública brasileira têm muitos hábitos inadequados de cuidados relacionados à sua área genital. Não costumam usar piercings ou tatuagens genitais, mas relatam ter dor no ato sexual e corrimento vaginal após o sexo em um grande número de casos.

PURPOSE: To describe the practices and care with the genital area of female college students. METHODS: A descriptive analytical study evaluated the habits and traditions of 364 students from the University of Campinas (Unicamp) regarding the use of underwear, body piercings, tattoos, hair removal and sexual practices. A questionnaire with 42 questions assessed the most current practices among female college students. All questions were self answered and the questionnaires, without any identification, were placed in sealed ballot boxes to ensure the confidentiality of information. The responses were tabulated in Microsoft® Excel 2007 to obtain univariate analysis. RESULTS:The mean age of the college students in the study was 21 years (SD±2.7), and 84% were white. The volunteers who participated in this study were from the biological science area (50%), the exact science area (29%) or the humanity area (21%). It was observed that 61.8% of the respondents wear cotton panties, but at the same time 75.4% wear tight jeans, and only 18.4% wore no panties when sleeping. Only one participant reported having had genital piercing and none of them reported tattooing. Most female college students do genital waxing, and approximately 1/3 of them do so completely. After hair removal, 2/3 apply an anti-inflammatory and/or moisturizer to the region. Only 62% use condoms and 17.6% use a lubricant during intercourse. Half of them receive oral sex, 17.9% practice anal sex and 26.6% of them report feeling pain during sexual intercourse. Vaginal discharge after intercourse was reported in 25.6% of the cases. CONCLUSION:Young female college students from Brazilian public universities have many inadequate care habits related to their genital area. They do not use genital piercing and tattoos, but report having pain during sexual intercourse and vaginal discharge after sex in a large number of cases.

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Introdução: A depilação com luz intensa pulsada é método de uso corrente, utlizando-se geralmente corticosteroides de baixa ou média potência para o alívio da dor e a reação inflamatória que se seguem ao procedimento. Compostos botânicos, como a emulsão de óleo de andiroba, têm demonstrado efeitos hidratantes e anti-inflamatórios. Objetivo: Como opção aos corticosteroides tópicos, os autores testam a eficácia da emulsão do óleo de andiroba comparando-a à da desonida. Métodos: Foi desenhado estudo prospectivo, comparativo e duplo-cego com nove pacientes do sexo feminino, submetidas à depilação com luz intensa pulsada na região inguinal e tratadas imediatamente após o procedimento com desonida num lado e emulsão de óleo de andiroba no outro lado, aleatoriamente. As pacientes avaliaram a sensação de dor segundo a escala visual analógica de dor, e uma médica dermatologista observadora avaliou a reação inflamatória gerada pelo procedimento, comparando-se os dois lados de forma cega. Resultados: Não houve diferenças significativas no alívio da dor e da reação inflamatória, na comparação dos dois produtos. O potencial analgésico e anti-inflamatório da emulsão do óleo de andiroba praticamente equivaleu ao da desonida. Conclusões: Os resultados deste estudo-piloto indicam que a emulsão do óleo de andiroba pode ser opção no tratamento após a fotoepilação.

Introduction: Intense pulsed light is commonly used for hair removal. Corticosteroids of low or medium potency are generally employed for pain and inflammatory reaction relief following such procedures. Botanical compounds, such as andiroba oil emulsion, have been proven to have moisturizing and anti-inflammatory effects. Objective: To compare the effectiveness of andiroba oil emulsion to desonide as an option to topical corticosteroids. Methods: A prospective, comparative, double-blind study evaluated nine female patients who underwent air removal with intense pulsed light in the inguinal region. The patients were treated immediately after the procedure with desonide on one side and andiroba oil emulsion on the other. The patients rated the pain sensation using a visual analog pain scale, and an observer dermatologist physician evaluated the inflammatory reaction caused by the procedure, comparing the two sides blindly. Results: There were no significant differences in pain relief or inflammation between the two products. The analgesic and anti-inflammatory potential of andiroba oil emulsion practically equaled that of desonide. Conclusions: This pilot study's results indicate that andiroba oil emulsion can be a treatment option following photoepilation.

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Atualmente os procedimentos com laser são amplamente utilizados na prática dermatológica por serem pouco agressivos, proporcionarem ótimos resultados e pós-operatório com rápida recuperação. São indicados para o tratamento do fotoenvelhecimento e remoção ou atenuação de alterações vasculares, pigmentares, cicatrizes e pelos.Apresentam perfil de alta segurança; contudo, se utilizados inadequadamente podem causar complicações. O objetivo deste estudo é promover o reconhecimento dos efeitos colaterais que os diversos lasers e seu manejo podem causar, uma vez que existem poucos trabalhos a respeito. Isso é fundamental para o melhor atendimento do paciente, prevenindo morbidades e sequelas. Na parte I abordam-se os efeitos colaterais provocados pelos lasers não ablativos e não fracionados, e na parte II os relativos aos lasers ablativos fracionados e não fracionados e lasers não ablativos fracionados.

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Introdução: Laser de diodo e luz intensa pulsada estão entre as tecnologias mais utilizadas para fins epilatórios. Objetivo: Comparação entre essas técnicas na epilação axilar.Métodos: 15 pacientes de fototipos II e III foram submetidas a três sessões regulares deluz intensa pulsada (695nm) ? Plataforma Quantum HR® (Lumenis,Yokneam, Israel) na axila direita e Laser de diodo (810nm) ? Light Sheer ® (Lumenis,Yokneam, Israel) na axila esquerda. Foi realizada contagem de pelos pré e pós-tratamento, além de aplicado ques-tionário sobre efeitos adversos, dor e satisfação das pacientes.Resultados: O escore de dor foi significativamente maior para a luz intensa pulsada, assim como o grau de inflamação (p<0,01 e p=0,03).Houve correlação significativa entre a fluência utilizada, a dor atribuída e o grau de inflamação para as duas técnicas (p<0,05).Ambas as técnicas proporcionaram redução significativa e semelhante na densidade de pelos. As pacientes consideraram o resultado final similar, porém à luz intensa pulsada foram atribuídos maiores efeitos colaterais. Não houve diferença na proporção de preferência entre os diferentes métodos (p=0,80).Conclusão: Na amostra estudada, com os parâmetros descritos, houve menor dor e incidência de efeitos colaterais com o uso do Laser de diodo em comparação à luz intensa pulsada, e eficácia semelhante entre as duas técnicas.

RESUMO

O objetivo do estudo foi avaliar a repercussão da tricotomia na autoestima do paciente no pós-operatório de craniotomia. Estudo quantitativo do tipo prospectivo. Os dados mostram que a maioria dos pacientes referiu não ter sua autoestima alterada em função da tricotomia; predomina a manutenção da autoestima entre os pacientes que receberam orientação sobre a tricotomia; a maioria fez uso de acessórios como estratégia para ocultar a área raspada, e acredita que a tricotomia não prejudica a qualidade de vida nem interfere nas relações sociais. Conclui-se que os sentimentos relacionados à diminuição da autoestima são a perda da atração, a insegurança e a vergonha; há a necessidade de uso de acessórios para melhorar a auto-imagem, e os profissionais da saúde devem trabalhar com os aspectos psicossociais dos pacientes no pré e pós-operatórios.

This quantitative-based, prospective-oriented study aims to evaluate the repercussion of hair removal in post-craniotomy's patient self-esteem. Data show that the majority of patients mentioned not having an altered self-esteem due to hair removal; self-esteem was kept the same among patients that were instructed about the hair removal process. The major part of patients made use of accessories as a strategy to hide shaved areas and believed that hair removal damaged neither their quality of life nor their social relationships. We conclude that the feelings directly related to the decrease of self-esteem are loss of physical attraction, insecurity and shame. The employment of accessories is made necessary towards improving self-esteem, and healthcare professionals must work with the psychosocial aspects of pre and post-surgery patients.

El objetivo del estudio fue evaluar la repercusión de la tricotomía en la auto estima del paciente en el posoperatorio de craneotomía. Estudio cuantitativo del tipo prospectivo. Los datos muestran que la mayoría de los pacientes refirió no tener su auto estima alterada en función de la tricotomía; predomina el mantenimiento de la auto estima entre los pacientes que recibieron orientación sobre la tricotomía; la mayoría hizo uso de accesorios como estrategia para ocultar el área raspada y piensa que la tricotomía no perjudica la calidad de vida y no interfiere en las relaciones sociales. Se concluye que los sentimientos relacionados a la disminución de la auto estima son la pérdida de la atracción, la inseguridad y la vergüenza; hay necesidad de usar de accesorios para mejorar la auto imagen y los profesionales de la salud deben trabajar con los aspectos psicosociales de los pacientes en el pre y pos operatorio.

Assuntos

RESUMO

OBJETIVOS: Triquíase é uma condição adquirida dos cílios, que perdem o direcionamento normal e tocam a superfície ocular. O tratamento da triquíase tem sido um problema terapêutico. Apesar das várias modalidades de tratamento: epilação mecânica, eletrólise com bipolar, crioterapia, fotocoagulação com laser de argônio e procedimentos cirúrgicos, a recidiva da triquíase é comum. Com o objetivo de encontrar técnica próxima ao ideal, realizamos estudo utilizando eletrólise com aparelho de radiofreqüência, avaliando-se a efetividade da técnica. MÉTODOS: Foram estudados, prospectivamente, 34 pacientes (54 segmentos palpebrais) com triquíase, submetidos à eletrólise com aparelho de radiofreqüência. Reavaliaram-se os pacientes em oito semanas, quanto à cura, recidiva e possíveis complicações. RESULTADOS: Observou-se a cura da triquíase com apenas uma única sessão de eletrólise com radiofreqüência em 22 pacientes e com duas ou mais sessões em 12 pacientes. CONCLUSÃO: A eletrólise com aparelho de radiofreqüência é método simples, de baixo custo, que não demanda experiência do cirurgião, com ausência de complicações relevantes e com alto índice de sucesso.

PURPOSE: Trichiasis is an acquired condition in which the eyelashes are directed posteriorly, touching the surface of the cornea. It poses a complex therapeutic problem. Despite several therapeutic options (epilation, electroepilation, cryotherapy, laser ablation and standard surgical techniques), relapse is frequent. METHODS: A prospective, nonmasked study was conducted to determine the efficacy of high-frequency radioelectrosurgery for treatment of trichiasis. Thirty-four patients (fifty-four eyelid segments) were treated with this technique. After eight weeks, all patients were reviewed regarding the success rate, relapse and complications. RESULTS: Cure was achieved after only one session of treatment in twenty-two patients, and two or more sessions in the remaining twelve. No complications have been reported. CONCLUSIONS: We consider high-frequency radioelectrosurgery a simple, not expensive, effective and free of complications technique for the treatment of trichiasis.

Assuntos