关键词: Hair transplantation best practice postoperative care preoperative care

Mesh : Humans Skin Transplantation Alopecia / etiology surgery Consensus Hair

来  源:   DOI:10.1080/09546634.2023.2232065

Abstract:
UNASSIGNED: To achieve international expert consensus and give recommendations on best practices in hair transplantation surgery, focusing on pre- and post-transplantation care.
UNASSIGNED: A modified Delphi method was used to reach consensus. An international scientific committee developed an 81-statement questionnaire. A panel of 38 experts in hair transplantation from 17 countries across 4 continents assessed the questionnaire.
UNASSIGNED: Two consensus rounds were carried out, with 59 out of 81 statements (73%) reaching consensus. Expert recommendations emphasize the correct selection of candidates for hair transplantation and the need for patients to have received adequate medical treatment for alopecia before transplant. Comorbidities should be assessed and considered while planning surgery, and an individualized plan for perioperative care should be drawn up before transplant. Certain medications associated with increased risk of bleeding should be withdrawn before surgery. Specific recommendations for post-transplantation care are given. After transplantation, patients should gradually resume their normal haircare regimen. Close follow-up should be carried out during the first year after transplant.
UNASSIGNED: This study presents numerous consensus-based recommendations on general aspects of hair transplantation, including candidate selection, medical therapy prior to transplantation, anesthesia, and resuming haircare after transplantation.
摘要:
为了达成国际专家共识,并就植发手术的最佳做法提出建议,专注于移植前和移植后的护理。
采用改进的德尔菲法达成共识。一个国际科学委员会编制了一份81份问卷。由来自4大洲17个国家的38名头发移植专家组成的小组对问卷进行了评估。
进行了两轮共识,81份声明中有59份(73%)达成共识。专家建议强调正确选择头发移植的候选人,以及患者在移植前需要接受适当的脱发治疗。在计划手术时,应评估和考虑合并症,移植前应制定个体化的围手术期护理计划。某些与出血风险增加相关的药物应在手术前退出。给出了移植后护理的具体建议。移植后,患者应逐渐恢复正常的护发方案。应在移植后的第一年进行密切随访。
本研究就毛发移植的一般方面提出了许多基于共识的建议,包括候选人选择,移植前的药物治疗,麻醉,移植后恢复头发护理。
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