Evaluation of Low Level Laser Therapy Using Diode Laser in Enhancement of Episiotomy Wound Healing

Abstract

we studied the effect of low level laser therapy (LLLT) using diode laser with wavelength of (790-805) nm in promotion and enhancement of wound healing of episiotomy and to evaluate the analgesic effect of LLLT in reducing the pain sensation caused by the episiotomy wounds. Nineteen women with episiotomy wound were selected and divided into three groups; 1st group (group No.1: control group) given antibiotics without laser therapy, in the 2nd group (group No.2) the wounds were exposed to laser therapy (4 sessions, each session with energy density of 19.90 J /cm2 every other day ) and systemic antibiotics were prescribed for 1 week. In the 3rd group (group No.3) the wounds were exposed to laser therapy (4 sessions, the same as in the 2nd group) but without antibiotics. Those women who exposed to laser therapy showed significant reduction in the level of pain and tenderness after the 1st laser exposure. Rapid healing process occurred within seven days. The results were about to be equal in both (group 2 and group 3), while group 1 showed prolonged period of healing (9-11) days with moderate to severe pain and tenderness that interfered with their sitting and walking. One case ended with dehiscent wound. In conclusion LLLT can be used to enhance episiotomy wound healing, and to induce analgesic effect if proper wavelength, energy density and exposure time were selected.