The use of capacitive-resistive electrotherapy at 448 khz in the management of patients with postoperative hypertrophic scars

Objective of the review. To analyze Russian and foreign literature on the use of capacitive-resistive electrotherapy at 448 kHz to develop tactics for managing patients with postoperative hypertrophic scars in the early and late postoperative rehabilitation periods. Results. The article presents the results of studies demonstrating the effectiveness of capacitive-resistive electrotherapy at a frequency of 448 kHz (CRET) in stimulating cell proliferation, controlling inflammation and tissue remodeling; and also considers international experience in using CRET to prevent and treat pathological cicatricial deformities. Conclusions. 1. Postoperative hypertrophic scars cause a significant decrease in the quality of life of patients due to the effect on the functional and aesthetic properties of the skin and underlying tissues; 2. The emergence of new concepts and data regarding the pathophysiology of the development of postoperative hypertrophic scars significantly expands the understanding of the mechanisms of physical regulation of regenerative processes and the occurrence of pathological scarring, which opens up new opportunities for the development of effective treatment methods, such as controlled electrical stimulation; 3. The published results of studies on the use of capacitive-resistive electrotherapy CRET substantiate the prospects of using this method as an effective non-invasive approach to the treatment of postoperative hypertrophic and keloid scars.