6. Needle-free electronically-controlled jet injector treatment with bleomycin and lidocaine is effective and welltolerated in patients with recalcitrant keloids. 160 smoke evacuators which can adequately capture these aerosols.30 Moreover, bleomycin should not be administered to pregnant or lactating women, and should also not be administered by healthcare workers that are pregnant or lactating. For this reason, it is important to inform patients and healthcare personal about the potential health hazards of chemotherapeutics such as bleomycin. In conclusion, we found that needle-free EPI assisted intralesional treatment with bleomycin and lidocaine is effective, well-tolerated and has a high treatment satisfaction in patients with recalcitrant keloids. Future high quality randomized controlled trials are warranted to confirm our results and improve the clinical management of patients with recalcitrant keloid scars.
RkJQdWJsaXNoZXIy MTk4NDMw