Karina Karina, Ekaputri Krista, Biben Johannes Albert, Hadi Pritha, Andrew Hubert, Sadikin Patricia Marcellina
Klinik Hayandra, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia.
HayandraLab, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia.
Arch Plast Surg. 2022 May 27;49(3):405-412. doi: 10.1055/s-0042-1744423. eCollection 2022 May.
Although modern medicine has made great strides in the management of burn injuries, associated complications such as pain, infection, dyspigmentation, and scarring have yet to be fully dealt with. Although skin grafting and meshing are routinely performed on burn patients, this method poses a risk for adverse effects. Activated autologous platelet-rich plasma (aaPRP), which is increasingly used in the field of plastic surgery, contains growth factors beneficial for wound regeneration. Seven cases of burns with varying severity and conditions that were treated with intralesional subcutaneous injection and intravenous aaPRP are presented and discussed herein. This case series indicates that subcutaneous and intravenous aaPRP is a safe procedure with the potential to be an alternative when skin grafting cannot be done or as an adjunct treatment to skin grafting.
尽管现代医学在烧伤治疗方面取得了巨大进展,但诸如疼痛、感染、色素沉着和瘢痕形成等相关并发症仍有待全面解决。虽然烧伤患者常规进行皮肤移植和网状植皮,但这种方法存在不良反应风险。在整形手术领域越来越常用的活化自体富血小板血浆(aaPRP)含有对伤口再生有益的生长因子。本文介绍并讨论了7例不同严重程度和情况的烧伤患者,采用病灶内皮下注射和静脉注射aaPRP进行治疗。该病例系列表明,皮下和静脉注射aaPRP是一种安全的方法,在无法进行皮肤移植时有可能成为一种替代方法,或作为皮肤移植的辅助治疗。