Chigurupati Veda Samhitha, Khanna Seema, Kumar Sandip, Khanna Rahul
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
J Cutan Aesthet Surg. 2024 Jan-Mar;17(1):50-54. doi: 10.4103/JCAS.JCAS_14_21.
INTRODUCTION: Skin grafting is a routinely employed technique to cover the skin defect. Though the skin grafts are technically effortless, they are tiresome because of the prolonged duration of hospital stay, labor-intensive, demanding repeated dressings, and also create a second wound. Platelet-rich plasma (PRP) is one that has a higher concentration of platelets than the blood. Alpha granules of the platelets are rich in growth factors. AIMS AND OBJECTIVES: To assess the effect of PRP on split-thickness skin graft uptake and donor site healing. MATERIALS AND METHODS: In a single-center-based prospective study done from August 2018 to June 2020, 60 patients with acute and chronic wounds were divided into two equal groups. Autologous PRP was applied on the recipient wound bed and donor site in PRP group, and conventional methods like staples/sutures were used to anchor the skin grafts and standard of care of the donor site in a control group. RESULTS: Instantaneous graft adhesion was observed in all patients of PRP group. The first graft inspection was delayed. Seroma, hematoma, total number of dressings, and duration of stay in hospital were significantly reduced in the PRP group. Donor site pain in the postoperative period was notably reduced in PRP group. PRP also remarkably hastened the donor site healing. CONCLUSION: The application of PRP promotes graft take, minimizes complications, enhances donor site wound healing, mitigates donor site pain, and has immense economic benefits due to the reduced number of dressing changes and shorter hospital stay.
引言:皮肤移植是一种用于覆盖皮肤缺损的常规技术。尽管皮肤移植在技术上并不困难,但由于住院时间延长、劳动强度大、需要反复换药且会造成二次伤口,所以令人厌烦。富血小板血浆(PRP)是一种血小板浓度高于血液的物质。血小板的α颗粒富含生长因子。 目的:评估PRP对中厚皮片移植成活率及供皮区愈合的影响。 材料与方法:在一项于2018年8月至2020年6月进行的单中心前瞻性研究中,60例急慢性伤口患者被平均分为两组。PRP组在受区创面和供皮区应用自体PRP,对照组采用钉书钉/缝线等传统方法固定皮片并对供皮区进行标准护理。 结果:PRP组所有患者均观察到皮片即时黏附。首次皮片检查时间延迟。PRP组的血清肿、血肿、换药总次数及住院时间均显著减少。PRP组术后供皮区疼痛明显减轻。PRP还显著加速了供皮区愈合。 结论:PRP的应用促进皮片成活,减少并发症,促进供皮区伤口愈合,减轻供皮区疼痛,且由于换药次数减少和住院时间缩短而具有巨大的经济效益。
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