Platelet-rich plasma promotes epithelialization and angiogenesis in a splitthickness skin graft donor site

被引:52
作者
Kakudo, Natsuko [1 ]
Kushida, Satoshi [1 ]
Minakata, Tatsuya [1 ]
Suzuki, Kenji [1 ]
Kusumoto, Kenji [1 ]
机构
[1] Kansai Med Univ, Dept Plast & Reconstruct Surg, Moriguchi, Osaka 5708506, Japan
关键词
Platelet-rich plasma; Split-thickness skin graft; Donor site; Angiogenesis; Epithelialization; GROWTH-FACTOR; GEL;
D O I
10.1007/s00795-010-0532-1
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Autologous platelet-rich plasma contains multiple growth factors. We performed a side-by-side (half-side) test between the platelet-rich plasma (PRP)-treated and control (untreated) sides of a split-thickness skin graft donor site, and compared the number of days until epithelialization and pain during gauze change. On day 13 after surgery, we performed punch biopsy on the two sides and for adjacent normal skin tissue and compared the epidermal thickness and numbers of collagen fibers and newly formed vessels in the dermis by H&E staining, elastica van Gieson staining, and alpha-smooth muscle actin (alpha-SMA) immunostaining. Epithelialization progressed more rapidly, pain during gauze change was milder, and the epidermal thickness and number of newly formed vessels in the dermis were significantly greater on the PRP-treated side. This study revealed that PRP promotes epithelialization and angiogenesis of split-thickness skin graft donor sites.
引用
收藏
页码:233 / 236
页数:4
相关论文
共 18 条
[1]  
Bhanot Sumeet, 2002, Facial Plast Surg, V18, P27, DOI 10.1055/s-2002-19824
[2]   A brief history of wound care [J].
Broughton, G ;
Janis, JE ;
Attinger, CE .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 117 (07) :6S-11S
[3]   Effect of Topical Autologous Platelet-Rich Fibrin versus No Intervention on Epithelialization of Donor Sites and Meshed Split-Thickness Skin Autografts: A Randomized Clinical Trial [J].
Danielsen, Patricia ;
Jorgensen, Bo ;
Karlsmark, Tonny ;
Jorgensen, Lars N. ;
Agren, Magnus S. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (05) :1431-1440
[4]   Platelet-Rich Plasma: A Review of Biology and Applications in Plastic Surgery [J].
Eppley, Barry L. ;
Pietrzak, William S. ;
Blanton, Matthew .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 118 (06) :147E-159E
[5]   Do autologous growth factors enhance transforaminal lumbar interbody fusion? [J].
Hee, HT ;
Majd, ME ;
Holt, RT ;
Myers, L .
EUROPEAN SPINE JOURNAL, 2003, 12 (04) :400-407
[6]   Immunolocalization of vascular endothelial growth factor on intramuscular ectopic osteoinduction by bone morphogenetic protein-2 [J].
Kakudo, Natsuko ;
Kusurnoto, Kenji ;
Wang, Yi Biao ;
Iguchi, Yuko ;
Ogawa, Yutaka .
LIFE SCIENCES, 2006, 79 (19) :1847-1855
[7]   Proliferation-Promoting Effect of Platelet-Rich Plasma on Human Adipose-Derived Stem Cells and Human Dermal Fibroblasts [J].
Kakudo, Natsuko ;
Minakata, Tatsuya ;
Mitsui, Toshihito ;
Kushida, Satoshi ;
Notodihardjo, Frederik Zefanya ;
Kusumoto, Kenji .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (05) :1352-1360
[8]   Platelet-Rich Plasma: The Importance of Platelet Separation and Concentration [J].
Kakudo, Natsuko ;
Kushida, Satoshi ;
Kusumoto, Kenji .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2009, 123 (03) :1135-1136
[9]   The use of autologous PRP gel as an aid in the management of acute trauma wounds [J].
Kazakos, K. ;
Lyras, D. N. ;
Verettas, D. ;
Tilkeridis, K. ;
Tryfonidis, M. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2009, 40 (08) :801-805
[10]   Cytokeratin, filaggrin, and p63 expression in reepithelialization during human cutaneous wound healing [J].
Kurokawa, I ;
Mizutani, H ;
Kusumoto, K ;
Nishijima, S ;
Tsujita-Kyutoku, M ;
Shikata, N ;
Tsubura, A .
WOUND REPAIR AND REGENERATION, 2006, 14 (01) :38-45