Dehydrated human amnion/chorion membrane allograft with spongy layer to significantly improve the outcome of chronic non-healing wounds.

Autor: Psathas E; Department of Surgery, HFR-Fribourg Cantonal Hospital, Fribourg, Switzerland.; Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland., Egger B; Department of Surgery, HFR-Fribourg Cantonal Hospital, Fribourg, Switzerland.; Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland., Mayer D; Department of Surgery, HFR-Fribourg Cantonal Hospital, Fribourg, Switzerland.
Jazyk: angličtina
Zdroj: International wound journal [Int Wound J] 2024 Jan; Vol. 21 (1), pp. e14356. Date of Electronic Publication: 2023 Sep 03.
DOI: 10.1111/iwj.14356
Abstrakt: We investigated the healing effect of a new dehydrated amnion/chorion membrane with a spongy layer over a 30-month period in 32 patients with 53 chronic non-healing wounds of different aetiologies. Wounds with <40% surface reduction after 4 weeks of best wound treatment underwent weekly allograft application by a certified wound specialist based on national guidelines and a standardised protocol until complete healing or definite treatment interruption. The main outcome measure was the percentage of wound surface reduction from baseline calculated using digital planimetry follow-up photographs. Overall, 38 (71.7%) wounds presented a favourable outcome (70%-100% area reduction), with 35 (66%) completely healing over a median time of 77 days (range 29-350 days). Favourable outcomes were observed in 75% of traumatic wounds, surgical wounds, venous leg ulcers and pressure injuries, as well as in 50% of ischaemic wounds. Wounds being present <12 months were significantly more likely to have a favourable outcome than more long-standing wounds (χ 2  = 7.799; p = 0.005; OR = 3.378; 95% CI, 1.410-8.092). Thus, treatment with dehydrated amnion/chorion membrane with a spongy layer improves the outcome of non-healing wounds of different aetiologies and, therefore, has to be considered early in the management of refractory wounds.
(© 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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