Amniotic membrane can be a valid source for wound healing
| Autor: | Amr Gad, Mirvat Al-Ansary, Hossam ElHeneidy, Ahmed Halwagy, Hesham Al-Inany, Eman F. Omran |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty placenta Scar tissue Group ii International Journal of Women's Health Tissue reconstruction 03 medical and health sciences Fibrosis Healing rate Pain level Maternity and Midwifery medicine Original Research ulcer amniotic membrane cesarean section business.industry Obstetrics and Gynecology medicine.disease digestive system diseases Surgery 030104 developmental biology Oncology Secondary dressing Wound healing business |
| Zdroj: | International Journal of Women's Health |
| ISSN: | 1179-1411 |
| DOI: | 10.2147/ijwh.s96636 |
| Popis: | Hossam ElHeneidy,1 Eman Omran,1 Ahmed Halwagy,1 Hesham Al-Inany,1 Mirvat Al-Ansary,2 Amr Gad3 1Department of Obstetrics & Gynecology, 2Department of Clinical Pathology, 3Department of Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt Abstract: Amniotic membrane (AM) can promote proper epithelialization with suppression of excessive fibrosis by creating a supportive milieu for regeneration of chronic ulcer bed.Objective: The objective of this study is to investigate whether AM scaffold can modulate the healing of a wound by promoting tissue reconstruction rather than promoting scar tissue formation.Subjects and methods: AM was obtained and prepared and then applied to patients with chronic leg ulcers who were randomly divided into two different groups. Group I (control group) included eleven patients in whom ulcers were treated with conventional wound dressings that were changed daily for 8 weeks. Group II (study group) included 14 patients in whom the AM was placed in contact with the ulcer and held in place with a secondary dressing, which was changed daily. Follow-up was done to detect healing rate and detection of ulcer size, assessment of pain, and to take ulcer images (days 0, 7, 14, 21, 30, 45, and 60).Results: In group I, all ulcers showed no reduction in their size, and ulcer floor remained the same. Healthy granulations were present in two ulcers (18.2%) and absent in nine ulcers (81.8%). There was no improvement of pain level in the eleven ulcers. In group II, complete healing of 14 ulcers occurred in 14–60 days with a mean of 33.3±14.7; healing rate range was 0.064–2.22 and the mean 0.896±0.646 cm2/day. Healthy granulations were present in 13 ulcers (92.9%) and absent in one ulcer (7.1%). Three ulcers (21.4%) were of mild severity (grade 1 ulcers) while eleven ulcers (78.6%) were of moderate severity (grade 2 ulcers). The healing rate was faster in ulcers of mild severity (1.7±0.438 cm2/day) in comparison to ulcers of moderate severity (0.673±0.498 cm2/day). Eleven cases (78.6%) showed improvement in their pain level on a scale from 0 to 10.Conclusion: AM graft can be of value in wound healing. Further studies are needed to confirm these findings. Keywords: amniotic membrane, ulcer, placenta, cesarean section |
| Databáze: | OpenAIRE |
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