Locally injected autologous platelet-rich plasma enhanced tissue perfusion and improved survival of long subdermal plexus skin flaps in dogs

Autor: Panayiotis Loukopoulos, N. Giannakas, Lysimachos G. Papazoglou, Dimitra Psalla, George Kazakos, D. Dionyssiou, Ioannis Savvas, A. Chantes, Maria Karayannopoulou, Maria Kritsepi-Konstantinou
Rok vydání: 2014
Předmět:
Zdroj: Charles Sturt University
ISSN: 2567-6911
0932-0814
DOI: 10.3415/vcot-14-02-0030
Popis: Summary Objectives: Distal flap necrosis remains a major complication in subdermal plexus (random) skin flaps. Platelet-rich plasma (PRP) has been shown to improve the survival of ischemic random skin flaps in rats. The objective of this study was to evaluate the effect of locally injected autologous PRP on the survival of long (5:1 length-to-width ratio) subdermal plexus skin flaps in dogs. Methods: A 2x10 cm subdermal plexus skin flap was created bilaterally on the abdominal wall of six Beagle dogs. One randomly selected side received 2.5 ml of fresh autologous PRP injected evenly between sutures underneath the flap, whereas the other side was left untreated (control). Skin flap survival was evaluated macroscopically, histologically and by laser-Doppler flowmetry measurements of tissue perfusion. Results: Flap percentage survival on day 10 (96.3% versus 74.5%; p = 0.046) and tissue perfusion (p Clinical significance: The use of locally injected autologous PRP increases tissue perfusion and improves the survival of long subdermal plexus skin flaps in dogs.
Databáze: OpenAIRE