2007, Number 3
<< Back Next >>
Cir Plast 2007; 17 (3)
Effects of Plasma Rich in Growth Factors application on the viability and cellularity of random skin flaps
Arenas QR, Saucedo OJA, López PSR
Language: Spanish
References: 15
Page: 150-154
PDF size: 463.41 Kb.
ABSTRACT
The following paper reports on a study of tissue regeneration using Plasma Rich in Growth Factors (PRGF) on random skin flaps. Viability, effects on cellularity and neovascularity are determined by histological analysis. Dermal flaps with ratio 1:5 were made cut into the dorsal skin of 16 Guinea pigs divided into 2 groups of 8. PRGF was applied randomly on the bed of the flap on one group, while saline solution (SS) was applied to the other group. 14 days later the viability of the flaps was determined clinically and then resected and studied under the microscope. The PRGF group exhibited greater percentage of viability (69%) versus the SS group (41%) with a significant p = 0.04. The PRGF group presented a significant decrease in macrophages (p = 0.03), lymphocytes (p = 0.001), plasma cells (p = 0.02), as well as a significant increase in fibroblasts (p = 0.001) and collagen (p = 0.038), which did not occur in the SS group. No significant changes in inflammation or neovascularization were observed. The present study demonstrates that PRGF improves the survival of random skin flaps, as well as the migration of fibroblasts and the production of collagen.
REFERENCES
Achauer BM et al. Plastic surgery: Indications, operations and outcomes. Ed. Hardcover 1994: 261-280.
Collins T. Reparación de los tejidos: proliferación celular, fibrosis y curación de las heridas. En: Robbins S, Cotran R, Kumar V, Collins T. editores. Patología estructural y funcional. 6ta edición. México. McGraw-Hill Interamericana. 2000: 95-120.
Lineaweaver WC, Lei MP. Vascular endothelium growth factor, surgical delay, and skin flap survival. Ann Surg 2004; 239(6): 866-875.
Carroll CMA. Augmentation of skeletal muscle flap survival using platelet derived growth factor. Plast Reconstr Surg 1998; 102: 407-15.
O’toole G. A review of the therapeutic angiogenesis and considerations of its potential applications to plastic and reconstructive surgery. Br J Plast Surg 2000; 54: 1-7.
Escotto SI, Padilla SL. Factores de crecimiento en el tratamiento de úlceras de pacientes diabéticos. Mitos y realidades. Rev Mex Ang 2001; 9(3): 75-82.
Anitua E, Sanchez M. New insights into and novel applications for platelet-rich fibrin therapies. Tr Biotech 2006; 24(5).
Yang LW, Zhang JX. Vascular endothelial growth factor gene therapy with intramuscular injections of plasmid DNA enhances the survival of random pattern flaps in a rat model. Br J Plast Surg 2005; 58: 339-347.
Kryger Z, Zhang F, Dogan T. The effects of VEGF on survival of random flap in the rat: examination of various routes of administration. Br J Plast Surg 2000; 43: 234-9.
Anitua E. PRGF (plasma rico en factores de crecimiento). Dent Dial 2004; 2.
Taran A. Improved vitality of experimental random dorsal skin flaps in rats treated with enriched cell culture medium. Plast Reconstr Surg 1999; 104: 148-51.
Anitua E. La utilización de los factores de crecimiento plasmáticos en cirugía oral, maxilofacial y periodoncia. RCOE 2001; 6(3): 305-15.
Brewster D. The effects of macrophages on the survival of random skin flaps in swine. Laryngoscope 1996; 106(9): 1094-1098.
Schaffer M, Barbul A. Lymphocyte function in wound healing and following injury. Br J Surg 1998; 85(4): 444-460.
Taub PJ, Lester S. Plastic surgical perspectives on vascular endothelial growth factor as gene therapy for angiogenesis. Plast Reconstr Surg 2000; 105(3): 1034-1042.