APPLICATION OF AUTOLOGOUS PLATELET-RICH PLASMA (PRP) ON WOUND HEALING AFTER CAESAREAN SECTION IN HIGH-RISK PATIENTS

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TEHRANIAN AFSANEH; ESFEHANI MEHR BAHAREH; PIRJANI REIHANEH; REZAEI NEGAR; HEIDARY SOMAYE SADAT; SEPIDARKISH MAHDI

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Journal: Iranian Red Crescent Medical Journal Year:2016 | Volume:18 | Issue:7 Page(s): 0-0

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Title

APPLICATION OF AUTOLOGOUS PLATELET-RICH PLASMA (PRP) ON WOUND HEALING AFTER CAESAREAN SECTION IN HIGH-RISK PATIENTS

Author(s)

Keywords

PLATELET-RICH PLASMA

CAESAREAN SECTION

WOUND HEALING

Abstract

Background: PLATELET-RICH PLASMA (PRP) is ahumanplasma product enriched by platelets, growth factors, and fibrinogen with high hemostatic and healing properties.Objectives: The aim of this study was to evaluate the effect of autologous PRP on WOUND HEALING in high-risk women undergoing cesarean sections.Patients and Methods: In this balanced, randomized, and controlled trial, 140 patients were admitted to Arash women’s hospital, Tehran, Iran from May of 2013 to November of 2014 for elective cesarean surgery. The patients were randomly assigned into two groups. The intervention group received PRP after surgery, whereas the control group received the usual care. All patients were evaluated at baseline, five days, and eight weeks after the cesarean section. The primary endpoint used the REEDA scale for assessing the changes in WOUND HEALING. The secondary outcome measures used were the Vancouver scar scale (VSS) and the visual analog scale (VAS). All scale scores were analyzed using a repeated measures test for variance.Results: At the end of study, the PRP group showed a greater reduction in the edema ecchymosed discharge approximation (REEDA) score compared to the control group (85.5% reduction in the PRP group; 72% in the control group) (P<0.001). Compared with the control group, the PRP group had a significantly greater reduction in the VANscore, beginning on the fifth day after the cesarean section (-0.7, 38% reduction in PRP group; -0.8, 33% in control group) (P<0.001), and this trend was stable at the end of the eighth week (-0.6, 54% reduction in PRP group; -0.3, 18% in control group). Furthermore, patients treated with PRP experienced a 93% reduction in the VAS score at the end of follow-up, but the control group only observed a 79% reduction (P<0.001).Conclusions: It seems that applying PRP is an effective therapeutic approach for WOUND HEALING, and faster WOUND HEALING is expected due to the presence of more platelets and growth factors.

Cites

COMPARING THE EFFECTIVENESS OF INTRA-ARTICULAR PLATELET-RICH PLASMA AND CORTICOSTEROID INJECTION UNDER ULTRASOUND GUIDANCE ON PAIN CONTROL OF KNEE OSTEOARTHRITIS

References

THE ASSESSMENT OF ACUTE PAIN IN PRE-HOSPITAL CARE USING VERBAL NUMERICAL RATING AND VISUAL ANALOGUE SCALES

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APA: Copy

TEHRANIAN, AFSANEH, ESFEHANI MEHR, BAHAREH, PIRJANI, REIHANEH, REZAEI, NEGAR, HEIDARY, SOMAYE SADAT, & SEPIDARKISH, MAHDI. (2016). APPLICATION OF AUTOLOGOUS PLATELET-RICH PLASMA (PRP) ON WOUND HEALING AFTER CAESAREAN SECTION IN HIGH-RISK PATIENTS. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 18(7), 0-0. SID. https://sid.ir/paper/293248/en

Vancouver: Copy

TEHRANIAN AFSANEH, ESFEHANI MEHR BAHAREH, PIRJANI REIHANEH, REZAEI NEGAR, HEIDARY SOMAYE SADAT, SEPIDARKISH MAHDI. APPLICATION OF AUTOLOGOUS PLATELET-RICH PLASMA (PRP) ON WOUND HEALING AFTER CAESAREAN SECTION IN HIGH-RISK PATIENTS. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2016;18(7):0-0. Available from: https://sid.ir/paper/293248/en

IEEE: Copy

AFSANEH TEHRANIAN, BAHAREH ESFEHANI MEHR, REIHANEH PIRJANI, NEGAR REZAEI, SOMAYE SADAT HEIDARY, and MAHDI SEPIDARKISH, “APPLICATION OF AUTOLOGOUS PLATELET-RICH PLASMA (PRP) ON WOUND HEALING AFTER CAESAREAN SECTION IN HIGH-RISK PATIENTS,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 18, no. 7, pp. 0–0, 2016, [Online]. Available: https://sid.ir/paper/293248/en

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