Treatment of life‑threatening wounds with a combination of allogenic platelet‑rich plasma, fibrin glue and collagen matrix, and a literature review

Asadi,Mehdi; Alamdari,Daryoush  Hamidi; Rahimi,Hamid  Reza; Aliakbarian,Mohsen; Jangjoo,Ali; Abdollahi,Abbas; Bahar,Mostafa  Mehrabi; Azadmand,Ali; Forghani,Naser; Sadegh,Mohammad  Nori; Khayamy,Mohammad  Esmail; Seifalian,Alexander

doi:10.3892/etm.2014.1747

Treatment of life‑threatening wounds with a combination of allogenic platelet‑rich plasma, fibrin glue and collagen matrix, and a literature review

Authors:
- Mehdi Asadi
- Daryoush Hamidi Alamdari
- Hamid Reza Rahimi
- Mohsen Aliakbarian
- Ali Jangjoo
- Abbas Abdollahi
- Mostafa Mehrabi Bahar
- Ali Azadmand
- Naser Forghani
- Mohammad Nori Sadegh
- Mohammad Esmail Khayamy
- Alexander Seifalian
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Affiliations: Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 917794‑8564, Iran, Stem Cell and Regenerative Medicine Research Group, Department of Biochemistry, Stem Cell Laboratory, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 917794‑8564, Iran, Student Research Committee, Department of Modern Sciences and Technologies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 917794‑8564, Iran, Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Mashhad 91875, Iran, UCL Centre for Nanotechnology and Regenerative Medicine, Division of Surgery and Interventional Science, University College London, Royal Free Hampstead NHS Trust Hospital, London, UK
Published online on: May 29, 2014 https://doi.org/10.3892/etm.2014.1747
Pages: 423-429

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Abstract

Currently there is no ideal procedure for the treatment of recalcitrant ulcers that are unresponsive to the majority of common treatments. However, several novel approaches have been proposed, including bone marrow stem cells, platelets, fibrin glue and collagen matrix. For the first approach treatment of a chronic wound, a non‑invasive method is highly desirable. The present study was undertaken with the aim of evaluating the effect of a combination of platelets, fibrin glue and collagen matrix (PFC) in one treatment. A total of ten patients with aggressive, refractory, life‑threatening wounds were recruited for the study and their treatment effects were evaluated. Initially, the ulcers were extensively debrided, measured and photographed at weekly intervals. The PFC combination was applied topically to the wound every two days. Following treatment, the wound was completely closed in nine patients and was markedly reduced in the other patient. The mean 100% healing time for the nine patients was 11.3±5.22 weeks. There was no evidence of local or systemic complications or any abnormal tissue formation, keloid or hypertrophic scarring. Therefore, the results of the present study indicate that in the first approach, the combination of PFC components may be used safely in order to synergize the effect of chronic wound healing.

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