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Concentrated suspension of platelets and collagen in the treatment of venous trophic ulcers of large size

https://doi.org/10.24884/0042-4625-2019-178-1-59-62

Abstract

The objective was to evaluate the efficacy of donor thromboconcentrate and collagen preparations for improving the results of autodermoplasty of extensive venous trophic ulcers.

Material and methods. The study included 66 patients with extensive venous trophic ulcers larger than 20 cm2 in the second 2 phase of wound process. Patients were randomly divided into the main group and 3 control groups.

Results. The activation of regeneration processes using a combination of platelet-rich donor plasma and native unreconstructed collagen before autodermoplasty leads to improving the viability and engraftment of transplant, progressive decreasing the area of the wound defect.

Conclusion. The use of a combination of donor thromboconcentrate and collagen preparations statistically significantly improves the results of skin transplantation.

About the Authors

M. A. Aralova
Voronezh State Medical University named after N. N. Burdenko
Russian Federation

Corresponding author: Мaria V. Aralova, Voronezh State Medical University of N. N. Burdenko, 10 Studencheskaya street, Voronezh, Russia, 394036. E-mail: mashaaralova@mail.ru.



A. A. Glukhov
Voronezh State Medical University named after N. N. Burdenko
Russian Federation

Alexander A. Glukhov

Voronezh



References

1. Gluchov A. A., Aralova M. V. Patophyziologiya dlitelno nezagivayushih ran i sovremennye metody stimulyacii ranevogo processa. Novosti khirurgii. 2015. Vol 23, № 6, рр. 673–679. (In Russ.).

2. Shevchenko Yu. L., Stoiko Yu. M., Gudymovich V. G., Ivanov A. K. Kompleksnyi podhod v lechenii obchirnych troficheskich yazv golenei v mnogoprofilnom stazionare. Vestnik jeksperimentalnoi i klinicheskoi khirurgii. 2014. Vol. 7, № 3, рр. 221–227. (In Russ.).

3. Ambrózy E., Waczulíková I., Willfort A. et al. Healing process of venous ulcers : the role of microcirculation // Int. Wound Journ. 2013. Vol. 10, № 1. P. 57–64. Doi: 10.1111/j.1742-481x.2012.00943.x.

4. Sibbald R. G., Goodman L., Woo K. Y. et al. Special considerations in wound bed preparation 2011 : an update // Adv. Skin Wound Care. 2011. Vol. 24, № 9. P. 415–436.


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For citations:


Aralova M.A., Glukhov A.A. Concentrated suspension of platelets and collagen in the treatment of venous trophic ulcers of large size. Grekov's Bulletin of Surgery. 2019;178(1):59-62. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-1-59-62

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ISSN 0042-4625 (Print)
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