Ulcer Foot Clinical Trial
Official title:
Platelet Rich Plasma (PRP) Bio Stimulant Gel Dressing in Treating Chronic Non Healing Leg and Foot Ulcers: Cost and Effectiveness
Background
Chronic non-healing ulcer is a common problem met in clinical practice and represents a
burden to the patients. Chronic ulcer lacks growth factors (GFs) to promote the healing
process and is frequently followed by superadded infections. Ordinary technique such as wound
debridement and regular dressings cannot provide adequate results as these techniques cannot
provide the necessary GFs. Platelet-rich plasma (PRP) helps wound healing by releasing
various types of GFs.
The aim: to evaluate and compare the efficacy of PRP dressing versus traditional dressings in
the treatment of chronic non-healing leg and foot ulcers of different etiology as regard cost
of overall treatment and effectiveness (reduction of the size of the ulcer and safety of the
technique).
Methods
This prospective study was performed on inpatients and outpatients in general surgery
department, Zagazig university hospital from June 2017 to January 2019. Patients were divided
randomly into two groups: group A received PRP dressing (N=22, 50%) and group B received
conventional ordinary dressing (N=22, 50%).The mean follow-up period was 3 months after the
last dressing. Patients treated with PRP at once-weekly interval for a maximum of 12
dressings while patients with ordinary dressings may need one dressing every other day for a
maximum of 12 weeks. The reduction in the size of the ulcers (area and volume) in both groups
was assessed using centimeter scale and Digital photographs before and after each session and
during follow up period.
Keywords: Platelet-rich plasma, ulcers, non-healing, ordinary dressing.
Chronic non-healing ulcer is a common problem met in clinical practice and represents a
burden to the patients. Chronic ulcer lacks growth factors (GFs) to promote the healing
process and is frequently followed by superadded infections. Ordinary technique such as wound
debridement and regular dressings cannot provide adequate results as these techniques cannot
provide the necessary GFs. Platelet-rich plasma (PRP) helps wound healing by releasing
various types of GFs.
The aim: to evaluate and compare the efficacy of PRP dressing versus traditional dressings in
the treatment of chronic non-healing leg and foot ulcers of different etiology as regard cost
of overall treatment and effectiveness (reduction of the size of the ulcer and safety of the
technique).
Methods
This prospective study was performed on inpatients and outpatients in general surgery
department, Zagazig university hospital from June 2017 to January 2019. Patients were divided
randomly into two groups: group A received PRP dressing (N=22, 50%) and group B received
conventional ordinary dressing (N=22, 50%).The mean follow-up period was 3 months after the
last dressing. Patients treated with PRP at once-weekly interval for a maximum of 12
dressings while patients with ordinary dressings may need one dressing every other day for a
maximum of 12 weeks. The reduction in the size of the ulcers (area and volume) in both groups
was assessed using centimeter scale and Digital photographs before and after each session and
during follow up period.
Keywords: Platelet-rich plasma, ulcers, non-healing, ordinary dressing.
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