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20344

Role of Platelet-Rich Plasma injection during Modified Radical Mastectomy

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Last updated: 24 Dec 2024

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Abstract

Background: platelet-rich plasma (PRP) is a human plasma 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 women undergoing modified radical mastectomy (MRM). Patients and Methods: In this randomized and controlled trial, 100 females were admitted to El Sayed Galal hospital, Egypt from October of 2017 to August of 2018 for MRM. The patients were randomly assigned to 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 2 weeks after surgery. 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). All scale scores were analyzed using a repeated measures test for the variance. Results: At the end of the 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). 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.

DOI

10.21608/ejhm.2018.20344

Keywords

platelet-rich plasma, Modified Radical Mastectomy, Wound healing

Authors

First Name

Mahmoud

Last Name

Ibrahim

MiddleName

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Affiliation

Department of General Surgery, Faculty of medicine, Al-Azhar University, Cairo, Egypt

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First Name

Abdel Fattah

Last Name

El Sheik

MiddleName

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Affiliation

Department of General Surgery, Faculty of medicine, Al-Azhar University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Abdelgaber

Last Name

Rabea

MiddleName

-

Affiliation

Department of General Surgery, Faculty of medicine, Al-Azhar University, Cairo, Egypt

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Orcid

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Volume

73

Article Issue

10

Related Issue

4006

Issue Date

2018-10-01

Receive Date

2018-12-03

Publish Date

2018-10-01

Page Start

7,785

Page End

7,793

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_20344.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=20344

Order

23

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Platelet-Rich Plasma injection during Modified Radical Mastectomy

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Article

Created At

22 Jan 2023