Platelet-rich plasma role in the local protection of the colon anastomosis
Închide
Conţinutul numărului revistei
Articolul precedent
Articolul urmator
101 3
Ultima descărcare din IBN:
2024-01-04 17:25
Căutarea după subiecte
similare conform CZU
616.34-089.86:615.382 (1)
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1746)
Medicamentele potrivit originii lor (479)
SM ISO690:2012
PLESHCO, Elena. Platelet-rich plasma role in the local protection of the colon anastomosis. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2023, vol. 10, nr. 4, pp. 29-35. ISSN 2345-1467. DOI: https://doi.org/10.52645/MJHS.2023.4.05
EXPORT metadate:
Google Scholar
Crossref
CERIF

DataCite
Dublin Core
Revista de Ştiinţe ale Sănătăţii din Moldova
Volumul 10, Numărul 4 / 2023 / ISSN 2345-1467

Platelet-rich plasma role in the local protection of the colon anastomosis

DOI:https://doi.org/10.52645/MJHS.2023.4.05
CZU: 616.34-089.86:615.382

Pag. 29-35

Pleshco Elena
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 15 decembrie 2023


Rezumat

Introduction. Intestinal anastomosis dehiscence has been and remains a critical problem in modern colorectal surgery, associated with significant morbidity and mortality. Currently, there are various studies focused on the development of a method to protect the intestinal anastomosis. The new method with the use of biological substances is the local application of platelet-rich plasma. Material and methods. The experimental study included 42 rats, which were divided into two groups. Group 1 – application of unprotected colon anastomosis (n = 21); group 2 – local application of platelet-rich plasma on the colon anastomosis (n = 21). 37 patients were included in the clinical study, who underwent colon anastomosis. The patients were divided into 2 groups: group I (n = 16) had unprotected colon anastomosis and group II (n = 21) - protected anastomosis with platelet-rich plasma. Results. It was experimentally proven that platelet-rich plasma does not aggravate the adhesion process and actually increases significantly the mechanical resistance of colon anastomosis. Microscopical examination demonstrated the acceleration of regenerative processes, in particular, angiogenesis and fibrillogenesis. The clinical study showed significant improvement of the postsurgical results – absence of colon anastomosis dehiscence in cases where local application of platelet-rich plasma was used. Conclusions. A statistically significant increase in dehiscence pressure of the anastomosis at 3rd, 7th and 8th day after surgery was noticed in group 2 vs. group 1. Using platelet-rich plasma does not influence significantly the process of abdominal adhesion, leads to increased regeneration process in the anastomosis area, especially neogenesis and fibrillogenesis (p < 0.5). Using platelet-rich plasma significantly improves the post-surgical results.

Cuvinte-cheie
colon anastomosis dehiscence, platelet-rich plasma