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Revista de sanidad militar
versão impressa ISSN 0301-696X
Resumo
ORTEGA-PEREZ, Aarón Enrique e LOPEZ-SILVA, Felipe Alejandro. Application of fat graft with platelet rich plasma for coverage of defects. Rev. sanid. mil. [online]. 2023, vol.77, n.4, e02. Epub 15-Mar-2024. ISSN 0301-696X. https://doi.org/10.56443/rsm.v77i4.360.
Objective:
To describe the evolution of patients with the application of autologous fat grafting with platelet-rich plasma (IGAPRP) in full-thickness defects (TED).
Method:
During the period from April 15, 2021 to September 30, 2021, the TEDs of patients who received IGAPRP were analyzed.
Results:
3 to 4 IGAPRP application procedures were performed for its integration with an average hospital stay of 19.6±0.5 days. Lesion size ranged from 17.5 to 280 cm2 (95.1±81.6 cm2, Depth 1.1±1.1 cm). Volume of grafted fat in the TEDs was 14.7±7.9 ml. No cases of infection were identified. The comparison of the dimensions of the defects through the procedures revealed a difference of 95.13 cm2 with statistically significant findings (p<0.001).
Study limitations:
The study population limited to only 6 patients does not allow us to draw significant conclusions regarding the effect of treatment. Despite there were significant differences in the volume and area of ??the TEDs. A multicenter study is required to fully evaluate the efficacy of these treatments in patients with TED.
Value:
The use of IGAPRP could reduce sequelae and complications of the use of flaps for TED reconstruction.
Conclusions:
The application of IGAPRP proved to be an effective and safe option for TED granulation in our patients for subsequent coverage with a split-thickness skin graft.
Palavras-chave : Autologous fat grafting; platelet-rich plasma; full-thickness defects.