Therapeutic use of platelet rich plasma in prevention of unaesthetic scars in animals and humans

PRP use in prevention of unaesthetic scars

Authors

DOI:

https://doi.org/10.60104/revhugv12958

Keywords:

Tissue lesion, tissue repair, growth factor, reparative treatment

Abstract

The development of skin lesions can cause the presence of scars, which are associated to aesthetic issues, especially in women. The use of Platelet-Rich Plasma (PRP) in post-surgery showed a better degree of healing, with less marks and discomfort due to the production of anti-inflammatory mediators and better tissue repair. Our objective is to promote a survey of the results obtained by published studies regarding the effectiveness of the therapeutic use of PRP in the healing of wounds in animals and humans. To achieve our aim, we conducted a review, with articles from digital platforms, from 2000 and 2023, which used people or animals, who used RPR and who had a description of the effectiveness of the procedure. There were identified 16/94 articles that met the criteria, where in addition to humans, research also used rabbits, rodents, dogs, and horses. PRP was prepared in heterologous, homologous, and autologous ways, and used in lesions with delayed healing, burns, as an adjuvant in grafting, in cutaneous tissue with an accelerated aging process and in postoperative scars from plastic surgery. Regardless the administration, all studies agreed that its repairing effect is greater in the early stages of healing. With this, we highlight that PRP can be a good therapeutic resource in healing complications, and although there is still no established protocol for collection and prepare, it presents promising results in the surgical postoperative period. However, we suggest that more studies must be carried out, as well as a protocol be standardized to obtain and use PRP in a safe and reliable way.

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References

- Garg S, Dahiya N, Gupta S. Surgical Scar Revision: An Overview. J Cutan Aesthet Surg. 2014;7[1]:3–13. . https://doi.org/10.4103/0974-2077.129959.

- Gallina LB, Parisotto PW, Gonçalves VP. Efeitos do Microagulhamento na Cicatriz em Pós-Operatório de Mamoplastia de Aumento: Estudo de Caso. 2017. https://repositorio.animaeducacao.com.br/handle/ANIMA/8894

- Monteiro MR. Plasma rico em plaquetas em dermatologia. Surg Cosmet Dermatology. 2013;5[2]:155–9.

- Arnoczky SP, Delos D, Rodeo SA. What is Platelet-Rich Plasma? Oper Tech Sports Med. 2011;19[3]:142–8. https://doi.org/10.1053/j.otsm.2010.12.001.

- Balbino CA, Pereira LM, Curi R. Mecanismos envolvidos na cicatrização: uma revisão. Brazilian J Pharm Sci. 2005;41[1]:27–51. https://doi.org/10.1590/S1516-93322005000100004.

- Broughton G, Janis JE, Attinger CE. Wound healing: An overview. Plast Reconstr Surg. 2006;117[1e-S]:1–32. https://doi.org/10.1097/01.prs.0000222562.60260.f9

- Aleixo GAS, Coelho MCOC, Teixeira MN, Mesquita EP, Oliveira FF, Zubieta LMV, et al. Comparação entre dois protocolos para obtenção de plasma rico em plaquetas, em cães. Arq Bras Med Vet e Zootec. 2011;63[3]:567–73. ID: lil-595570. https://doi.org/10.1590/S0102-09352011000300005

- Gómez LA, Romero VC, Rubiano WHM. O uso do plasma rico em plaquetas no tratamento da acne e suas cicatrizes: estudo-piloto. Surg Cosmet Dermatology. 2017;9[2]:156–9. http://dx.doi.org/10.5935/scd1984-8773.201792932

- Masi ECDJ de. A Influência de Fatores de Crescimento na Cicatrização de Feridas cutâneas em Ratas. 2015. http://hdl.handle.net/1884/40638

- Oliveira BGRB de, Carvalho MR de, Ribeiro APL. Cost and effectiveness of Platelet Rich Plasma in the healing of varicose ulcer: Meta-analysis. Rev Bras Enferm. 2020;73[4]:1–8. http://dx.doi.org/10.1590/0034-7167-2018-0981

- Del Corso M, Vervelle A, Simonpieri A, Jimbo R, Inchingolo F, Sammartino G, et al. Current Knowledge and Perspectives for the Use of Platelet-Rich Plasma (PRP) and Platelet-Rich Fibrin (PRF) in Oral and Maxillofacial Surgery Part 1: Periodontal and Dentoalveolar Surgery. Curr Pharm Biotechnol. 2012;13[7]:1207–30. https://doi.org/10.2174/138920112800624391

- Vendramin FS, Franco D, Franco TR. Utilização do plasma rico em plaquetas autólogo nas cirurgias de enxertos cutâneos em feridas crônicas. Rev Bras Cir Plástica. 2010;25[4]:589–94. https://doi.org/10.1590/S1983-51752010000400004.

- Orellano P, Negreira MT, Colombo A, Lamela N, Saliwonczyk D, Berro M, et al. Experiencia con el uso de plasma rico en plaquetas autólogo en el tratamiento de las úlceras del pie diabético. Rev Medica Del Uruguay. 2021;37[3]:1–12. https://doi.org/10.29193/RMU.37.3.1

- Hernández-Patiño I, Rossani G, De La Cruz V. JA, Casado FL, Trelles MA. Tratamiento de quemaduras mediante plasma heterólogo rico en plaquetas (PRPh). A propósito de un caso pediátrico. Cir Plast Ibero-Latinoamericana. 2020;46[4]:483–8. https://doi.org/10.4321/S0376-78922020000400013

- Murias R, Court Y, Merbilhaá O, Fariña G, Pace EL, Biglia A, et al. Therapeutic approach to electric burn with platelet rich plasma, grafts and hyperbaric oxygenation. Medicina (B Aires). 2021;81[2]:297–300. PMID: 33906152.

- García-Salas JD, Carrillo-Gorena J, Cisneros-Castolo M, Sierra-Santiesteban F, Enríquez-Sánchez L. Plasma rico en plaquetas alogénico activado sobre injertos de piel en pacientes con quemaduras grado III. Cir Gen. 2018;40[4]:230–7.

- Sánchez YP, Larróvere MQ. Tratamiento seriado con plasma rico en plaquetas en rejuvenecimiento facial. Cambios histopatológicos y clínicos. Cir Plast Ibero-Latinoamericana. 2020;46[4]:421–40. https://dx.doi.org/10.4321/s0376-78922020000500006.

- Mercedes-Acosta S, Matos D, Belén-Reinoso M, Bonifacio S, Abreu O, Estévez N. Evolución de la cicatriz quirúrgica en abdominoplastia tras infiltración de plasma rico en plaquetas. Cir Plast Ibero-Latinoamericana. 2016;42[4]:331–8. http://dx.doi.org/10.4321/S0376-78922016000400004.

- Rezende RS, Eurides D, Venturini GC, Alves RN, Felipe RL. Análise ultraestrutural do colágeno de feridas cutâneas de coelhos tratadas com plasma rico em plaquetas de equino. Arq Bras Med Veterinária e Zootec. 2020;72[3]:827–35. https://doi.org/10.1590/1678-4162-11035.

- Pazzini JM, Serafim EL, Uscategui RRA, Almeida VT, Oliva CAC, Gärtner F, et al. Surgical sponge associated with platelets rich plasma in skin mesh grafts and layer in rabbits (Oryctolagus cuniculus). Arq Bras Med Vet e Zootec. 2018;70[5]:1339–48. http://hdl.handle.net/11449/183996.

- Kemper B, Brandão CVS, Rossetto VJV, Gushiken LFS, Padovani CR, Pellizzon CH. Autologous and homologous skin grafts treated with platelet-rich plasma (PRP): experimental study in rabbits. Pesqui Veterinária Bras. 2018;38[9]:1818–23. https://doi.org/10.1590/1678-5150-PVB-5199.

- Ferraciolli E, Laposy CB, Nogueira MR, Justulin Júnior LA, Camargo Filho JC, Moreira V, et al. Avaliação das fibras colágenas de feridas dérmicas de coelhos tratadas com diferentes fontes de plasma rico em plaquetas. Arq Bras Med Vet e Zootec. 2018;70[4]:1179–86. https://doi.org/10.1590/1678-4162-9528.

- Aleixo GAS, Coelho MCOC, Almeida TLA, Pereira MF, Teixeira MN, Andrade LSS, et al. Evaluation of platelet-rich plasma gel as an angiogenesis-inducing agent in canine advancement skin flaps. Pesqui Vet Bras. 2020;40[6]:474–8. 10.1590/1678-5150-PVB-6512.

- Laidding SR, Josh F, Francisca, Faruk M, Palissei AS, Satria B, et al. Combination of platelet-rich plasma and stromal vascular fraction on the level of transforming growth factor-β in rat subjects experiencing deep dermal burn injury. Ann Med Surg. 2020;60[1]:737–42. https://doi.org/10.1016/j.amsu.2020.11.088.

- Argolo Neto NM, Del Carlo RJ, Monteiro BS, Nardi NB, Chagastelles PC, Brito AFS, et al. Role of the autologous mesenchymal stem cells compared with platelet rich plasma on cicatrization of cutaneous wounds in diabetic mice. Pesqui Vet Bras. 2016;36[7]:617–24. https://doi.org/10.1111/j.1365-2230.2011.04304.x.

- Bonfá AF, Nomura RHC, Prado AMB do, Silveira AB da, Dornbusch LPTC, Dornbusch PT. Efeito do gel de plasma rico em plaquetas na cicatrização de enxertos cutâneos em equinos. Ciência Anim Bras. 2017;18[e-32307]:1–12. https://doi.org/10.1590/cab18032307.

- Pedroso ACB da R, Queiroz AKL, Brito ESA, Souza JPCE, Miguel MP, Brandstetter LRG, et al. Autologous platelet-rich plasma action on skin autografts in horses. Cienc Rural. 2021;51[8]:1–8. https://doi.org/10.1590/0103-8478cr20190811.

- Bydlowski SP, Debes AA, Maselli LMF, Janz FL. Características biológicas das células-tronco mesenquimais. Rev Bras Hematol Hemoter. 2009;31[1]:25–35. https://doi.org/10.1590/S1516-84842009005000038.

Published

2023-12-29

Issue

Section

Revisão de Literatura