Application of Viable Cryopreserved Human Placental Membrane Grafts in the Treatment of Wounds of Diverse Etiologies: A Case Series.

There is evidence in the literature that viable cryopreserved human placental membrane (vCHPM) grafts are effective in treating diabetic foot ulcers and venous leg ulcers. Objective. This case series presents 3 cases of chronic ulcerations -- 1 arterial ulcer (AU), 1 pressure ulcer (PU), and 1 recur...

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Publicado en:Wounds: A Compendium of Clinical Research & Practice Vol. 30; no. 3; pp. 57 - 62
Autores principales: Anselmo, Derek S., McGuire, James B., Love, Ebony, Vlahovic, Tracey
Formato: case study pictorial research tables/charts Journal Article
Publicado: HMP Global Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
      vid: 30
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      pid: 20465
      pub: HMP Global
      place: Malvern, Pennsylvania
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        atl: Application of Viable Cryopreserved Human Placental Membrane Grafts in the Treatment of Wounds of Diverse Etiologies: A Case Series.
      aug:
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          Anselmo, Derek S.
          McGuire, James B.
          Love, Ebony
          Vlahovic, Tracey
        affil: Resident Physician, Phoenixville Hospital, Phoenixville, PA
      sug:
        subj:
          Arteries Pathology
          Pyoderma Gangrenosum Surgery
          Pressure Ulcer Surgery
          Fetal Membranes Transplantation
          Placenta Transplantation
          Skin Transplantation Methods
          Cell Viability
          Cryopreservation
          Wound Care
          Wound Healing
          Recurrence
          Human
          Wounds, Chronic Therapy
          Photography
          Treatment Outcomes
          Retrospective Design
          Female
          Male
          Aged
          Aged, 80 and Over
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: There is evidence in the literature that viable cryopreserved human placental membrane (vCHPM) grafts are effective in treating diabetic foot ulcers and venous leg ulcers. Objective. This case series presents 3 cases of chronic ulcerations -- 1 arterial ulcer (AU), 1 pressure ulcer (PU), and 1 recurrence of a pyoderma gangrenosum ulcer (PGU) -- that had failed previous courses of standard wound care and were subsequently treated with vCHPM to determine if the treatment is an effective modality for treating wounds of these etiologies. Materials and Methods. This retrospective review describes 3 cases in which patients with chronic wounds that had failed standard of care treatments for more than 4 weeks were subsequently treated with weekly applications of vCHPM. Each wound area was recorded and photographed on a weekly basis and wound area reduction also was charted weekly. Results. The PU and AU both reached full closure in 4 and 5 weeks, respectively, without complication. The patient with the PGU achieved 64% closure after 9 applications of vCHPM. Conclusions. Viable CHPM is an effective treatment modality for wounds of diverse etiologies and shows better results than have been previously published with standard of care. In patients with PGUs, medical optimization and close management of comorbidities is essential in achieving optimal results.
      pubtype: Periodical
      doctype:
        case study
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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