Dehydrated Human Amnion/Chorion Grafts May Accelerate the Healing of Ulcers on Free Flaps in Patients With Venous Insufficiency and/or Lymphedema.
Identifieur interne : 000968 ( PubMed/Checkpoint ); précédent : 000967; suivant : 000969Dehydrated Human Amnion/Chorion Grafts May Accelerate the Healing of Ulcers on Free Flaps in Patients With Venous Insufficiency and/or Lymphedema.
Auteurs : Edward P. Miranda [États-Unis] ; Alex FriedmanSource :
- Eplasty [ 1937-5719 ] ; 2016.
Abstract
Ulceration of free flaps in patients with venous insufficiency and/or lymphedema is an uncommon but challenging problem. We hypothesized that dehydrated human amnion/chorion membrane (Epifix) grafts would accelerate healing of these challenging ulcers.
PubMed: 27648116
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Dehydrated Human Amnion/Chorion Grafts May Accelerate the Healing of Ulcers on Free Flaps in Patients With Venous Insufficiency and/or Lymphedema.</title><author><name sortKey="Miranda, Edward P" sort="Miranda, Edward P" uniqKey="Miranda E" first="Edward P" last="Miranda">Edward P. Miranda</name><affiliation wicri:level="3"><nlm:affiliation>Center for Complex Reconstruction, San Francisco, Calif; Department of Plastic Surgery, California Pacific Medical Center, San Francisco.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Center for Complex Reconstruction, San Francisco, Calif; Department of Plastic Surgery, California Pacific Medical Center</wicri:orgArea></affiliation></author><author><name sortKey="Friedman, Alex" sort="Friedman, Alex" uniqKey="Friedman A" first="Alex" last="Friedman">Alex Friedman</name><affiliation><nlm:affiliation>Center for Complex Reconstruction, San Francisco, Calif.</nlm:affiliation><wicri:noCountry code="subField">Calif</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27648116</idno><idno type="pmid">27648116</idno><idno type="wicri:Area/PubMed/Corpus">000616</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000616</idno><idno type="wicri:Area/PubMed/Curation">000616</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000616</idno><idno type="wicri:Area/PubMed/Checkpoint">000616</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000616</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Dehydrated Human Amnion/Chorion Grafts May Accelerate the Healing of Ulcers on Free Flaps in Patients With Venous Insufficiency and/or Lymphedema.</title><author><name sortKey="Miranda, Edward P" sort="Miranda, Edward P" uniqKey="Miranda E" first="Edward P" last="Miranda">Edward P. Miranda</name><affiliation wicri:level="3"><nlm:affiliation>Center for Complex Reconstruction, San Francisco, Calif; Department of Plastic Surgery, California Pacific Medical Center, San Francisco.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Center for Complex Reconstruction, San Francisco, Calif; Department of Plastic Surgery, California Pacific Medical Center</wicri:orgArea></affiliation></author><author><name sortKey="Friedman, Alex" sort="Friedman, Alex" uniqKey="Friedman A" first="Alex" last="Friedman">Alex Friedman</name><affiliation><nlm:affiliation>Center for Complex Reconstruction, San Francisco, Calif.</nlm:affiliation><wicri:noCountry code="subField">Calif</wicri:noCountry></affiliation></author></analytic><series><title level="j">Eplasty</title><idno type="ISSN">1937-5719</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Ulceration of free flaps in patients with venous insufficiency and/or lymphedema is an uncommon but challenging problem. We hypothesized that dehydrated human amnion/chorion membrane (Epifix) grafts would accelerate healing of these challenging ulcers.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27648116</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>20</Day></DateCreated><DateCompleted><Year>2016</Year><Month>09</Month><Day>20</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1937-5719</ISSN><JournalIssue CitedMedium="Print"><Volume>16</Volume><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>Eplasty</Title><ISOAbbreviation>Eplasty</ISOAbbreviation></Journal><ArticleTitle>Dehydrated Human Amnion/Chorion Grafts May Accelerate the Healing of Ulcers on Free Flaps in Patients With Venous Insufficiency and/or Lymphedema.</ArticleTitle><Pagination><MedlinePgn>e26</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Ulceration of free flaps in patients with venous insufficiency and/or lymphedema is an uncommon but challenging problem. We hypothesized that dehydrated human amnion/chorion membrane (Epifix) grafts would accelerate healing of these challenging ulcers.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective analysis of prospectively acquired data identified 8 lower extremity free flaps with ulcerations in the context of venous insufficiency and/or lymphedema. The first 4 were flaps that had been treated with conservative wound care to healing. The second group was treated conservatively initially but then converted to treatment with dehydrated human amnion/chorion membrane grafts. The primary endpoint was time to healing.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Comparison of Kaplan-Meier survival curves revealed a significant difference between the conservatively and dehydrated human amnion/chorion membrane-treated flap ulcers, favoring graft treatment (P = .0361). In those ulcers that healed, the average time to healing was 87 days for the conservative treatment group and 33 days for the dehydrated human amnion/chorion membrane treatment group (with an average of 1.7 grafts per ulcer).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Dehydrated human amnion/chorion membrane may accelerate healing of ulcers on lower extremity free flaps in patient with lymphedema and/or venous disease in the treated leg.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Miranda</LastName><ForeName>Edward P</ForeName><Initials>EP</Initials><AffiliationInfo><Affiliation>Center for Complex Reconstruction, San Francisco, Calif; Department of Plastic Surgery, California Pacific Medical Center, San Francisco.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Friedman</LastName><ForeName>Alex</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Center for Complex Reconstruction, San Francisco, Calif.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Eplasty</MedlineTA><NlmUniqueID>101316107</NlmUniqueID><ISSNLinking>1937-5719</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Reconstr Microsurg. 2007 May;23(4):175-9</RefSource><PMID Version="1">17530608</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 1997 Jun;38(6):611-9</RefSource><PMID Version="1">9188977</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int Wound J. 2013 Oct;10(5):493-500</RefSource><PMID Version="1">23902526</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Wound Repair Regen. 2014 Nov-Dec;22(6):688-93</RefSource><PMID Version="1">25224019</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 1998 Aug;41(2):131-7; discussion 138-9</RefSource><PMID Version="1">9718145</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">amnion/chorion</Keyword><Keyword MajorTopicYN="N">free flap</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">microsurgery</Keyword><Keyword MajorTopicYN="N">venous ulcer</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27648116</ArticleId><ArticleId IdType="pmc">PMC5016387</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region><settlement><li>San Francisco</li></settlement></list><tree><noCountry><name sortKey="Friedman, Alex" sort="Friedman, Alex" uniqKey="Friedman A" first="Alex" last="Friedman">Alex Friedman</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Miranda, Edward P" sort="Miranda, Edward P" uniqKey="Miranda E" first="Edward P" last="Miranda">Edward P. 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