Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Preconditioning Local Injection of Activated Platelet-Rich Plasma Increases Angiogenesis, VEGF Levels, and Viability of Modified McFarlane Flap in Diabetes-Induced Rats

  • Jenisa Amanda Sandiarini Kamayana (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Udayana University) ;
  • Agus Roy Rusly Hariantana Hamid (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Udayana University) ;
  • Tjokorda Gde Bagus Mahadewa (Department of Neurosurgery, Udayana University) ;
  • I. Gusti Putu Hendra Sanjaya (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Udayana University) ;
  • I. Made Darmajaya (Division of Paediatric Surgery, Department of Surgery, Udayana University) ;
  • I. Gusti Ayu Sri Mahendra Dewi (Department of Anatomical Pathology, Udayana University)
  • Received : 2023.10.21
  • Accepted : 2024.04.28
  • Published : 2024.07.15
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Abstract

Background The risk of flap necrosis in tissue reconstruction surgery is elevated in patients with vascular disorders, such as diabetes mellitus. Chronic hyperglycemia causes endothelial cell dysfunction and increases inflammatory process, causing vascular insufficiency. Platelet-rich plasma (PRP) contains high levels of platelets, growth factors, and fibrinogens. Its regenerative properties spark interest in supporting flap survival in relation to diabetic complications. Methods Thirty Wistar rats were divided into three groups. The first group included diabetic rats without PRP injection, which underwent flap procedure. The second group included diabetes-induced rats receiving PRP subcutaneous injection 1 day prior to flap procedure. The third group included nondiabetic rats receiving PRP injection 1 day prior to flap procedure. Flap tissue samples were taken on the seventh day to measure vascular endothelial growth factor (VEGF) levels using enzyme-linked immunosorbent assay method; angiogenesis and collagen density were measured from histopathology examination, and flap viability was analyzed using digital measurements. Results Analysis showed that flap viability, angiogenesis, and VEGF levels were significantly higher in the PRP-injected diabetic rats compared with diabetic rats that did not receive PRP. The levels of VEGF, angiogenesis, and viability of flaps in diabetic rats given PRP did not differ significantly compared with nondiabetic rats that received PRP. Conclusion Flap preconditioning through local injection of activated PRP enhances flap viability, VEGF levels and angiogenesis, in random skin flaps in diabetic rats, to the level where it does not differ significantly to nondiabetic rats that were given PRP.

Keywords

References

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