Experience with the use of apligraf to heal complicated surgical and nonsurgical wounds in a private practice setting.

作者: Fred G. Shealy , Ervin Daniel DeLoach

DOI: 10.1097/00129334-200607000-00010

关键词:

摘要: Apligraf is supplied as a ready-to-use living fibroblast and keratinocyte bilayer in culture. This therapy has been shown to facilitate healing of venous ulcers diabetic foot ulcers. Several case reports suggest that may also be effective acute excisional wounds complicated surgical defects. can, appropriate settings, used an alternative autografts, avoiding the morbidity donor site wounds. The present review summarizes outcomes 16 patients with 18 nonsurgical treated Apligraf, which was meshed or fenestrated needed obtain better wound coverage allow drainage. Of patients, 15 (94%) experienced complete (16 wounds; 89%). Both responded well, times ranging from 21 550 days. Patients generally stated they were satisfied their degree opportunity avoid procedures associated autograft sites.

参考文章(19)
Walker, Sibbald Rg, MacNeil P, Attard C, Torrance Gw, Cost-effectiveness of Apligraf in the treatment of venous leg ulcers. Ostomy Wound Management. ,vol. 47, pp. 36- 46 ,(2001)
M. Streit, L.R. Braathen, Apligraf--a living human skin equivalent for the treatment of chronic wounds. International Journal of Artificial Organs. ,vol. 23, pp. 831- 833 ,(2000) , 10.1177/039139880002301208
Bernard Guillot, Skin reactions to inhaled corticosteroids. Clinical aspects, incidence, avoidance, and management. American Journal of Clinical Dermatology. ,vol. 1, pp. 107- 111 ,(2000) , 10.2165/00128071-200001020-00005
WILLIAM H. EAGLSTEIN, MANUEL IRIONDO, KAREN LASZLO, A composite skin substitute (graftskin) for surgical wounds. A clinical experience. Dermatologic Surgery. ,vol. 21, pp. 839- 843 ,(1995) , 10.1111/J.1524-4725.1995.TB00709.X
Howard C Thomas, Simon D Taylor-Robinson, Graham R Foster, Shona Arora, Sally Hargreaves, Increase in primary liver cancer in the UK, 1979-94. The Lancet. ,vol. 350, pp. 1142- 1143 ,(1997) , 10.1016/S0140-6736(05)63789-0
David Fivenson, Lubomira Scherschun, Clinical and economic impact of Apligraf for the treatment of nonhealing venous leg ulcers. International Journal of Dermatology. ,vol. 42, pp. 960- 965 ,(2003) , 10.1111/J.1365-4632.2003.02039.X
Mordechai M. Tarlow, Robert Nossa, James M. Spencer, Effective Management of Difficult Surgical Defects Using Tissue‐Engineered Skin Dermatologic Surgery. ,vol. 27, pp. 71- 74 ,(2001) , 10.1111/J.1524-4725.2001.00183.X
Tania J. Phillips, Jasmin Manzoor, Adriana Rojas, Cary Isaacs, Polly Carson, Michael Sabolinski, Jan Young, Vincent Falanga, The Longevity of a Bilayered Skin Substitute After Application to Venous Ulcers Archives of Dermatology. ,vol. 138, pp. 1079- 1081 ,(2002) , 10.1001/ARCHDERM.138.8.1079
Vincent Falanga, Michael Sabolinski, A bilayered living skin construct (APLIGRAF®) accelerates complete closure of hard-to-heal venous ulcers Wound Repair and Regeneration. ,vol. 7, pp. 201- 207 ,(1999) , 10.1046/J.1524-475X.1999.00201.X
Warren H Schonfeld, Kathleen F Villa, John M Fastenau, Peter D Mazonson, Vincent Falanga, An economic assessment of Apligraf® (Graftskin) for the treatment of hard‐to‐heal venous leg ulcers Wound Repair and Regeneration. ,vol. 8, pp. 251- 257 ,(2000) , 10.1046/J.1524-475X.2000.00251.X