A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival
Background: There is a time lag between hair follicle harvesting and implantation; during this time, hair follicles have ischemic injury. We need a holding media or a solution to minimize or neutralize ischemic injury. Aim and Objectives: The aim of this study was to evaluate plasma as a graft-holdi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Cutaneous and Aesthetic Surgery |
| Subjects: | |
| Online Access: | http://www.jcasonline.com/article.asp?issn=0974-2077;year=2020;volume=13;issue=1;spage=50;epage=56;aulast=Garg |
| _version_ | 1811285924793810944 |
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| author | Anil K Garg Seema Garg |
| author_facet | Anil K Garg Seema Garg |
| author_sort | Anil K Garg |
| collection | DOAJ |
| description | Background: There is a time lag between hair follicle harvesting and implantation; during this time, hair follicles have ischemic injury. We need a holding media or a solution to minimize or neutralize ischemic injury. Aim and Objectives: The aim of this study was to evaluate plasma as a graft-holding solution in terms of its efficacy in hair growth and hair graft survival. Materials and Methods: A split-scalp study was carried out. The left side was designated as the control area (Group A), where graft implanted was kept in Ringer′s lactate (RL), and the right side behaved as the test area (Group B), which received grafts preserved in autologous plasma. The P value was calculated. Observations: MTT [3-(4,5-Dimethylthiazol-2-Yl)-2,5-Diphenyltetrazolium Bromide] staining for graft stored in RL at 12–72 h showed poor hair follicles cells survival, whereas graft kept in plasma showed viable cells even after 72h. The hair count and density in plasma group were significantly higher than the RL group. There was an improvement in hair thickness in both groups from 6 to 12 months. Conclusion: Autologous plasma is an easily available graft-holding solution. Platelets along with the plasma provide multiple growth factors promoting epithelialization, neovascularization, and action on hair follicle stem cells to improve growth. The fibrin coating around graft makes it sticky and prevents dehydration. The split-scalp controlled study certainly shows the advantages of using plasma over other extracellular graft-holding solutions. |
| first_indexed | 2024-04-13T02:52:03Z |
| format | Article |
| id | doaj.art-305257c86f544577b3d23955e7a85c78 |
| institution | Directory Open Access Journal |
| issn | 0974-2077 |
| language | English |
| last_indexed | 2024-04-13T02:52:03Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Cutaneous and Aesthetic Surgery |
| spelling | doaj.art-305257c86f544577b3d23955e7a85c782022-12-22T03:05:49ZengWolters Kluwer Medknow PublicationsJournal of Cutaneous and Aesthetic Surgery0974-20772020-01-01131505610.4103/JCAS.JCAS_97_19A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survivalAnil K GargSeema GargBackground: There is a time lag between hair follicle harvesting and implantation; during this time, hair follicles have ischemic injury. We need a holding media or a solution to minimize or neutralize ischemic injury. Aim and Objectives: The aim of this study was to evaluate plasma as a graft-holding solution in terms of its efficacy in hair growth and hair graft survival. Materials and Methods: A split-scalp study was carried out. The left side was designated as the control area (Group A), where graft implanted was kept in Ringer′s lactate (RL), and the right side behaved as the test area (Group B), which received grafts preserved in autologous plasma. The P value was calculated. Observations: MTT [3-(4,5-Dimethylthiazol-2-Yl)-2,5-Diphenyltetrazolium Bromide] staining for graft stored in RL at 12–72 h showed poor hair follicles cells survival, whereas graft kept in plasma showed viable cells even after 72h. The hair count and density in plasma group were significantly higher than the RL group. There was an improvement in hair thickness in both groups from 6 to 12 months. Conclusion: Autologous plasma is an easily available graft-holding solution. Platelets along with the plasma provide multiple growth factors promoting epithelialization, neovascularization, and action on hair follicle stem cells to improve growth. The fibrin coating around graft makes it sticky and prevents dehydration. The split-scalp controlled study certainly shows the advantages of using plasma over other extracellular graft-holding solutions.http://www.jcasonline.com/article.asp?issn=0974-2077;year=2020;volume=13;issue=1;spage=50;epage=56;aulast=Garganagen effluviumautologous plasmafibrin scaffoldgraft-holding solutionsischemic injury |
| spellingShingle | Anil K Garg Seema Garg A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival Journal of Cutaneous and Aesthetic Surgery anagen effluvium autologous plasma fibrin scaffold graft-holding solutions ischemic injury |
| title | A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival |
| title_full | A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival |
| title_fullStr | A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival |
| title_full_unstemmed | A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival |
| title_short | A histological and clinical evaluation of plasma as a graft-holding solution and its efficacy in terms of hair growth and graft survival |
| title_sort | histological and clinical evaluation of plasma as a graft holding solution and its efficacy in terms of hair growth and graft survival |
| topic | anagen effluvium autologous plasma fibrin scaffold graft-holding solutions ischemic injury |
| url | http://www.jcasonline.com/article.asp?issn=0974-2077;year=2020;volume=13;issue=1;spage=50;epage=56;aulast=Garg |
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