Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial

Objective: To compare the healing effects of dried and acellular human amniotic membrane and Mepitel for coverage of split-thickness graft donor site (STGDS).  Methods: Twenty patients who underwent STGDS regeneration surgery in identical anatomic regions were enrolled in this randomized controlled...

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Main Authors: Masoumeh Nouri, Marzieh Ebrahimi, Tooran Bagheri, Mohammad Javad Fatemi, Arash Najafbeygi, Shirin Araghi, Maryam Molaee
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2018-07-01
Series:Bulletin of Emergency and Trauma
Subjects:
Online Access:http://beat.sums.ac.ir/article_44434_64b973d4574584995b096577ba8ca2b5.pdf
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author Masoumeh Nouri
Marzieh Ebrahimi
Tooran Bagheri
Mohammad Javad Fatemi
Arash Najafbeygi
Shirin Araghi
Maryam Molaee
author_facet Masoumeh Nouri
Marzieh Ebrahimi
Tooran Bagheri
Mohammad Javad Fatemi
Arash Najafbeygi
Shirin Araghi
Maryam Molaee
author_sort Masoumeh Nouri
collection DOAJ
description Objective: To compare the healing effects of dried and acellular human amniotic membrane and Mepitel for coverage of split-thickness graft donor site (STGDS).  Methods: Twenty patients who underwent STGDS regeneration surgery in identical anatomic regions were enrolled in this randomized controlled clinical trial conducted in Hazrate Fatemeh hospital (Iran). Patients were randomly assigned in 3 groups of wound dressing; group A by Mepitel, group B AmiCare (Dried amniotic membrane) and group C OcuReg-A (Acellular amniotic membrane). Re-epithelization rate (healing time), pain sensation, scar formation and infection rate were assessed till complete healing was achieved.Results: Our results showed no significant difference between Amicare, OcuReg-A and Mepitel in the features analyzed by us including: Re-epithelization rate (healing time) P value; 0.573, Pain sensation P value: day 4 th: 0.131, day8 th: 0.93 and day 12 th: 0.365, Scar formation P value>0.05 and Infection rate.Conclusion: Our findings confirmed the safety and efficacy of AmiCare (dried amniotic membrane) and OcuReg-A (Acellular amniotic membrane) in treatment of split-thickness donor site in comparison with Mepitel as a standard wound dressing.Trial registration number: IRCT201511118177N12.
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spelling doaj.art-81f2b0d81ba34b7a83cb34044a4106a92022-12-21T19:50:27ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602018-07-016Issue 319520044434Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical TrialMasoumeh Nouri0Marzieh Ebrahimi1Tooran Bagheri2Mohammad Javad Fatemi3Arash Najafbeygi4Shirin Araghi5Maryam Molaee61 Ph.D. of Molecular genetics, Department of Regenerative Biomedicine, Cell Science Research Center, Royan Institute, Tehran, IranAssociated Professor, Department of Regenerative Biomedicine, Cell Science Research Center, Royan Institute, Tehran, IranBurn research Center, Iran University of Medical Sciences, Tehran, IranProfessor, Burn research Center, Iran University of Medical Sciences, Tehran, IranResident of plastic surgery, Hazrat Fatima Hospital, Iran University of Medical Sciences, Tehran, IranBSc of Nursing, Hazrat Fatima Hospital, Iran University of Medical Sciences, Tehran, IranBSc of Midwife, Department of Regenerative Biomedicine, Cell Science Research Center, Royan Institute, Tehran, IranObjective: To compare the healing effects of dried and acellular human amniotic membrane and Mepitel for coverage of split-thickness graft donor site (STGDS).  Methods: Twenty patients who underwent STGDS regeneration surgery in identical anatomic regions were enrolled in this randomized controlled clinical trial conducted in Hazrate Fatemeh hospital (Iran). Patients were randomly assigned in 3 groups of wound dressing; group A by Mepitel, group B AmiCare (Dried amniotic membrane) and group C OcuReg-A (Acellular amniotic membrane). Re-epithelization rate (healing time), pain sensation, scar formation and infection rate were assessed till complete healing was achieved.Results: Our results showed no significant difference between Amicare, OcuReg-A and Mepitel in the features analyzed by us including: Re-epithelization rate (healing time) P value; 0.573, Pain sensation P value: day 4 th: 0.131, day8 th: 0.93 and day 12 th: 0.365, Scar formation P value>0.05 and Infection rate.Conclusion: Our findings confirmed the safety and efficacy of AmiCare (dried amniotic membrane) and OcuReg-A (Acellular amniotic membrane) in treatment of split-thickness donor site in comparison with Mepitel as a standard wound dressing.Trial registration number: IRCT201511118177N12.http://beat.sums.ac.ir/article_44434_64b973d4574584995b096577ba8ca2b5.pdfSplit-thickness donor siteDried amniotic membraneAcellular amniotic membraneMepitelRe-epithelization
spellingShingle Masoumeh Nouri
Marzieh Ebrahimi
Tooran Bagheri
Mohammad Javad Fatemi
Arash Najafbeygi
Shirin Araghi
Maryam Molaee
Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial
Bulletin of Emergency and Trauma
Split-thickness donor site
Dried amniotic membrane
Acellular amniotic membrane
Mepitel
Re-epithelization
title Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial
title_full Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial
title_fullStr Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial
title_full_unstemmed Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial
title_short Healing Effects of Dried and Acellular Human Amniotic Membrane and Mepitelas for Coverage of Skin Graft Donor Areas; A Randomized Clinical Trial
title_sort healing effects of dried and acellular human amniotic membrane and mepitelas for coverage of skin graft donor areas a randomized clinical trial
topic Split-thickness donor site
Dried amniotic membrane
Acellular amniotic membrane
Mepitel
Re-epithelization
url http://beat.sums.ac.ir/article_44434_64b973d4574584995b096577ba8ca2b5.pdf
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