Use of chorioamniotic membrane instead of bogota bag in open abdomen: How I Do It?

Tekin, Şakir; Tekın, Ahmet; Küçükkartallar, Tevfik; Çakır, Murat; Kartal, Adil

doi:10.3748/wjg.14.815

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…As previously mentioned, amniotic membrane derivatives have been used for decades as wound dressings for skin burns [85], chronic ulcers of arterial, venous, or diabetic origin [86], in abdominal wall [87] and dural defects [88] and in corneal injuries (traumatic or chemical) [52]. The benefit provided was a mechanical protection, in association with antifibrogenic, anti-inflammatory, and anti-microbial properties.…”

Section: Amniotic Membrane Derivatives As Wound Dressingmentioning

confidence: 99%

Immunomodulatory Properties of Amniotic Membrane Derivatives and Their Potential in Regenerative Medicine

Wassmer

Berishvili

2020

Curr Diab Rep

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Purpose of Review During the last decades, the field of regenerative medicine has been rapidly evolving. Major progress has been made in the development of biological substitutes applying the principles of cell transplantation, material science, and bioengineering. Recent Findings Among other sources, amniotic-derived products have been used for decades in various fields of medicine as a biomaterial for the wound care and tissue replacement. Moreover, human amniotic epithelial and mesenchymal cells have been intensively studied for their immunomodulatory capacities. Summary Amniotic cells possess two major characteristics that have already been widely exploited. The first is their ability to modulate and suppress the innate and adaptive immunities, making them a true asset for chronic inflammatory disorders and for the induction of tolerance in transplantation models. The second is their multilineage differentiation capacity, offering a source of cells for tissue engineering. The latter combined with the use of amniotic membrane as a scaffold offers all components necessary to create an optimal environment for cell and tissue regeneration. This review summarizes beneficial properties of hAM and its derivatives and discusses their potential in regenerative medicine.

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Section: Amniotic Membrane Derivatives As Wound Dressingmentioning

confidence: 99%

Immunomodulatory Properties of Amniotic Membrane Derivatives and Their Potential in Regenerative Medicine

Wassmer

Berishvili

2020

Curr Diab Rep

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“…Human amniotic membrane (HAM) has been used in a variety of surgical procedures. First employed in skin transplantation by (Davis 1910 ), HAM was subsequently found to be useful as a biological wound dressing for burns (Ramakrishnan and Jayaraman 1997 ; Branski et al 2008 ), acute (Tekin et al 2008 ) and chronic wounds (Gajiwala and Lobo 2003 ; Insausti et al 2010 ), and in the reconstruction of the dura mater (Tomita et al 2012 ; De Weerd et al 2013 ), oral cavity (Lawson 1985 ), vaginal vault (Ashworth et al 1986 ), tendons (Ozbölük et al 2010 ) and nerves (O’Neill et al 2009 ). HAM has also long been used in ophthalmic surgery, the earliest reported application being in 1940 when De Rötth used fetal membranes to correct symblepharon (De Rötth 1940 ).…”

Section: Introductionmentioning

confidence: 99%

Cytokine expression and ultrastructural alterations in fresh-frozen, freeze-dried and γ-irradiated human amniotic membranes

Paolin

Trojan

Leonardi³

et al. 2016

Cell Tissue Bank

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The aim of this work was to compare the effects on human amniotic membrane of freeze-drying and c-irradiation at doses of 10, 20 and 30 kGy, with freezing. For this purpose, nine cytokines (interleukin 10, platelet-derived growth factor-AA, plateletderived growth factor-BB, basic fibroblast growth factor, epidermal growth factor, transforming growth factor beta 1, and tissue inhibitors of metalloproteinase-1, -2, and -4) were titrated in 5 different preparations for each of 3 amniotic membranes included in the study. In addition, the extracellular matrix structure of each sample was assessed by transmission electron microscopy. While freeze-drying did not seem to affect the biological structure or cytokine content of the different amniotic membrane samples, c-irradiation led to a significant decrease in the tissue inhibitors of metalloproteinase-4, basic fibroblast growth factor and epidermal growth factor, and induced structural damage to the epithelium, basement membrane and lamina densa. The higher the irradiation dose the more severe the damage to the amniotic membrane structure. In conclusion, the Authors recommend processing amniotic membrane under sterile conditions to guarantee safety at every step rather than final sterilization with c-irradiation, thereby avoiding alteration to the biological characteristics of the amniotic membrane.

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“…It can be sutured easily to the skin. 6 In this study no patient developed any intestinal complications like enterocutaneous fistula. Twenty percent mortality was seen, however the patients expired of causes unrelated to the laparostoma.…”

Section: Discussionmentioning

confidence: 47%

Laparostoma: a useful surgical tool

Ayyar

Dharap

2015

Int Surg J

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Background: Closure of the abdomen has always been a challenging task especially in the emergency setting with presence of bowel edema, haemoperitoneum, peritonitis. The aim of this study is to assess the role of laparostoma in such cases where closure of abdomen is difficult or under tension. Methods: Retrospective analysis of 15 cases of laparostoma done either at primary surgery or re-exploration when abdominal closure was under tension. Laparostoma was done using nonadhesive plastic like sterile urine collecting bag to cover the exposed bowel. Mortality, whether closure of abdomen could be achieved at a later date, bowel complications due to laparostoma, need for mesh/skin grafting were noted. Results: Of 15 patients with laparostoma, 9 were cases of perforative peritonitis and 4 were blunt abdominal trauma. Age ranged from 19 to 65 year. Abdominal wall closure could be achieved in a median of 15 days. Closure of rectus sheath could be achieved in 4 patients while in 8 patients only skin closure was done with the intention of closing incisional hernia after full recovery. Conclusions: When closure of the abdomen is likely to be under tension creation of a laparostoma would help to prevent abdominal compartment syndrome with its systemic complications. It is also likely to cause less damage to the skin and rectus than methods like tension band wiring. The abdomen can be closed at a later date once the edema settles without undue tension on the abdominal wall.

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Use of chorioamniotic membrane instead of bogota bag in open abdomen: How I Do It?

Cited by 9 publications

References 8 publications

Immunomodulatory Properties of Amniotic Membrane Derivatives and Their Potential in Regenerative Medicine

Immunomodulatory Properties of Amniotic Membrane Derivatives and Their Potential in Regenerative Medicine

Cytokine expression and ultrastructural alterations in fresh-frozen, freeze-dried and γ-irradiated human amniotic membranes

Laparostoma: a useful surgical tool

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