Safety and Efficacy of Amniotic Membrane Implant in Venous Leg Ulcers

J. Marinel-lo, M. Serra-Prat, C. Albuxeich, P. Carreño, J. Lopez-Palencia, E. Palomera, J. Alós
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Abstract

Objective: To assess the safety and efficacy of amniotic membrane (AM) application in venous leg ulcers (VLU). Methodology: Design: non-controlled pre-post clinical trial. A unique AM fragment was placed on the ulcer in strict sterility conditions. Main outcome measures: total healing rate, percentage of ulcer area reduction and diurnal and nocturnal pain assessment. Control visits: at baseline and 1, 2, 3, 4 and 8 weeks after treatment. Results: Ten patients were recruited (79.6 years). 3 weeks after AM implant, pain had completely disappeared and ulcer area had reduced to nearly halved and, 8 weeks after AM implant, ulcer area was reduced in more than 80% and in two thirds of patients the ulcer was completely healed. No relevant side effects were observed. Conclusions: The present study brings new evidence reinforcing the idea that AM dressing is a safety and effective alternative to heal VLU
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羊膜植入治疗下肢静脉性溃疡的安全性和有效性
目的:评价羊膜(AM)应用于下肢静脉性溃疡(VLU)的安全性和有效性。设计:非对照临床前后试验。在严格的无菌条件下,一个独特的AM片段被放置在溃疡上。主要观察指标:总治愈率、溃疡面积缩小百分比、昼夜疼痛评估。对照访问:在基线和治疗后1、2、3、4和8周。结果:纳入10例患者(79.6岁)。植入AM后3周,疼痛完全消失,溃疡面积缩小近一半,植入AM后8周,溃疡面积缩小80%以上,三分之二的患者溃疡完全愈合。未观察到相关副作用。结论:本研究提供了新的证据,加强了AM敷料是一种安全有效的治疗VLU的替代方法
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