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Platelet rich plasma enhances tissue incorporation of biologic mesh.

Publication ,  Journal Article
Fernandez-Moure, JS; Van Eps, JL; Menn, ZK; Cabrera, FJ; Tasciotti, E; Weiner, BK; Ellsworth, WA
Published in: J Surg Res
December 2015

BACKGROUND: High recurrence rates because of poor tissue incorporation limit the use of acellular dermal matrices (ADMs) in ventral hernia repair (VHR). Platelet rich plasma (PRP) is a growth factor-rich autologous blood product known to enhance tissue repair through cellular proliferation and neovascularization. We sought to study the effect of PRP on a porcine noncross-linked ADM in an in vivo model of VHR. We hypothesized that PRP would enhance ADM-tissue incorporation in a rat model of VHR. METHODS: Whole blood was extracted from Lewis rats followed by PRP isolation and characterization. Using a rat model of VHR, a noncross-linked ADM (Strattice) was implanted and activated PRP applied before closure. Rats were sacrificed at 2, 4, and 6 wk. Immunohistochemical staining of CD 31 on endothelial cells was used to quantify neovascularization. Hematoxylin eosin stained tissues were measured to quantify tissue deposition. RESULTS: Platelet concentration of PRP was standardized to 1 × 10(6) platelets/μL. Grossly, vessels were more evident in PRP-treated rats. Immunohistochemical analysis demonstrated neovascularization was significantly greater in the PRP-treated ADMs at all time points. This increase in neovascularization correlated with an increased thickness of tissue deposition at 4 and 6 wk. CONCLUSIONS: PRP enhanced neovascularization and incorporation in a rat model of VHR. Enhanced neovascularization was associated with earlier and greater tissue deposition on the ADM. This suggests that PRP could be used as an adjunct to VHR in clinical scenarios where poor wound healing is anticipated and enhanced neovascularization and early tissue deposition are desired.

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Published In

J Surg Res

DOI

EISSN

1095-8673

Publication Date

December 2015

Volume

199

Issue

2

Start / End Page

412 / 419

Location

United States

Related Subject Headings

  • Wound Healing
  • Surgical Mesh
  • Surgery
  • Rats, Inbred Lew
  • Random Allocation
  • Platelet-Rich Plasma
  • Neovascularization, Physiologic
  • Male
  • Herniorrhaphy
  • Hernia, Ventral
 

Citation

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Fernandez-Moure, J. S., Van Eps, J. L., Menn, Z. K., Cabrera, F. J., Tasciotti, E., Weiner, B. K., & Ellsworth, W. A. (2015). Platelet rich plasma enhances tissue incorporation of biologic mesh. J Surg Res, 199(2), 412–419. https://doi.org/10.1016/j.jss.2015.06.034
Fernandez-Moure, Joseph S., Jeffrey L. Van Eps, Zachary K. Menn, Fernando J. Cabrera, Ennio Tasciotti, Bradley K. Weiner, and Warren A. Ellsworth. “Platelet rich plasma enhances tissue incorporation of biologic mesh.J Surg Res 199, no. 2 (December 2015): 412–19. https://doi.org/10.1016/j.jss.2015.06.034.
Fernandez-Moure JS, Van Eps JL, Menn ZK, Cabrera FJ, Tasciotti E, Weiner BK, et al. Platelet rich plasma enhances tissue incorporation of biologic mesh. J Surg Res. 2015 Dec;199(2):412–9.
Fernandez-Moure, Joseph S., et al. “Platelet rich plasma enhances tissue incorporation of biologic mesh.J Surg Res, vol. 199, no. 2, Dec. 2015, pp. 412–19. Pubmed, doi:10.1016/j.jss.2015.06.034.
Fernandez-Moure JS, Van Eps JL, Menn ZK, Cabrera FJ, Tasciotti E, Weiner BK, Ellsworth WA. Platelet rich plasma enhances tissue incorporation of biologic mesh. J Surg Res. 2015 Dec;199(2):412–419.
Journal cover image

Published In

J Surg Res

DOI

EISSN

1095-8673

Publication Date

December 2015

Volume

199

Issue

2

Start / End Page

412 / 419

Location

United States

Related Subject Headings

  • Wound Healing
  • Surgical Mesh
  • Surgery
  • Rats, Inbred Lew
  • Random Allocation
  • Platelet-Rich Plasma
  • Neovascularization, Physiologic
  • Male
  • Herniorrhaphy
  • Hernia, Ventral