Platelet rich plasma effectiveness in bowel anastomoses:A systematic review  

作　　者：Georgios Geropoulos Kyriakos Psarras Dimitrios Giannis Eirini Chrysovalantou Martzivanou Maria Papaioannou Christos Dimitrios Kakos Efstathios Theodoros Pavlidis Nikolaos Symeonidis Georgios Koliakos Theodoros Efstathios Pavlidis 

机构地区：[1]Department of General Surgery,University College London Hospitals,London NW12BU,United Kingdom [2]Laboratory of Scientific Research and Experimental Surgery,2nd Propedeutic Department of Surgery,School of Medicine,Aristotle University,Thessaloniki 54642,Greece [3]Surgery Working Group,Society of Junior Doctors,Athens 15123,Greece [4]Institute of Health Innovations and Outcomes Research,Feinstein Institutes for Medical Research,Manhasset,NY 11030,United States [5]Laboratory of Biological Chemistry,School of Medicine,Faculty of Health Sciences,Aristotle University of Thessaloniki,Thessaloniki 54124,Greece

出　　处：《World Journal of Gastrointestinal Surgery》2021年第12期1736-1753,共18页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Anastomotic leak constitutes a major problem in abdominal surgery.Technical insufficiency,topical or systemic factors contribute to disrupted healing of the performed bowel anastomosis and result in anastomosis leakage,with detrimental effects on patient postoperative outcomes.Despite the investigation of several factors and the invention of protective materials,the ideal agent to prevent anastomotic leaks is yet to be determined.AIM To study the effect of platelet rich plasma(PRP)on the healing of bowel anastomoses.METHODS A systematic literature search was performed in PubMed,EMBASE,and Scopus databases to identify studies investigating the effect of PRP application on bowel anastomosis.RESULTS Eighteen studies were eligible with a total population of 712 animals including rats(14 studies),rabbits(2 studies)and pigs(2 studies).No postoperative complications were reported following PRP application.Fourteen out of 18 studies reported a statistically significant higher anastomosis bursting pressure in PRP groups compared to control either in healthy animals or animal models with underlying condition or intervention,such as intraperitoneal chemotherapy or peritonitis.Similar results were reported by ten studies in terms of tissue hydroxyproline levels.One study reported significant increase in collagen deposition in PRP groups.PRP application resulted in significantly decreased inflammatory cell infiltration in the presence of peritonitis or intraperitoneal chemotherapy(6 studies).CONCLUSION The application of PRP is associated with improved bowel anastomosis outcomes,especially in animal models having an underlying condition affecting the normal healing process.PRP application seems to augment the normal healing process under these circumstances.However,further studies are needed to investigate the potential role of PRP on bowel anastomosis healing,especially in clinical settings.

关 键 词：Platelet rich plasma Colonic anastomosis Small bowel anastomosis Large bowel anastomosis Bowel anastomosis SURGERY 

分 类 号：R656[医药卫生—外科学]