Farahat, A., Al Shahat, O., Al Khawaga, I., Ibrahim, M. (2018). Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 145-150. doi: 10.21608/ejprs.2018.215080
Ayman Farahat; Osama Al Shahat; Ismaeil Al Khawaga; Mohamed Ibrahim. "Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 145-150. doi: 10.21608/ejprs.2018.215080
Farahat, A., Al Shahat, O., Al Khawaga, I., Ibrahim, M. (2018). 'Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 145-150. doi: 10.21608/ejprs.2018.215080
Farahat, A., Al Shahat, O., Al Khawaga, I., Ibrahim, M. Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 145-150. doi: 10.21608/ejprs.2018.215080
Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers
1The Department of Plastic Surgery, Faculty of Medicine, Al-Azhar University
2The Department of General Surgery , Faculty of Medicine, Al-Azhar University
3The Departments of Plastic Surgery, Faculty of Medicine, Al-Azhar University
Abstract
Background: The application of autologous lipo-transfer (fat grafting) in reconstructive surgery becomes more popular now as an evidence for the regenerative effect of fat. In our study we used the autologous lipo-transfer for treatment of chronic ulcers at leg. Methods: Twenty patients with chronic leg ulcers included in our study, ten of them injected with autologous fat (group < br />A), while the other ten patients were on the usual dressings for chronic ulcers (group B), the duration of our study was for six months with patient age in both group range from 15- 50 years with mean age 35.3 years for injected group and 34.1 for the conservative group. Results: Eight of ten chronic leg ulcers (80 percent) that injected with autologus fat healed completely within average of 8 weeks. With only 2 complicated, one complicated by infection while the other with resorption of fat. Only five patients at the conservative group healed within three months. Conclusion: We described in our study a simple technique to improve wound healing in chronic leg ulcers with a background of vascular diseases, diabetic or traumatic accidents where other interventional options to achieve wound healing have failed.
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