title: The topical effect of grape seed extract 2% cream on surgery wound healing.
abstract: BACKGROUND
  Reducing the wound healing time is crucial in wound as it lowers the chance of infection and decreases complications and cost. Grape seed extract has the ability to release endothelial growth factor and its topical application results in contraction and closure of the skin wound. Furthermore, it possesses antioxidant and antibacterial properties. In several studies it has been proved effective in animals. Therefore, due to low side effects and recognition of herbal medicine, we decided to evaluate the effect of grape seed extract 2% herbal cream on human skin lesions.
  
  
  METHODS
  This study is a double blind clinical trial conducted on two groups of treatment and placebo. Surgery was performed on skin lesions such as skin tags and moles which were found on the neck, trunk and limbs (except for face). After enrollment and obtaining informed consent from participants, they were randomized into two groups of treatment and placebo. Excision of the lesions was done by surgical scissors. The lesions got restored by secondary intention method. After the first day of treatment, the patients were visited on the 3rd, 7th, 10th, 14th, and 21st day. Grape seed extract cream 2% was produced and coded by the Faculty of Pharmacy, Ahvaz University of Medical Sciences. In order to compare the two groups, T-test was used. For time assessing, analysis of variance with repeated measures was employed.
  
  
  RESULTS
  The results showed complete repair of wounds averagely on day 8 for the treatment group and on day 14 for the placebo group, which was clearly significant in terms of statistical difference (p=0.00).
  
  
  CONCLUSIONS
  Proanthocyanidins in grape seed extract trigger the release of vascular endothelial growth factor and its topical application causes wound contraction and closure. Curing skin lesions with grape seed extract caused proliferation areas with protected boundaries in epithelium, increased cell density and increased deposition of connective tissue at the wound site which in general improves cellular structure in wound. In addition, its anti-inflammatory and anti-microbial properties are effective in wound healing.
authors.affiliation: Medical Student, Ahvaz Jundishapur University of Medical Sciences, Ahvaz- Iran. mohammadbahadoram@yahoo.com.
authors.forename: Ali Asghar
authors.initials: AA
authors.lastname: Hemmati
authors.forename: Maryam
authors.initials: M
authors.lastname: Foroozan
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Houshmand
authors.forename: Zahra Beigom
authors.initials: ZB
authors.lastname: Moosavi
authors.forename: Mohammad
authors.initials: M
authors.lastname: Bahadoram
authors.forename: Nader Shakiba
authors.initials: NS
authors.lastname: Maram
mesh_terms: D000287:Administration, Topical; D004311:Double-Blind Method; D005260:Female; D056604:Grape Seed Extract / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D012867:Skin / Q000187:drug effects; D012871:Skin Diseases / Q000601:surgery; D014945:Wound Healing / Q000187:drug effects*
chemical_list: D056604:Grape Seed Extract