Applications of Platelet-Rich Plasma in Lymphedema.
Platelet-rich plasma (PRP) is an autologous concentrated preparation of human platelets contained in a small volume of plasma that is characterized by hemostatic and tissue-repairing effects. Being enriched by various kinds of growth factors, and their tissue-repairing effects have made them the focus of attention for use in tissue regeneration. PRP has been safely used and documented in many different fields, including orthopedics, sports injuries, dental and periodontal surgery, and cosmetic, plastic, cardiovascular, general, and maxillofacial surgery. The current evidence obtained from in vitro and animal studies pointed out that PRP may potentially be used to regenerate injured lymphatic vessels to treat or prevent lymphedema. Therefore, we have reviewed existing literature on the clinical uses of PRP in lymphedema and inquired whether there is enough evidence to support the use of PRP in clinical practice as a treatment option. In contrast to in vitro and animal models, there is no clinical trial regarding the use of PRP in lymphedema treatment. Only two animal studies matched to our research yielded positive and promising results in terms of the potential role of PRP in future for lymphedema therapies. In the light of these findings, it is clear that this is an important issue that should be studied in greater depth to clarify the efficacy of PRP in the management of lymphedema.
1 Department of Gerontology, Faculty of Health Sciences, Istanbul University , Istanbul, Turkey .|2 Department of Cardiovascular Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital , Istanbul, Turkey .
Ahmet
A
Akgül
3 Department of Neurosurgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital , Istanbul, Turkey .
Musa
M
Cirak
4 Department of Physiotherapy and Rehabilitation, Istanbul University , Istanbul, Turkey .
Tansu
T
Birinci
D000818:Animals; D006801:Humans; D042601:Lymphatic Vessels / Q000503:physiopathology; D008209:Lymphedema / Q000503:physiopathology / Q000628:therapy*; D017713:Platelet Transfusion / Q000379:methods*; D053657:Platelet-Rich Plasma; D044968:Regenerative Medicine / Q000379:methods; D016896:Treatment Outcome; D014945:Wound Healing; D014947:Wounds and Injuries / Q000503:physiopathology / Q000628:therapy*