Skin wounds can happen many times for an unlimited number of reasons in personâ€™s life, such as injuries, cut, burns, poor circulation, which can severly compromise the normal function and structure of the skin. If the body is unable to heal these wounds, they become chronic pushing health care and cosmetic issues. Before moving on to treatments, let us first understand the mechanism underlying the wound formation and healing. Skin inspite of being the largest and most delicate organ of our body, protects us from outside infection and normal wear and tear. It has three distinguished layers, epidermis, dermis and hypodermis; each of which is contributing one or the other way to maintain the structural and functional integrity of the skin.
The hypodermis is the deepest layer, the dermis is the middle layer and the epidermis is the two most outer layer of the skin.Wound develops when the epidermal layer of the skin is breached by infection or injury. The severity of the disease increased when also the underlying layer of skin is involved in the same. To heal normally from the wound, three steps need to occur inflammation, proliferation and remodelling. Various cells are involved in the process of healing such as keratinocytes, fibroblast, vascular endothelial cells, etc., but in cases where the dermal layer is injured as happens with the very bad burns or cuts, it will lessen the number of cells available to repair the wound as a result of which the skin will take longer time to repair.
Some of the common categories of injuries include:
Wounds are skin abrasions happening any times for an unlimited number of reasons, such as injuries, cuts, burns, poor circulations; which can severely compromise the normal function and structure of the skin. If the body is unable to heal these wounds, they become chronic.
They are developed, when the epidermal layer is breached due to infection or injury. As and when the penetration is deep, affecting all other layers, the severity also increases. The normal healing of the wound requires three important steps such as inflammation, proliferation and remodelling. Various cells are involved in these steps like keratinocytes, fibroblasts, vascular endothelial cells, etc. However number of these cells depends upon the severity of the wounds. More severe is the wound, lesser number of cells available and hence more time is required for its healing. This is the reason, why some of the minor wounds such as skin abrasions heal very shortly; whereas some severe wounds such as diabetic foot, take longer time and medical attention to heal.
To know more about the most serious versions of wounds such as Diabetic Foot or Ischemic Foot and how it can be treated with our Advanced Technology click on the link below: Advancells Treatment for Diabetic Foot
Ulcers can generally be simplified as the open sore on an external or internal surface of the body. There can be many types of them, ranging from small sores in the mouth, painful pressure ulcers due to bedsores, serious lesions of the stomach or small intestines, which are commonly known as Gastric Ulcers. Out of the many, those which need urgent medical help are pressure ulcers and gastric or peptic ulcers.
Burns are the most common injuries related to the skin or flesh, caused by heat, electricity, chemicals, friction or radiation and is often associated with major cell loss of the skin.
Depending upon the cause and the degree of injuries, burns are commonly classified into first, second and third degree burns, with first degree being the most minor and third being the most severe. Advancells Treatment for Skin Burns
Skin grafts are the standard and only available treatment involving autografts from the own patients or allografts from from the donor. However a number of issues such as limited supply of autografts particularly in patients with large surface area of burns, or skin infections in cases of allografts, aesthetically unappealing finishing as well as the shortage of the healing process for more than 50% of the wounds led the scientific community to explore a new treatment approach to the wound healing. With the advancing technology, the treatment implementing Platelet Rich Plasma, is gaining popularity as a biological booster to accelerate body's delayed healing mechanism and maximise cell proliferation. The use of PRP is a very efficient technique being employed since 1990's to promote healing of the soft tissues as well as wounds and is categorically attracting many doctors, due to it's incredible outcomes; that have been observed through various clinical trials
The PRP is a platelet concentrate with liquid plasma portion containing various essential growth factors, important to promote cell recruitment, multiplication as well as specialization, for faster healing. The PRP injections are prepared from the patient's own peripheral blood under strict asceptic conditions, following good laboratory practices. It is one of the best point of care technologies, exploiting patient's own activated platelets; that when infused back into the patient, can release various growth factors at the site of injury. This can in turn stimulate the microenvironment, cytokines and resident stem cells to boost initial healing processes such as inflammation, repair and remodelling.
Various studies have indicated that the PRP shots have augmented healing, improved function by promoting the proliferation of reparative cells and reduce the pain associated with various maladies including but not limited to orthopaedic, wound healing, diabetic foot and sports injuries. So far so good, no adverse effects have been reported nor have we came across any after the PRP treatment, as we are exploiting patient's own blood, for which they should have no reaction to!
PRP Treatment For Wound Healing: Advancells Protocol
The treatment at Advancells is focused mainly on improving the patientâ€™s quality of life along with repairing the damaged tissues and restoring its lost function. For the diabetic foot, wounds and other open sore; we have designed a specialized treatment that employes patient's own PRP. Which is actually a plasma rich in the platelets. These pletelets can secrete growth factors and cytokines enabling faster healing and regeneration of damaged cells.Various studies have confirmed that the platelets play a pivotal role in the process of wound healing by initiating the inflammation. Our top priority is thus to provide very comprehensive, individualized treatment pattern which is best suited for the patients undergoing treatment, aiming their maximum recovery; according to the pathophysiology of the injury.
At Advancells, in choosing the treatment strategy, we give special consideration to the stage of wound and accordingly the purpose of the treatment such as protection, moisturization, removal of necrotic tissue etc. An algorithm for assessment and treatment is made accordingly. As a part of our treatment, patient's peripheral blood is withdrawn to prepare autologous plasma concentrate highly rich in platelets possessing various growth factors. In general for the treatment of DFU, PRP is infused locally around the wound to speed up the process of effective healing.
Step 1- Qualification For The Treatment
A safety and efficacy assessments will be prescribed by our experts in order to investigate the stage of severity and qualify the patient for the treatment. Following pretreatment assessments can be suggested depending upon the patient's medical and family background:
Pre-Treatment Assessments Wounds
Infectious Disease Testing
Routine Blood tests
Non Invasive Vascular Studies
Medical Reports & History
As per these results, the patient will be counseled further for final decision of protocol.
Step 2- Source Extraction
PRP is rich platelet concentrate, with the seven essential protein growth factors which can rapidly initiate cascade of reactions for wound healing; additionally it includes three very fundamental proteins that can act as a "Cell Adhesion Molecules" to activate signal transmission. This activation can express the gene, directing the cellular proliferation, matrix formation, osteoid formation and collagen synthesis; which promote tissue repair and regeneration. Reasearch has as well confirmed that after injection in the body, PRP can actively secrete the growth factors within 10 mins while more than 95% of them are secreted within 1 hr after activation
If you are curious to know more about the procedure, kindly refer our detailed snapshot below:
Step 3- Laboratory Processing
PRP is generally obtained from the peripheral blood of the patient drawn at the time of treatment. Approximately 30CC will be drawn from the patient depending upon the baseline platelet count of the individual.In order to prevent unnecessary activation of platelet, the venous blood of the patient will be collected using suitable anticoagulent. A specialized process will be employed to separate the platelet rich plasma from the whole blood of the patient; which is then infused around the wound or other targeted area under the guidance of specialist to promote faster wound healing.
The sample will undergo minimum manipulation to be enriched with the pure population of platelet; which would the best possible treatment for faster wound healing.
The client will be given a third party certificate from Internationally Accredited Lab for the quality purpose.
Once the PRP ready to be injected back into the body; in case of open sore, we put them back through local intra-dermal administration via microneedles around the wound.
Intra-Dermal Administration:- The technique is used in case of open sores, wherein PRP will be infused locally in and around the wound area.
Follow up Treatment
Post treatment, the patient will be asked to visit the doctors for reclamation therapies such as Physiotherapy, patients counselling etc. for accelerated recovery.
Patients, who have undergone a PRP treatment with Advancells for their wounds such as diabetic foot have acquired a very fast recovery. All of them were suffering from non healing diabetic foot during their late 50's as a major complication of Diabetes. Since the management of the wound in diabetic patients is very poor and painful, a kind of advanced technology was suggested for them as a treatment to manage the problem; which can easily take over to traditional options such as surgeries, debridement, antibacterial actions etc. A PRP was isolated from the peripheral blood of all the patients and injected around the wound through microneedles. The results showed that 100% ulcers completely closed after about 7-8 weeks. Although, patients response to the wounds was not typical; no adverse effect has been observed till now. The method is completely authentic, approved by the regulatory authority as a novel and minimally invasive method.
" In 2006, when Mr. Ramesh Sharma had been diagnosed with the diabetes, his family were shocked with the news! He was a fit, healthy man with happy family and work life. Mr. Ramesh began with the treatment that was progressing effectively. However the treatment left him with the severe diabetic foot wound on his right leg. The wound was causing him severe pain disturbing his routine life. He had previously sought treatment at different centers before finally being referred to Advancells........"