Eficacia del amnios en cobertura de heridas quirúrgicas

Mauricio Pontillo; Daniel González González; Luis Ruso

Authors

Mauricio Pontillo Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3. Departamento Básico de Cirugía. Asistente
Daniel González González Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3. Prof. Adj
Luis Ruso Universidad de la República, Facultad de Medicina, Hospital Maciel, Clínica Quirúrgica 3. Profesor Director

Keywords:

AMNION, WOUND HEALING

Abstract

Introduction: fetal amnions were firstly used almost one hundred years ago. Since then, human amniotic membrane (HAM) implants have been used in different medical specialties, such as cosmetic surgery, digestive surgery, traumatology and gynecology.
Objectives: the main objective of the study is to demonstrate the efficacy of human amnions for covering surgical surfaces.
Method: observational, retrospective study of ten cases where glyceroled amniotic membranes were used for covering surgical wounds.
Results: in seven cases amnion implants were used for covering laparostomic wounds, in one case in bloody surfaces, and in all cases tissue regeneration and reepitelization.
Conclusions: we may conclude using human amniotic membranes is a valid option for covering bloody surfaces.

References

(1) Davis JW. Skin transplantation with a review of 550 cases at the Johns Hopkins Hospital. Johns Hopkins Med J 1910; 15:307-96.
(2) Stern M. The grafting of preserved amniotic membrane to burned and ulcerated skin surfaces substituting skin grafts: a preliminary report. JAMA 1913; 60(13):973-4.
(3) Sabella N. Use of fetal membranes in skin grafting. Med Records NY 1913; 83:478 80.
(4) Burger K. Artificial vaginal reconstruction with the help of amnios. Zentralblatt Gynakol 1937; p. 2437-40.
(5) De Rotth A. Plastic repair of conjunctival defects with fetal membrane. Arch Ophthalmol 1940; 23:522-5.
(6) Cerizola M, Fossati G. Diferentes aplicaciones del amnios en cirugía. Cir Urug 1984; 54(3):224-9.
(7) Colocho G, Graham WP 3rd, Green AE, Matheson DW, Lynch D. Human amniotic membrane as a physiologic wound dressing. Arch Surg 1974; 109(3):370-3.
(8) Tyszkiewicz J, Uhrynowska-Tyszkiewicz IA, Kaminski A, Dziedzic-Goclawska A. Amnion allografts prepared in the Central Tissue Bank in Warsaw. Ann Transplant 1999; 4(3-4):85-90.
(9) Martínez Pardo M, Reyes Frías M, Ramos Durón L, Gutiérrez Salgado E, Gómez JC, Marín MA, et al. Clinical application of amniotic membranes on a patient with epidermolysis bullosa. Ann Transplant 1999; 4(3-4):68-73.