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Sternal wound and there complication such as infection, Bruising and scar formation are known as major complication cardiac surgery with a high mortality rate up to 50%. Several approaches have been proposed for treatment of chronic sternal wounds in these patients. however, Underlying confounding factors such as old ages,diabetes mellitus, systemic hypoxia, atherosclerosis and malnutrition have main role against wound repairing. In this study investigators aimed to treatment of patients with open heart surgery and need to strict monitoring of sternal wound repair by Platelet Rich Fibrin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRF group | Experimental | patients who will receive Platelet Rich Fibrin (PFR) suspension |
|
| placebo group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRF | Biological | patients who will receive PRF suspension |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Scar formation | Appearance of operative scar diagnose by cardiothoracic surgeon | post operative- until release from hospitalization up to 1 month |
| Wound Infection | wound infection incidence diagnose by cardiothoracic surgeon | post operative- until release from hospitalization up to 1 month |
| Bruising | Average Bruise Change diagnose by cardiothoracic surgeon | post operative- until release from hospitalization up to 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmad Reza Jodati, CTS | Contact | 0413 33349525 | Jodatia@yahoo.com | |
| Peyman Keyhanvar | Contact | 0914 114 6863 | drkeyhanvar@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Mohammad Nouri, Ph.D | Head of SCARM Institute | Study Chair |
| Ahmad Reza Jodati, CTS | SCARM institute | Study Director |
| Peyman Keyhanvar, MD, Ph.D |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SCARM | Recruiting | Tabriz | East Azarbyjan | 0413 | Iran |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24459346 | Result | Tashnizi MA, Alamdari DH, Khayami ME, Rahimi HR, Moeinipour A, Amouzeshi A, Seifalian AM. Treatment of non-healing sternum wound after open-heart surgery with allogenic platelet-rich plasma and fibrin glue-preliminary outcomes. Indian J Plast Surg. 2013 Sep;46(3):538-42. doi: 10.4103/0970-0358.122011. | |
| 23692143 | Result |
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| placebo group |
| Biological |
patients who will receive Placebo |
|
| Deputy for translational medicine of SCARM institute |
| Principal Investigator |
| Serraino GF, Dominijanni A, Jiritano F, Rossi M, Cuda A, Caroleo S, Brescia A, Renzulli A. Platelet-rich plasma inside the sternotomy wound reduces the incidence of sternal wound infections. Int Wound J. 2015 Jun;12(3):260-4. doi: 10.1111/iwj.12087. Epub 2013 May 21. |
| 26557476 | Result | Cotogni P, Barbero C, Rinaldi M. Deep sternal wound infection after cardiac surgery: Evidences and controversies. World J Crit Care Med. 2015 Nov 4;4(4):265-73. doi: 10.5492/wjccm.v4.i4.265. eCollection 2015 Nov 4. |