4.4 Article

Human amniotic membrane grafts in therapy of chronic non-healing wounds

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BRITISH MEDICAL BULLETIN
卷 117, 期 1, 页码 59-67

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OXFORD UNIV PRESS
DOI: 10.1093/bmb/ldv053

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human amniotic membrane; natural wound dressing; chronic wounds; diabetic foot ulcer; burns; recessive dystrophic epidermolysis bullosa

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Background: Human amniotic membrane (HAM) has been embraced as a natural wound dressing almost exclusively in ophthalmology. Only recently, emergence of commercial HAM products prompted its use in growing range of indications, especially treatment of chronic non-healing wounds. Sources of data: ClinicalTrials.gov database and International Clinical Trials Registry Platform searched with key words 'human amniotic membrane' and 'chronic wounds'. Areas of agreement: HAM can be successfully used as a natural wound dressing to promote healing. Areas of controversy: It is still unclear, which preparation is more advantageous, cryopreserved HAM or dehydrated HAM. Growing points: There are an increasing number of commercial HAM products and clinical trials for a variety of dermatological diagnoses. Areas timely for developing research: In spite of easy procurement and low production costs, to our knowledge, there are currently only a few manufacturers of commercial HAM products tested in clinical trials for cutaneous wounds and all of them are located in the USA.

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