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Arora JS, Kim JK, Pakvasa M, Sayadi LR, Lem M, Widgerow AD, Leis AR. Microsurgical Needle Retention Does Not Cause Pain or Neurovascular Injury in a Rat Model. Plast Reconstr Surg Glob Open 2023; 11:e5171. [PMID: 37547344 PMCID: PMC10402969 DOI: 10.1097/gox.0000000000005171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 06/20/2023] [Indexed: 08/08/2023]
Abstract
Approximately 20% of retained foreign bodies are surgical needles. Retained macro-needles may become symptomatic, but the effect of microsurgical needles is uncertain. We present the first animal model to simulate microsurgical needle retention. Given a lack of reported adverse outcomes associated with macro-needles and a smaller cutting area of microsurgical needles, we hypothesized that microsurgical needles in rats would not cause changes in health or neurovascular compromise. Methods Male Sprague-Dawley rats (x̄ weight: 288.9 g) were implanted with a single, 9.0 needle (n = 8) or 8.0 needle (n = 8) orthogonal to the right femoral vessels and sutured in place. A control group (n = 8) underwent sham surgery. Weekly, a cumulative health score evaluating body weight, body condition score, physical appearance, and behavior for each rat was determined. Infrared thermography (°C, FLIR one) of each hindlimb and the difference was obtained on postoperative days 15, 30, 60, and 90. On day 90, animals were euthanatized, hindlimbs were imaged via fluoroscopy, and needles were explanted. Results The mean, cumulative health score for all cohorts at each weekly timepoint was 0. The mean temperature difference was not significantly different on postoperative days 15 (P = 0.54), 30 (P = 0.97), 60 (P = 0.29), or 90 (P = 0.09). In seven of eight rats, 8.0 needles were recovered and visualized on fluoroscopy. In six of eight rats, 9.0 needles were recovered, but 0/8 needles were visualized on fluoroscopy. Conclusions Microsurgical needle retention near neurovascular structures may be benign, and imaging for needles smaller than 8.0 may be futile. Further studies should explore microsurgical needle retention potentially through larger animal models.
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Affiliation(s)
- Jagmeet S. Arora
- From the School of Medicine, University of California Irvine, Orange, Calif
| | | | - Mikhail Pakvasa
- Department of Plastic Surgery, University of California Irvine, Orange, Calif
| | - Lohrasb R. Sayadi
- Department of Plastic Surgery, University of California Irvine, Orange, Calif
| | - Melinda Lem
- From the School of Medicine, University of California Irvine, Orange, Calif
| | - Alan D. Widgerow
- Center for Tissue Engineering, Department of Plastic Surgery, University of California Irvine, Orange, Calif
| | - Amber R. Leis
- Department of Plastic Surgery, University of California Irvine, Orange, Calif
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2
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Khan N, Halaseh FF, Pillai K, Zaki DP, Sayadi LR, Widgerow AD. Hyperbaric and topical oxygen therapies in thermal burn wound healing: a review. J Wound Care 2023; 32:S20-S30. [PMID: 36724086 DOI: 10.12968/jowc.2023.32.sup2.s20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE This review aims to evaluate the effectiveness of the two most commonly used oxygen delivery methods for the treatment of thermal burn wound healing: hyperbaric oxygen therapy (HBOT) and topical oxygen therapy (TOT). METHOD The PubMed database was searched for articles discussing the use of HBOT or TOT in the treatment of thermal burns. RESULTS The search yielded 43,406 articles, of which 28 (23 HBOT, 5 TOT) met the inclusion criteria. Both experimental and clinical studies have demonstrated conflicting results after treating thermal burns with HBOT or TOT. Overall, 14/23 studies demonstrated positive results for HBOT on the healing of burn wounds and associated complications, such as oedema and pain. Findings from these studies showed it can reduce morbidity and mortality in certain high-risk groups such as those with diabetes or extensive burns. Although the five studies (one human and four animal trials) reviewing TOT showed promising outcomes, this therapeutic modality has not been well investigated. CONCLUSION Therapeutic use of HBOT in thermal burns has been popular in the past but its use remains controversial due to inconsistent results, serious side-effects, lack of convenience and high costs. The use of TOT in the management of burns needs further exploration by scientists and clinicians alike, in addition to the implementation of a standardised treatment protocol.
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Affiliation(s)
- Nawal Khan
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, US
| | - Faris F Halaseh
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, US
| | - Kathryn Pillai
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, US
| | - Daniel P Zaki
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, US
| | - Lohrasb R Sayadi
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, US
| | - Alan D Widgerow
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, US
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3
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Ziegler ME, Sorensen AM, Banyard DA, Sayadi LR, Chnari E, Hatch MM, Tassey J, Mirzakhanyan Y, Gershon PD, Hughes CC, Evans GR, Widgerow AD. Deconstructing Allograft Adipose and Fascia Matrix: Fascia Matrix Improves Angiogenesis, Volume Retention, and Adipogenesis in a Rodent Model. Plast Reconstr Surg 2023; 151:108-117. [PMID: 36219861 PMCID: PMC10081826 DOI: 10.1097/prs.0000000000009794] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
BACKGROUND Autologous fat grafting is commonly used for soft-tissue repair (approximately 90,000 cases per year in the United States), but outcomes are limited by volume loss (20% to 80%) over time. Human allograft adipose matrix (AAM) stimulates de novo adipogenesis in vivo, but retention requires optimization. The extracellular matrix derived from superficial fascia, interstitial within the adipose layer, is typically removed during AAM processing. Thus, fascia, which contains numerous important proteins, might cooperate with AAM to stimulate de novo adipogenesis, improving long-term retention compared to AAM alone. METHODS Human AAM and fascia matrix proteins (back and upper leg regions) were identified by mass spectrometry and annotated by gene ontology. A three-dimensional in vitro angiogenesis assay was performed. Finally, AAM and/or fascia (1 mL) was implanted into 6- to 8-week-old male Fischer rats. After 8 weeks, the authors assessed graft retention by gas pycnometry and angiogenesis (CD31) and adipocyte counts (hematoxylin and eosin) histologically. RESULTS Gene ontology annotation revealed an angiogenic enrichment pattern unique to the fascia, including lactadherin, collagen alpha-3(V) chain, and tenascin-C. In vitro, AAM stimulated 1.0 ± 0.17 angiogenic sprouts per bead. The addition of fascia matrix increased sprouting by 88% (2.0 ± 0.12; P < 0.001). A similar angiogenic response (CD31) was observed in vivo. Graft retention volume was 25% (0.25 ± 0.13) for AAM, significantly increasing to 60% (0.60 ± 0.14) for AAM/fascia ( P < 0.05). De novo adipogenesis was 12% (12.4 ± 7.4) for AAM, significantly increasing to 51% (51.2 ± 8.0) for AAM/fascia ( P < 0.001) by means of adipocyte quantification. CONCLUSIONS Combining fascia matrix with AAM improves angiogenesis and adipogenesis compared to AAM alone in rats. These preliminary in vitro and pilot animal studies should be further validated before definitive clinical adoption. CLINICAL RELEVANCE STATEMENT When producing an off-the-shelf adipose inducing product by adding a connective tissue fascial component (that is normally discarded) to the mix of adipose matrix, vasculogenesis is increased and, thus, adipogenesis and graft survival is improved. This is a significant advance in this line of product.
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Affiliation(s)
- Mary E. Ziegler
- Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Orange, CA, USA
| | | | - Derek A. Banyard
- Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Orange, CA, USA
| | - Lohrasb R. Sayadi
- Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Orange, CA, USA
| | | | - Michaela M. Hatch
- Department of Molecular Biology and Biochemistry, School of Biological Sciences, UC Irvine, USA
| | - Jade Tassey
- Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Orange, CA, USA
| | - Yeva Mirzakhanyan
- Department of Molecular Biology and Biochemistry, School of Biological Sciences, UC Irvine, USA
| | - Paul D. Gershon
- Department of Molecular Biology and Biochemistry, School of Biological Sciences, UC Irvine, USA
| | - Christopher C.W. Hughes
- Department of Molecular Biology and Biochemistry, School of Biological Sciences, UC Irvine, USA; Department of Biomedical Engineering, The Henry Samueli School of Engineering, UC Irvine, USA; The Edwards Lifesciences Center for Advanced Cardiovascular Technology, UC Irvine, USA
| | - Gregory R.D. Evans
- Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Orange, CA, USA
| | - Alan D. Widgerow
- Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Orange, CA, USA
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Khoshab N, Donnelly MR, Sayadi LR, Vyas RM, Banyard DA. Historical Tools of Anthropometric Facial Assessment: A Systematic Raw Data Analysis on the Applicability of the Neoclassical Canons and Golden Ratio. Aesthet Surg J 2022; 42:NP1-NP10. [PMID: 34515761 DOI: 10.1093/asj/sjab339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The fundamental tenets of facial aesthetic surgery education have not changed in centuries. Research is beginning to demonstrate that the Neoclassical Canons and the Golden Ratio, Phi, have limited utilization in populations other than those of White European extraction. OBJECTIVES The purpose of this study was to analyze comparable raw data in the literature to determine (1) if there is interethnic variability in Neoclassical Canon and Phi measurements, and (2) if the measurements in these representative samples differ from the "ideal." METHODS A PubMed/Scopus search was performed. Manuscripts with raw data and individuals aged ≥16 were included. Measurements were extracted and employed to calculate the Neoclassical Canons and Phi. One-way analysis of variance (ANOVA) tests were conducted to compare mean measurements across 6 ethnic groups (P < 0.05). RESULTS Twenty-seven articles were included. Every continent was represented except Antarctica and Australia. Men were less commonly studied than women. Participant ages ranged from 16 to 56. Averaged Canons 2, 6-8 measurements had significant interethnic differences in males, whereas Canons 5-8 had significant differences across ethnicities in females. For men, there was significant interethnic variability in measurements of Phi 2, 5, 8, 10, and 17. For women, Phi 1, 2, 5, 8, 10, and 17 varied across ethnicities. No ethnic/gender group showed consistent approximation of the "ideal" for both the Neoclassical Canons and Phi. CONCLUSIONS Today, the utility of the Neoclassical Canons and Phi is limited. It is incumbent on our field to systematically study and define the anthropometric measures that define the "ideal."
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Affiliation(s)
- Nima Khoshab
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, USA
| | - Megan R Donnelly
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, USA
| | - Lohrasb R Sayadi
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, USA
| | - Raj M Vyas
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, USA
| | - Derek A Banyard
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, USA
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Sayadi LR, Rowland R, Naides A, Tomlinson L, Ponticorvo A, Durkin AJ, Widgerow AD. A Quantitative Assessment of Wound Healing With Oxygenated Micro/Nanobubbles in a Preclinical Burn Model. Ann Plast Surg 2021; 87:421-426. [PMID: 34559711 PMCID: PMC8555472 DOI: 10.1097/sap.0000000000003017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Burns are devastating injuries, carry significant morbidity, and require long-term treatment or multiple reconstructive procedures. Wound healing and secondary insults caused by burn wound conversion are amendable to therapeutic intervention, where ischemia has been cited as one of the major factors (Dermatol Surg. 2008;34:1159-1169). Halting injury progression in the zone of stasis is crucial as conversion creates increased burn surface area and depth, leading to local and systemic consequences (J Burns Wounds. 2006;5:e2). Oxygen-carrying micro/nanobubbles, MNB(O2), offer a novel technology that can be used to effectively deliver oxygen to burn wounds and potentially counteract burn wound ischemia. METHODS Topical irrigation with MNB(O2) of full-thickness burn wounds on a rodent model (n = 3) was compared against saline-treated controls (n = 3). Tissue structure (reduced scattering coefficient, μs'), oxyhemoglobin concentration (cHbO2), and tissue perfusion were quantified over the course of 28 days through spatial frequency domain imaging and laser speckle imaging. Histological samples taken at the end of the experiment were examined for evidence of wound healing. RESULTS Findings in this preliminary study showed hastened healing with significant differences in spatial frequency domain imaging-measured μs' during wound healing (days 11-28) in MNB(O2) group. The healing "tipping point" seemed to occur at days 9 to 11 with increased collagen organization and increased cHbO2 occurring around that period confirming the gross healing improvements observed. In addition, histological evidence indicated that only the MNB(O2) burns had reached the remodeling phase by the end of 28-day study period. CONCLUSIONS These preliminary findings propose the potential of MNB(O2) as a topical method for improving burn wound healing.
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Affiliation(s)
- Lohrasb R. Sayadi
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, 200 S. Manchester Ave., Suite 650, Orange, CA 92868
| | - Rebecca Rowland
- Beckman Laser Institute and Medical Clinic, University of California, Irvine, 1002 Health Sciences Road East, Irvine, CA 92617
| | - Alexandra Naides
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, 200 S. Manchester Ave., Suite 650, Orange, CA 92868
| | - Luke Tomlinson
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, 200 S. Manchester Ave., Suite 650, Orange, CA 92868
| | - Adrien Ponticorvo
- Beckman Laser Institute and Medical Clinic, University of California, Irvine, 1002 Health Sciences Road East, Irvine, CA 92617
| | - Anthony J. Durkin
- Beckman Laser Institute and Medical Clinic, University of California, Irvine, 1002 Health Sciences Road East, Irvine, CA 92617
- Department of Biomedical Engineering, University of California, Irvine, 3120 Natural Sciences II, Irvine, CA 92697
| | - Alan D. Widgerow
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, 200 S. Manchester Ave., Suite 650, Orange, CA 92868
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Sayadi LR, Fligor JE, Couchois S, Evans GRD, Widgerow AD, Lanier B. A Novel Application of Digital Microscope for Microsurgery Training. Journal of Reconstructive Microsurgery Open 2020. [DOI: 10.1055/s-0040-1710346] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
Abstract
Background Time spent under the microscope is often a limiting factor as plastic surgery residents work toward proficiency in microsurgery. This study describes and assesses a novel application of a digital microscope compatible with smart devices which can consistently and reliably magnify microsurgical fields.
Methods A digital microscope was used to display an “operating” field on a tablet device. Two junior plastic surgery residents participated in multiple training sessions. During each session, residents completed two sessions of a knot-tying task and a chicken vessel anastomosis task. The sessions were recorded on the tablet, photographed, and graded by an experienced microsurgeon utilizing three standardized microsurgery training scales (OWOMSA, OSATS, and Global scale) for evaluation. Between sessions, the residents received feedback from the experienced microsurgeon.
Results Statistically significant improvements (p < 0.05) in microsurgical technique were observed across 16 areas assessed by the standardized evaluation scales. Additionally, the residents' surveys suggest favorable attitudes toward the digital microscope and its value as a training device.
Conclusion Traditional operating microscopes present considerable barriers for effective microsurgical training. The digital microscope analyzed in the present study provides solutions to several of these barriers: it is economical, lightweight, portable, and can be set up by the trainee on any flat surface; photographing and recording capabilities via the connected tablet device make the digital microscope setup optimized for education. Our study demonstrates measurable improvements in trainee's skills with use of—as well as favorable trainee attitudes toward—the digital microscope, which could present a valuable addition to plastic surgery education.
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Affiliation(s)
- Lohrasb R. Sayadi
- Irvine Department of Plastic Surgery, University of California, Orange, California
| | - Jennifer E. Fligor
- Irvine Department of Plastic Surgery, University of California, Orange, California
| | - Sean Couchois
- Irvine Department of Plastic Surgery, University of California, Orange, California
| | - Gregory R. D. Evans
- Irvine Department of Plastic Surgery, University of California, Orange, California
| | - Alan D. Widgerow
- Irvine Department of Plastic Surgery, University of California, Orange, California
| | - Brock Lanier
- Irvine Department of Plastic Surgery, University of California, Orange, California
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Sayadi LR, Naides A, Eng M, Fijany A, Chopan M, Sayadi JJ, Shaterian A, Banyard DA, Evans GRD, Vyas R, Widgerow AD. The New Frontier: A Review of Augmented Reality and Virtual Reality in Plastic Surgery. Aesthet Surg J 2019; 39:1007-1016. [PMID: 30753313 DOI: 10.1093/asj/sjz043] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Revised: 01/12/2019] [Accepted: 02/08/2019] [Indexed: 11/14/2022] Open
Abstract
Mixed reality, a blending of the physical and digital worlds, can enhance the surgical experience, leading to greater precision, efficiency, and improved outcomes. Various studies across different disciplines have reported encouraging results using mixed reality technologies, such as augmented and virtual reality. To provide a better understanding of the applications and limitations of this technology in plastic surgery, we performed a systematic review of the literature in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The initial query of the National Center for Biotechnology Information database yielded 2544 results, and only 46 articles met our inclusion criteria. The majority of studies were in the field of craniofacial surgery, and uses of mixed reality included preoperative planning, intraoperative guides, and education of surgical trainees. A deeper understanding of mixed reality technologies may promote its integration and also help inspire new and creative applications in healthcare.
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Affiliation(s)
| | | | | | | | - Mustafa Chopan
- Resident, Division of Plastic and Reconstructive Surgery, University of Florida, Gainesville, FL
| | | | | | | | | | | | - Alan D Widgerow
- Director of the UC Irvine Center for Tissue Engineering, UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA
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Wong DE, Banyard DA, Santos PJF, Sayadi LR, Evans GRD, Widgerow AD. Adipose-derived stem cell extracellular vesicles: A systematic review ✰. J Plast Reconstr Aesthet Surg 2019; 72:1207-1218. [PMID: 30952587 DOI: 10.1016/j.bjps.2019.03.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 02/21/2019] [Accepted: 03/10/2019] [Indexed: 12/12/2022]
Abstract
INTRODUCTION Extracellular vesicles (EVs) are cell-secreted packages that deliver cargo to target cells to effect functional and phenotypic changes. They are secreted by many different cell types, including adipose-derived stem cells (ADSCs), which are a promising field of study in regenerative medicine. Our aim was to perform a systematic review of the literature to summarize the scientific work that has been conducted on ADSC EVs to date. METHODS The Pubmed database was queried with keywords (and variations of) "adipose derived stem cell," "stromal vascular fraction," and "extracellular vesicles." We excluded review papers, then manually screened articles based on title and abstract. Full-text articles were assessed for eligibility to include in final review. RESULTS While an extensive body of research exists on EVs, a much smaller proportion of that is original research on ADSC EVs. Of 44 manuscripts that met our database search criteria, 21 articles were selected for our systematic review. CONCLUSION ADSC EVs were found to exert effects on angiogenesis, cell survival and apoptosis, inflammation, tissue regeneration, and reduction of disease pathology. Further studies examine characteristics of ADSC EVs. Future work should aim to further detail the safety profiles of ADSC EVs given their potential for cell-based therapies. The body of research studies characterizing ADSC EVs continues to expand, and much work remains to be done before human pilot studies can be considered. To our knowledge, we offer the first systematic review summarizing the research on ADSC EVs and their determined roles to date.
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Affiliation(s)
- Daniel E Wong
- Warren Alpert Medical School of Brown University, Providence, RI, United States
| | - Derek A Banyard
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States; Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States
| | - Pauline J F Santos
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States
| | - Lohrasb R Sayadi
- Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States
| | - Gregory R D Evans
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States
| | - Alan D Widgerow
- Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States; Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine, Orange, CA, United States.
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Fijany A, Sayadi LR, Khoshab N, Banyard DA, Shaterian A, Alexander M, Lakey JRT, Paydar KZ, Evans GRD, Widgerow AD. Mesenchymal stem cell dysfunction in diabetes. Mol Biol Rep 2018; 46:1459-1475. [PMID: 30484107 DOI: 10.1007/s11033-018-4516-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 11/22/2018] [Indexed: 02/08/2023]
Abstract
Diabetes mellitus (DM) is a chronic disease that results in a variety of systemic complications. Recently, stem cell-based therapies have been proposed as potential modalities to manage DM related complications. Mesenchymal stem cell (MSC) based therapies are often considered as an ideal stem cell-based treatment for DM management due to their immunosuppressive characteristics, anti-inflammatory properties and differentiation potential. While MSCs show tremendous promise, the underlying functional deficits of MSCs in DM patients is not well understood. Using the MEDLINE database to define these functional deficits, our search yielded 1826 articles of which 33 met our inclusion criteria. This allowed us to review the topic and illuminate four major molecular categories by which MSCs are compromised in both Type 1 DM and Type II DM models which include: (1) changes in angiogenesis/vasculogenesis, (2) altered pro-inflammatory cytokine secretion, (3) increased oxidative stress markers and (4) impaired cellular differentiation and decreased proliferation. Knowledge of the deficits in MSC function will allow us to more clearly assess the efficacy of potential biologic therapies for reversing these dysfunctions when treating the complications of diabetic disease.
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Affiliation(s)
- Arman Fijany
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA
| | - Lohrasb R Sayadi
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA
| | - Nima Khoshab
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA
| | - Derek A Banyard
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA
| | - Ashkaun Shaterian
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA
| | - Michael Alexander
- UC Irvine Department of Surgery & Biomedical Engineering, Orange, CA, USA
| | | | - Keyianoosh Z Paydar
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA
| | - Gregory R D Evans
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA.,UC Irvine Department of Surgery & Biomedical Engineering, Orange, CA, USA
| | - Alan D Widgerow
- UC Irvine Department of Plastic Surgery, Center for Tissue Engineering, Orange, CA, USA. .,UC Irvine Department of Surgery & Biomedical Engineering, Orange, CA, USA. .,University of California, Irvine Suite 108a Building 55, 101 S. City Dr., Orange, CA, 92868, USA.
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Sayadi LR, Obagi Z, Banyard DA, Ziegler ME, Prussak J, Tomlinson L, Evans GRD, Widgerow AD. Platelet-Rich Plasma, Adipose Tissue, and Scar Modulation. Aesthet Surg J 2018; 38:1351-1362. [PMID: 29617719 DOI: 10.1093/asj/sjy083] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Level of Evidence: 4.
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Affiliation(s)
- Lohrasb R Sayadi
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Zaidal Obagi
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Derek A Banyard
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Mary E Ziegler
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Jordyne Prussak
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Luke Tomlinson
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Gregory R D Evans
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
| | - Alan D Widgerow
- Department of Plastic Surgery Center for Tissue Engineering, University of California, Irvine, Orange, CA
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11
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Sayadi LR, Shah A, Chopan M, Thomson JG. Axillary artery pseudoaneurysm and distal ulnar embolization in collegiate pitcher: a case report and review. Case Reports Plast Surg Hand Surg 2018; 5:27-30. [PMID: 29707610 PMCID: PMC5917312 DOI: 10.1080/23320885.2018.1458311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 03/25/2018] [Indexed: 10/26/2022]
Abstract
Twenty five-year-old pitcher presented with acute right middle and index finger numbness and coolness. Angiogram showed a 5mm axillary pseudoaneurysm and near complete occlusion of ulnar and common interosseous artery, ulnar side of the palmar arch, and ulnar digital artery. Patient deferred surgery, treatment with tPA and heparin succeeded in reperfusion.
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Affiliation(s)
- Lohrasb R Sayadi
- Plastic Surgery, UC Irvine, Center for Tissue Engineering, Orange, CA, USA
| | - Ajul Shah
- Plastic Surgery, Yale University School of Medicine, New Haven, CT, USA
| | - Mustafa Chopan
- Plastic Surgery, University of Florida Health, Gainesville, FL, USA
| | - James G Thomson
- Plastic Surgery, Yale University School of Medicine, New Haven, CT, USA
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12
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Sayadi LR, Banyard DA, Ziegler ME, Obagi Z, Prussak J, Klopfer MJ, Evans GR, Widgerow AD. Topical oxygen therapy & micro/nanobubbles: a new modality for tissue oxygen delivery. Int Wound J 2018; 15:363-374. [PMID: 29314626 DOI: 10.1111/iwj.12873] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 11/06/2017] [Accepted: 11/16/2017] [Indexed: 12/26/2022] Open
Abstract
Up to 15 billion dollars of US health care expenditure each year is consumed by treatment of poorly healing wounds whose etiologies are often associated with aberrancies in tissue oxygenation. To address this issue, several modes of tissue oxygen delivery systems exist, including Hyperbaric Oxygen Therapy (HBOT) and Topical Oxygen Therapy (TOT), but their efficacies have yet to be fully substantiated. Micro/nanobubbles (MNBs), which range anywhere from 100 μm to <1 μm in diameter and are relatively stable for hours, offer a new mode of oxygen delivery to wounds. The aim of this article is to systematically review literature examining the use of TOT for wound healing and use of MNBs for tissue oxygenation using the MEDLINE database. The search yielded 87 articles (12 MNB articles and 75 TOT articles), of which 52 met the inclusion criteria for this literature review (12 MNB articles and 40 TOT articles). Additionally, we present an analysis on the efficacy of our MNB generating technology and propose its use as a wound healing agent.
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Affiliation(s)
- Lohrasb R Sayadi
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
| | - Derek A Banyard
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
| | - Mary E Ziegler
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
| | - Zaidal Obagi
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
| | - Jordyne Prussak
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
| | - Michael J Klopfer
- Biomedical Engineering Department, University of California, Irvine, California
| | - Gregory Rd Evans
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
| | - Alan D Widgerow
- Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California
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