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Table 5: CI and P value which suggests that results were significant
                      Baseline   1st visit   2nd visit  3rd visit   4th visit   5th visit   6th visit  Final visit
           Area        10.98       8.42        6.24       4.57       3.06        2.02        1.36        1.13
            P value               0.1706      0.0125     0.0004     <0.0001     <0.0001     <0.0001     <0.0001
            CI                   −1.11–6.14  1.05–8.33  2.95–9.76  4.71–11.03  5.88–11.94  6.59–12.55  6.93–12.76
           Volume      5.19        3.53        2.19       1.26       0.73        0.42        0.23        0.39
            P value               0.1160      0.0020    <0.0001     <0.0001     <0.0001     <0.0001     <0.0001
            CI                   −0.42–3.74  1.14–4.84  2.23–5.62  2.83–6.08   3.18–6.36   3.38–6.54   3.21–6.38
           CI: Confidence interval














                                                              Figure 7:  24 bit  (true  color) venous ulcer of 6 months  duration healed
                                                              after three sittings of platelet rich plasma







          Figure 6: 24 bit (true color) traumatic ulcer of 2 months duration healed
          after two sittings of platelet rich plasma


                                                              Figure 9: 24 bit (true color) traumatic ulcer of 4 months duration healed
                                                              after three sittings of platelet rich plasma









          Figure 8:  24 bit  (true  color) trophic ulcer of 3 months  duration healed
          within 2 weeks

                                                              Figure 11: 24 bit (true color) venous ulcer of 7 months duration healed
                                                              after six sittings of platelet rich plasma

                                                              in  response  to  platelet  activation  by  inducers  of platelet
                                                              aggregation. [10]
                                                              The  anti‑inflammatory  factors in  PRP  also play a role in
                                                              wound  healing because of the presence of leukocytes,
                                                              which are at high levels in PRP. [8]
                                                              In addition to the GFs, platelets release numerous
                                                              other substances  (e.g.  fibronectin, vitronectin, and
                                                              sphingosine  1‑phosphate)  that  are  important  in  wound
                                                              healing. An advantage of PRP over the use of single
                                                              recombinant human GF delivery is the release of
          Figure 10: 24 bit (true color) traumatic ulcer healed after one sitting of   multiple GFs and differentiation of factors upon platelet
          platelet rich plasma
                                                              activation. [11]
          mesenchymal  cell recruitment,  proliferation,  extracellular   There is no standard method of preparation of PRP
          matrix  degeneration,  and cell differentiation  for tissue   in literature. According to Marx, to truly concentrate
          regeneration. These factors  are released from  α granules   platelets from autologous blood, the device must use

            68                                                             Plast Aesthet Res || Vol 1 || Issue 2 ||  Sep 2014
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