ABSTRACT
BACKGROUND:How to improve the survival rate after fat transplantation and reduce postoperative complications is always a hotspot.OBJECTIVE:To review the research progress concerning the effect of different harvesting and purification methods on adipocyte viability.METHODS:A computer-based search of CNKI,WanFang,VIP,PubMed,Embase,and Elsevier databases was performed for the literatures addressing the effect of different harvesting and purification methods on adipocyte viability in autologous fat transplantation using the keywords of "autologous fat transplantation,fat grafting,harvesting,aspiration,centrifugation,adipocyte graft survival,water jet-assisted liposuction,Nanofat Grafting" in English and Chinese,respectively.Irrelevant and repetitive papers were excluded,and finally 42 papers were included for further analysis.RESULTS AND CONCLUSION:Autologous fat tissue has become the ideal filling material because of its remarkable advantages.Nonetheless,low adipocyte survival rate and post-transplantation complications,such as high absorption rate,probable cyst,and calcification,limit its clinical application.During autologous fat transplantation,multiple factors can affect the survival rate of fat tissues.It can assist surgeons to choose the optimal method to maximize autologous fat survival rate,reduce postoperative complications such as absorption by understanding the effect of different harvesting and purification methods on adipocyte viability.
ABSTRACT
BACKGROUND: Autologous adipose tissue has become an ideal filling material due to the fact that it has no rejection reaction, but has abundant source, good texture and appearance after transplantation, and low cost.OBJECTIVE: To review the research advance in the effect of different additive ingredients on the activity of adipocytes.METHODS: A computer-based retrieval of CNKI, WanFang, VIP, PubMed, Elsevier, and Embase databases was conducted for the articles about adipocyte viability using the keywords of "autologous adipose tissue, rate of survival,stromal vascular fraction, platelet-rich plasma, growth factor, adipose derived stem cells, leptin" in English and Chinese,respectively. Finally 47 eligible articles were included for further analysis.RESULTS AND CONCLUSION: Autologous fat transplantation still holds some limitations. It has been found that the survival rate of single autologous fat globules is less than 60%. The high absorption rate of adipose tissues, cyst,calcification and other complications after transplantation restrict its far-ranging application. In order to improve the survival rate of transplanted adipose tissues, most of scholars have been trying to improve the method of liposuction,cryopreservation conditions, or add different ingredients such as platelet-rich plasma and stromal vascular fraction. The stromal vascular fraction, platelet rich plasma, adipose derived stem cells, botulinum toxin A, and some cytokines have been confirmed to be feasible and effective according to a series of trials; however, the studies on leptin and some other kinds of cytokines and drugs still in the experimental stage, which need to be explored in depth.