• 제목/요약/키워드: Wound Healing

검색결과 1,255건 처리시간 0.021초

콜라겐과 무세포진피를 이용한 혼합형 인공피부 개발 및 쥐 모델에서 창상치료 적용 (Application of a Composite Skin Equivalent using Collagen and Acellular Dermal Matrix as the Scaffold in a Mouse Model of Full-thickness Wound)

  • 이동혁;윤진철;이정희;김인섭
    • KSBB Journal
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    • 제29권1호
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    • pp.42-49
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    • 2014
  • The aim of this study was to develop a composite human skin equivalent for wound healing. Collagen type1 and acellular dermal matrix powder were utilized as the scaffold with dermal fibroblasts and keratinocytes for the development of a composite human skin equivalent. Fibroblast maintained the volume of composite skin equivalent and also induced keratinocytes to attach and proliferate on the surface of composite skin equivalent. The composite human skin equivalent had a structure and curvature similar to those of real skin. Balb-C nu/nu mice were used for the evaluation of full-thickness wound healing effect of the composite human skin equivalent. Graft of composite skin equivalent on full-thickness wound promoted re-epithelialization and granulation tissue formation at 9 days. Given the average wound-healing time (14 days), the wound in the developed composite skin equivalent healed quickly. The overall results indicated that this three-dimensional composite human skin equivalent can be used to effectively enhance wound healing.

Studies on PVA/Chitosan/Fibroin Blend Sponge Sheets: Preparation and Wound Healing Effects in Rats

  • Yeo, Joo-Hong;Lee, Kwang-Gill;Lee, Heui-Sam;Lee, Yong-Woo;Kim, Sun-Yeou
    • International Journal of Industrial Entomology and Biomaterials
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    • 제1권1호
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    • pp.59-64
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    • 2000
  • The preparation of PVA/Chitosan/Fibroin (PCF)-blended sponge sheets and wound healing effects of these sheets in rats were investigated. We excised the skin off rat, including the dermis, approximately 2${\times}$2 cm in size. The wound was coveted with PCF-blended spongy sheets. The spongy sheets absorbed the exudate, and gained flexibility and softness. Histopathological inspection of the wound 12 days later showed the increase of a vascular ingrowth and the absence of inflammatory cells. Regeneration of the skin around the wound was faster than that of the control. We also tested wound healing effects of PVA, Chitosan and Fibroini alone of in various combinations. Wound healing was accelerated in the order of PVA/chitosan/Fibroin (PCF)-blended sponge>Chitosan/Fibroin (CF)-blended sponge$\geq$Fibroin (F) sponge>PVA/Chitosan-blended sponge (PC)>Chitosan (C) sponge.

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족부족관절 영역에서 음압창상처치의 적용 (Application of Negative Pressure Wound Therapy in the Foot and Ankle Field)

  • 안정태;남대철
    • 대한족부족관절학회지
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    • 제28권2호
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    • pp.41-47
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    • 2024
  • Negative pressure wound therapy (NPWT) has emerged as a valuable tool for managing complex wounds within the foot and ankle field. This review article discusses the expanding applications of NPWT in this specialized field. Specifically, it discusses the efficacy of NPWT for various wound types, including diabetic foot wounds, traumatic wounds, surgical wounds, and wounds involving exposed bone or soft tissue defects. NPWT demonstrates versatile utility for foot and ankle wound management by promoting healing, potentially reducing the need for secondary surgery, improving diabetic and neuropathic ulcer healing times and outcomes, and optimizing the healing of high-risk incisions. In addition, this review explores the underlying mechanisms through which NPWT might enhance wound healing. By synthesizing current evidence, this review provides a comprehensive overview of the role of NPWT in foot and ankle surgery and offers valuable insights to clinicians navigating the complexities of wound care in this challenging anatomical area.

흰쥐의 급성기 창상치유에 맥동초음파와 냉 적용이 미치는 효과 (The Effects of Pulsed Ultrasound Treatment and Cold Therapy in the Process of Acute Wound Healing)

  • 김태윤;조남정;정화수;김문수
    • 대한임상전기생리학회지
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    • 제5권2호
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    • pp.23-33
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    • 2007
  • Summary of background data: At the wound from life of the human being very regarding at and a healing process the wound in the portion which is important meantime the many research is accomplished and healing process at the wound the research is small very from the physical therapy territory. Purpose: This study was performed to examine the effects of cold therapy and pulsed ultrasound treatment in the process of acute wound healing. To this end, we measured changes in the length of the wounds, and observed tissues through an optical microscope in order to evaluate the healing process of the acute wounds. Methods: We divided twenty Sprague-Dawley rats into four experimental groups of five rats each and treated them for three days after wound creation. Then we extracted tissues from the wounds on day 6th after wound creation and then took them out for hematoxylin-eosin(HE) staining. We measured changes in the length of the wounds every other day. Result: We were able to detect significant statistical differences in the cold therapy and pulsed ultrasound-treated wounds compared with control wounds. We observed tissues through an optical microscope and found the tissues in cold therapy and pulsed ultrasound-treated wounds healed well. Conclusions: Overall results indicated that the use of cold therapy and pulsed ultrasound treatment were effective in the process of acute wound healing.

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활성탄이 토끼에서 실험적으로 유발된 결손창 치유에 미치는 영향 (Effect of Activated Charcoal on Wound Healing in Rabbits)

  • 조한성;정종태;연성찬
    • 한국임상수의학회지
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    • 제17권2호
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    • pp.376-380
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    • 2000
  • This study was performed to investigate the effect of activated charcoal on wound healing in an experimentally induced skin wound model. Full-thickness, skin defects ($2 cm{\times}2 cm$) were made in two different areas on the back of eight New Zealand white rabbits. Eight of 16 wounds were treated with gauze-gauze-impregnated activated charocal granules, and another eight wounds were treated with gauze-soaked saline. Wound areas were measured every other day for 2 weeks after the wound-ing. Statistical analysis was performed with the student t-test. The mean percentage of wound con- traction on the 14th day in the activated charcoal-treaded group and in the saline treated group were 93.5% and 81_7%, respectively. The mean value of tensile, strength ell the 21s1 day after wounding was,42.70{\pm}0.8 kg/5cm^2$,/TEX> in the activated charcoal-treated group and $1.75 {\pm} 0.5 kg/5 cm^2$ in the saline treated group. Significantly reduced wound area (p<0.05) and high tensile strength value (P<0.O5) were observed in activated charcoal-treated group compared with those in the saline treated group. In summary activated charcoa1 significantly reduced the wound area an increased tensile strength in the rabbit 7kin wound model. These results suggest that application of activated charcoal in skill wounds will promote wound healing.

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치유가 지연된 발치창에서 발생한 질환에 대한 임상적, 방사선학적, 조직병리학적 분석 (OLINICAL, RADIOLOGIC, AND HISTOPATHOLOGIC ANALYSIS OF DISEASES DEVELOPED IN DELAYED WOUND HEALING OF EXTRACTION SOCKET)

  • 장현선;김수관
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권1호
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    • pp.15-20
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    • 2001
  • For the earlier diagnosis and treatment of delayed wound healing in extraction socket, we investigated the clinical, radiographic and histopathologic features of 106 patients with delayed wound healing diagnosed by biopsy. The patients were enrolled at the Department of Oral Pathology, Chosun University Dental Hospital. Among 106 delayed wound healing diagnosed by biopsy, cysts showed most significant 25 cases (23%), osteomyelitis showed 13 cases (12%), chronic maxillary sinusitis and squamous cell carcinoma showed 12 (11%) and 11 (10%) cases, respectively. We have analyzed these lesions through relevant literatures.

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A Skin Fixation Method for Decreasing the Influence of Wound Contraction on Wound Healing in a Rat Model

  • Bae, Seong Hwan;Bae, Yong Chan;Nam, Su Bong;Choi, Soo Jong
    • Archives of Plastic Surgery
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    • 제39권5호
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    • pp.457-462
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    • 2012
  • Background The elasticity of the back skin of the rat reduced the tension around wounds during the wound healing process in that region, and thus activates wound contraction. The authors proposed two skin fixation methods using readily available materials to decrease the influence of wound contraction on wound healing and designed an experiment to determine their effects. Methods The authors made 36 skin wounds on the backs of 18 rats, and they divided them into three groups. Each group was treated with three different kinds of dressing materials, each with different skin fixing characteristics. Group A was a control group. Group B and group C were dressed by the first and the second skin fixation method. We measured the areas of the wounds post-surgically and calculated the wound area reduction rates. Results The two skin fixation methods both reduced the effect of wound contraction compared to the control group. Each of the two methods had different outcomes in reducing wound contraction. Conclusions The experiment demonstrated significant differences among the wound areas and the wound area reduction rates of the three groups as a result of differences in the degree of wound contraction. To obtain accurate results from wound healing experiments, appropriate skin fixation methods must be adopted.

Ell3 Modulates the Wound Healing Activity of Conditioned Medium of Adipose-derived Stem Cells

  • Lee, Jae-Yong;Oh, Nuri;Park, Kyung-Soon
    • 한국발생생물학회지:발생과생식
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    • 제21권3호
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    • pp.335-342
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    • 2017
  • While adipose-derived stem cell-conditioned medium (ADSC-CM) has been demonstrated to promote skin wound healing, the mechanism regulating this effect remains unelucidated. In this study, we aimed to investigate the role of Ell3 in the wound healing activity of ADSC-CM. In vitro analysis revealed that Ell3 suppression in ADSCs impairs the promotive activity of ADSC-CM on the proliferation and migration of mouse embryonic fibroblasts (MEF) and normal human dermal fibroblasts (NHDF). Consistently, the expression of MMP family genes, which regulate cell proliferation and migration, was significantly suppressed in MEF and NHDF treated with siEll3-transfected ADSC-CM. Proinflammatory cytokines, such as interleukin-1 and interleukin-6, were highly expressed in MEF treated with siEll3-transfected ADSC-CM. The wound healing activity of siEll3-transfected ADSC-CM was significantly lower than that of the control in vivo. Our results suggest that Ell3 may contribute to the inhibition of inflammatory response during skin wound healing.

Application of a paste-type acellular dermal matrix for coverage of chronic ulcerative wounds

  • Jeon, Minseok;Kim, So Young
    • Archives of Plastic Surgery
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    • 제45권6호
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    • pp.564-571
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    • 2018
  • Background Chronic wounds occur due to failure of the normal healing process, associated with a lack of deposition of cellular components and a suitable microenvironment such as the extracellular matrix (ECM). Acellular dermal matrix (ADM) is viewed as an ECM substitute, and a paste-type ADM has recently been introduced. We hypothesized that CGPaste, an injectable paste-type ADM, could serve as a scaffold and promote wound healing. Methods We retrospectively studied seven patients in whom CGPaste was applied between 2017 and 2018, who had pressure ulcers, necrotizing fasciitis, diabetic foot ulcers, traumatic defects, and osteomyelitis. The goal of applying CGPaste was to achieve complete wound healing with re-epithelialization or growth of granulation tissue, depending upon the wound bed status. CGPaste was injected based on the wound size along with the application of a dressing. Results Four of the seven patients showed granulation tissue on their wound bed, while the other three patients had a bony wound bed. The mean wound area was $453.57mm^2$ and the depth was 10.71 mm. Wound healing occurred in five of the seven patients (71.43%). The mean duration of complete healing was 2.4 weeks. Two patients showed failure due to paste absorption (29.57%); these patients had wound beds comprising bone with relatively large and deep wounds ($40{\times}30$ and $30{\times}20mm^2$ in area and 15 and 10 mm in depth). Conclusions CGPaste is an effective option for coverage of small and deep chronic wounds for which a flap operation or skin grafting is unfeasible.

미세전류전기자극이 흰쥐 창상의 조직학적 구조에 미치는 영향 (The Effect of Microcurrent Stimulation on Histological Structure of Wound in Rat)

  • 오혜진;김정우;김문수;박장성
    • The Journal of Korean Physical Therapy
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    • 제20권1호
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    • pp.67-73
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    • 2008
  • Purpose: The purpose of this study was to investigate the effect of the intensity of microcurrent stimulation (with currents of 50 ${\mu}A$, 100 ${\mu}A$ and 300 ${\mu}A$ using a pulse frequency of 5 pps) on wound healing in rats. Methods: Sixty male Korean rats were randomly divided into four groups of 15 rats that were subjected to four different treatment protocols (control group, no treatment; experimental groups, treated with currents of 50 ${\mu}A$, 100 ${\mu}A$ or 300 ${\mu}A$). An experimental 20 mm linear wound was made in each animal and all animals in the experimental groups received microcurrent stimulation once a day for 20 minutes until the day of sacrifice on day 1, day 3 and day 6. An optical microscope was used to determine any histological changes. Results: The experimental results were as follows. 1. In an examination with the naked eye, all groups showed similar changes until the first day. However, from the third day, a little intercellular fluid soaked through wound region in the control group rats. In the experimental group animals, little intercellular fluid soaked through wound region, and swelling and redness did not appear, from the third day. 2. In an examination with histological evaluation, more significant changes were observed in all of the experimental group rats than the control group animals. Especially, a stimulation intensity of 50 ${\mu}A$ caused a more significant effect than the use of the other intensities by day 6 of wound healing. In addition, rapid recovery was observed. Conclusion: It was determined that microcurrent stimulation had a positive effect on wound healing. A stimulation intensity of 50 ${\mu}A$ was more effective than the other intensities (100 ${\mu}A$ and 300 ${\mu}A$) utilized for wound healing. Furthermore, low-intensity microcurrent stimulation was more effective for the purpose of wound healing.

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