• 제목/요약/키워드: Wound epithelialization

검색결과 66건 처리시간 0.029초

버들치 Rhynchocypris oxycephalus에서의 외과적 상처 치유 (Wound Healing of Surgical Incisions in Rhynchocypris oxycephalus)

  • 박인석;임재현;김정혜;김동수
    • 한국양식학회지
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    • 제11권2호
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    • pp.167-172
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    • 1998
  • 버들치 Rhynchocypris oxycephalus의 등지느러미와 가슴지느러미를 연결하는 중간 부위 체측상처를 수술하여, 과립형성 조직 수축 특성과 치유율 및 2차 치유에 관하여 조사하였다. 수술 푸 생존율은 수술 직후 및 수술 후 7일에 대조군의 100%에 비해 각각 95%와 99% 이었다. 수술 후 14일과 42일 사이에 사망은 없었다. 수술후 7~21에 과립형성 조직은 상피화되었으며 수술 후 29일에 과립형성 조직은 상처 주변부로 정상 위치수축을 하였다. 수술 후 35일~42일에 과립형성 조직에는 collagen 섬유가 존재하였고 표피는 잘 분화된 , alarm 물질세포를 내포하고 있었으며 상처 부위의 표피는 모든 어류에서 조직학적으로 정사이어서, 상처 치유는 수술 35일 이내에 완전히 이루어졌다.

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비글견의 피부절개를 위한 $CO_2$ 레이저의 출력 결정 (Determination of $CO_2$ Laser Output Power for the Skin Incision in Beagle Dogs)

  • 신범준;정현웅;손화영;정주영;박성준;김명철;정성목
    • 한국임상수의학회지
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    • 제25권5호
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    • pp.379-384
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    • 2008
  • The objective of this study was to determine output power for skin incision in 0.3 mm spot diameter $CO_2$ laser by measuring (1) the wound depth, (2) initial dermal tissue damage, (3) degree of wound healing at different power (4W, 5W and 6W) in beagle dogs. Three healthy 2-year-old beagle dogs were used. Four 2 cm straight skin incisions were made with 0.3 mm spot diameter $CO_2$ laser on the each dog's both side of dorsal midline in three beagle dogs. The skin incisions were performed for $10{\sim}15$ seconds for same dosage. And then each wound was closed with surgical stapler. At 0, 3, 7 and 14 days after initial wounding, each wound was taken for histological observation. On macroscopic and microscopic observation, initial incisional wound did not show difference in three group. And also re-epithelialization, dermal tissue damage and inflammatory response did not show significant difference among groups. This study reveals that 4W, 5W and 6W may be suitable output power in 0.3 mm spot diameter $CO_2$ laser for the skin incision in beagle dogs.

카테킨이 함유된 창상피복제용 하이드로젤의 개발 (Development of Hydrogel Containing Catechin for Wound Dressing)

  • 김진;조은비;이기영
    • 폴리머
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    • 제37권4호
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    • pp.462-469
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    • 2013
  • Catechin(CTEC)은 천연항산화제로 알려져 있고 항염증에 효과적이며 피부 창상치료제로 응용되고 있다. 이 연구는 ${\beta}$-cyclodextrin(${\beta}$-CD)으로 나노입자화한 CTEC을 poly(vinyl alcohol)(PVA)/pectin(PT) 조성의 하이드로젤에 첨가하였다. 피부상처의 재상피화를 위해 CTEC과 ${\beta}$-CD을 분자복합(molecular complex) 방법에 의해 나노입자 제조를 수행하였다. 하이드로젤에 첨가된 CTEC 나노입자는 $250{\pm}17.5$ nm이며, 입자 내 CTEC의 담지 효율은 처음첨가량의 74%가 담지되었음을 확인하였다. CTEC는 하이드로젤 필름으로부터 pH7.4와 pH5.5 버퍼에서 72시간 동안 각각 $86.51{\pm}3.14%$$35.95{\pm}2.14%$의 방출을 보였다. 창상치료 실험에서 CTEC 나노입자가 적재된 PVA/PT 조성의 하이드로젤은 CTEC이 함유된 도포형 젤보다 빠른 치유력을 관찰할 수 있었다.

동종유래각질세포(Cultured Allogenic Keratinocytes, Kaloderm®)를 이용한 부분층 피부 결손의 치료 (Treatment of Partial Thickness Skin Defect with Cultured Allogenic Keratinocytes (Kaloderm®))

  • 서상원;장충현;조민수;홍윤기;전세화
    • Journal of Trauma and Injury
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    • 제20권1호
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    • pp.1-5
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    • 2007
  • Purpose: Grafting with autograft skin remains the most effective method for treating skin defects. When insufficient donor sites are present or patients are afraid of the operation, a skin graft is impossible. Cultured allogenic keratinocytes speed wound healing by providing cover and by producing growth factors and extracellular matrix protein. We report an application of cultured allogenic keratinocytes ($Kaloderm^{(R)}$, Tegoscience, Seoul, Korea) in the treatment of an acute partial thickness skin defect. Methods: From March 2005 to January 2006, 20 patients with a partial thickness skin defect were treated with cultured allogenic keratinocytes. The wound was covered with a sheet of cultured allogenic keratinocytes and ointment with $Bactigras^{(R)}$ gauze. The wound was inspected every two or three days. We regarded completion of epithelialization as wound healing. Results: The mean period between time of injury and time of $Kaloderm^{(R)}$ application was 7.5 days. The time taken from application of $Kaloderm^{(R)}$ to complete closure of the wounds was 7.2 days. Conclusion: In view of the favorable outcome, cultured allogenic keratinocytes are safe and effective biologic dressing materials for use in the treatment of open wounds.

In Vitro and in Vivo Wound Healing Properties of Plasma and Serum from Crocodylus siamensis Blood

  • Jangpromma, Nisachon;Preecharram, Sutthidech;Srilert, Thanawan;Maijaroen, Surachai;Mahakunakorn, Pramote;Nualkaew, Natsajee;Daduang, Sakda;Klaynongsruang, Sompong
    • Journal of Microbiology and Biotechnology
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    • 제26권6호
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    • pp.1140-1147
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    • 2016
  • The plasma and serum of Crocodylus siamensis have previously been reported to exhibit potent antimicrobial, antioxidant, and anti-inflammatory activities. During wound healing, these biological properties play a crucial role for supporting the formation of new tissue around the injured skin in the recovery process. Thus, this study aimed to evaluate the wound healing properties of C. siamensis plasma and serum. The collected data demonstrate that crocodile plasma and serum were able to activate in vitro proliferation and migration of HaCaT, a human keratinocyte cell line, which represents an essential phase in the wound healing process. With respect to investigating cell migration, a scratch wound experiment was performed which revealed the ability of plasma and serum to decrease the gap of wounds in a dose-dependent manner. Consistent with the in vitro results, remarkably enhanced wound repair was also observed in a mouse excisional skin wound model after treatment with plasma or serum. The effects of C. siamensis plasma and serum on wound healing were further elucidated by treating wound infections by Staphylococcus aureus ATCC 25923 on mice skin coupled with a histological method. The results indicate that crocodile plasma and serum promote the prevention of wound infection and boost the re-epithelialization necessary for the formation of new skin. Therefore, this work represents the first study to demonstrate the efficiency of C. siamensis plasma and serum with respect to their wound healing properties and strongly supports the utilization of C. siamensis plasma and serum as therapeutic products for injured skin treatment.

개에서 손바닥 선인장의 피부 결손창 치료 효과 (The Wound Healing Effects of Opuntia Ficus-indica in Dogs)

  • 이현성;정종태;박현정;신태균;김재훈;이주명
    • 한국임상수의학회지
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    • 제22권1호
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    • pp.43-49
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    • 2005
  • The aim of this study is to investigate the wound healing effects of the Opuntia ficus-indica. Four full-thickness skin wounds(2.5 cm × 2.5 cm) were made in different areas on the back in each of five dogs. Two wounds were used for wound size measurement and two for skin biopsy. The ten full-thickness wounds were treated with the extract of Opuntia ficus-indica, and the ten full-thickness wounds were treated with normal saline. The wound areas were measured every other day for three weeks after wounding. Statistical analysis was performed with the paired t-test. The wound healing rates were 32.9±4.0%, 28.2±7.1%, 42.2±4.1%, 55.0±4.3%, 76.6±2.8%, 86.8±2.3%, 94.0±1.l%, 97.3±0.8%, 99.3±0.3%, 99.8±0.2%, 100.0±0.0% in the experimental group, and 18.0± 8.2%, 13.S± 11.6%, 15.2±6.1 %, 36.9±8.8%, 62.4±4.1%, 80.0±2.3%, 86.0±1.4%, 94.0±0.9%, 96.9±0.8%, 97.8±0.3%, 99.7±0.1% in the control group on the 1/sup st/, 3/sup rd/, 5/sup th/, 7/sup th/, 9/sup th/, 11/sup th/, 13/sup th/, 15/sup th/, 17/sup th/, 19/sup th/, 21/sup st/ day. On the 17/sup th/ day, the wound closed above 99.9% in 1 dog of the experimental group. On the 19/sup th/ day, the wound closed above 99.9% in 3 dogs of the experimental group. On the 21/sup st/ day, the wound closed above 99.9% in 5 dogs of the experimental group, and 1 dog of the control group. The wound healing period was shortened by 2 to 4 days in the experimental group as compared with the control group. The tensile strength was 4,508±513 g/㎠ in the experimental group and 2,772±400 g/㎠ in the control group on the 21/sup st/ day after wounding. The tensile strength was significantly higher in the experimental group than in the control group(p< 0.05). Inflammation rapidly spread and disappeared in the experimental group but not in the control group. Fibroblast and vascularization were found on the 5/sup th/ day in both group and increased only in the experimental group on the 9/sup th/ day. The firs finding of epithelialization was on the 13/sup th/ day in the experimental group and the 21/sup st/ day in the control group. A significantly higher wound healing rate(p< 0.05), tensile strength(p< 0.05) and better histopathological findings were observed in the experimental group than in the control group throughout the experimental period. These results suggest that topical application of Opuntia ficus-indica extract can promote wound healing in dogs.

백서에서 Pulsed Nd : YAG Laser에 의한 치은절제술후의 치유양상 (Wound Healing After Gingivectomy Using Pulsed Nd : YAG Laser In The Rat)

  • 김옥수;정현주
    • Journal of Periodontal and Implant Science
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    • 제26권1호
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    • pp.293-308
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    • 1996
  • Recently, dental laser have been applied for removal of soft tissues, hemostasis and blood coagulation, removal of benign and malignant tumor, treatment of leukoplakia, aphthous ulcer and herpetic lesion, implant second surgery, removal of granulation tissue, frenectomy, clinical crown lengthening, gingivectomy, gingivoplasty, and treatment of dentin hypersensitivity. Even though the frequency of laser treatment is increasing, the research on the healing process after gingivectomy using pulsed Nd : YAG laser is very rare. The purpose of this study was to observe and compare the wound healing after gingivectomy using scalpel and pulsed Nd : YAG laser in the rat. Gingivectomy was performed using pulsed Nd : YAG laser(SUNRISE Technologies, U.S.A., 1.5 Watts, 10 pps) on the buccal gingiva of right maxillary first molar and using scalpel(No.12) on the contralateral side. Those sites treated by surgical scalpel were designated as the control, and by pulsed Nd : YAG laser as the experimental group. Animals were sacrificed at 1, 2, 3, 5, 7, 11 and 14 days postoperatively, and specimens were histologically observed under light microscope. The results were as follows : 1. Clinical observation Normal color and shape were observed at the 5th day ill the control group and the 7th day in the experimental group. 2. Histologic findings 1) In the control group, denser inflammatory infiltration was observed. 2) Epithelialization started at the 2nd day in the control group, similar to the experimental group, and completed at the 11th to the 14th day postoperatively. 3) In the experimental group, connective tissue showed the vacuole formation and degenerative change during early healing period. Healing of connective tissue was slower in the experimental group than in the control group by 2 days. 4) In the both groups, wound healing was completed at the 2nd week. From this study, gingivectomy using pulsed Nd : YAG laser seems to result in a little delayed wound healing process, compared to the gingivectomy using scalpel. Considering the clinical advantages of laser surgery, pulsed Nd : YAG laser might be useful device for gingivectomy.

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수술칼, $CO_2$ 및 Nd:YAG 레이저에 의한 절개 창상의 치유에 관한 비교 연구 (A COMPARATIVE STUDY OF WOUND HEALING AFTER SKIN INCISION WITH SCALPEL, $CO_2$, AND Nd:YAG LASER IN RATS)

  • 최재선;유선열
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제22권1호
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    • pp.33-42
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    • 2000
  • The purpose of this study was to compare the wound healing process after skin incision using scalpel, $CO_2$ laser and pulsed Nd:YAG laser in rats. After skin on the back was incised 3 cm long, rats were sacrificed at 1, 3, 7, 14, 21 and 28 days. Macroscopic, histologic and immunohistochemical examinations using the collagen type IV and the CD34 antibodies which are necessary to the forming process of new capillary were performed. Results obtained were as follows ; Macroscopically the initial wound healing of the laser group was about $1{\sim}2$ weeks slower than that of the scalpel group. There weren't however any remarkable differences in all groups in 4 weeks after incision. By histologic finding, acute inflammatory cells were more prominent during the initial wound healing in the scalpel group than in the other groups. Epithelialization started in the order of scalpel, $CO_2$ and Nd:YAG laser group after skin incision. By the Masson's trichrome stain, collagen synthesis in the Nd:YAG laser group was more slowly initiated than in the other groups. But it was completed at the $3{\sim}4$ weeks in all groups. Immunohistochemically, collagen type IV and CD34 expression were markedly increased at 2 weeks in the scalpel and $CO_2$ laser group. Meanwhile, in the Nd:YAG laser group, these reactions were observed later tan the other groups. Collagen type IV and CD34 expression were decreased in all groups after 4 weeks. These results suggest that $CO_2$ and Nd:YAG laser showed similar healing process compared with scalpel and a potential substitute for scalpel in skin incision.

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당뇨병성 족부 궤양 환자의 창상 드레싱 치료 증례 (A Case Study of Wound Dressing Treatment in a Patient with Diabetic Foot Ulcer)

  • 이마음;정미래;권강;김민희;서형식
    • 한방안이비인후피부과학회지
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    • 제34권2호
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    • pp.80-85
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    • 2021
  • Objectives : The purpose of this study is to report on the treatment of wound dressing in patients with diabetic foot ulcers in the dermatology clinic of Korean medicine. Methods : First, sufficient marginal resection of the ulcer and necrotic tissue on the foot of a patient with diabetic peripheral neuropathy was performed. Inflammation was treated with Anti-inflammatory pharmacopuncture solution, and dressings were applied for one month using Cornu Cervi Parvum pharmacopuncture solution, and Haeboo ointment for granulation tissue formation and skin regeneration. Results : After 10 days of the treatment, the formation of new granulation tissue was observed in the necrotic tissue area, and the extent of the lesion decreased sharply from the 14th day. On the 40th day, epithelialization progressed so that the treatment was terminated, and complete keratinization of the site was observed at follow-up 3 weeks after the end of the treatment. Conclusions : In the treatment of wound dressings in diabetic foot ulcer patients, marginal resection treatment with the application of pharmacopuncture solution and herbal ointment showed good effect.

뜸치료에 의한 화상으로 발생한 당뇨족 및 연부조직 괴사 (Diabetic Foot and Soft Tissue Necrosis Caused by Moxibustion Burn Injury)

  • 한송현;조동인;김철근;김순흠
    • 대한화상학회지
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    • 제23권2호
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    • pp.60-63
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    • 2020
  • A 72-year-old man with diabetes, who underwent moxibustion, developed a foot wound but did not receive proper treatment. Examination showed a soft tissue defect (6×6 cm) on the dorsal aspect of the right foot with involvement of the first and second toes along with some phalangeal bone loss. The wound was treated with a skin graft and healed without complications. The right calf showed a raw surface (4×3 cm), which underwent epithelialization after conservative treatment. We observed four focal necrotic lesions (1.5×1.5 cm) on the right lower leg and anterior chest, which served as indicators of moxibustion, and debridement and primary closure were performed. Moxibustion is increasingly used as a therapeutic option; however, statistical data describing its adverse effects are limited. Moxibustion significantly increases skin temperature and can cause burn injuries. It is important to prevent moxibustion-induced adverse effects and avoid severe complications, particularly in patients with diabetes.