• Title/Summary/Keyword: wound covering

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Coating properties of PPG-based Polyurethane Dispersion wound covering resin by Addition of PVA (PVA의 첨가에 의한 PPG기반 수분산 창상피복수지의 코팅 물성)

  • Lee, Joo-Youb
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.178-185
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    • 2021
  • In this study, polyvinyl alcohol (PVA) and polypropylene glycol (PPG)-based polyurethane dispersion resin for wound coating was synthesized. And the physical properties of the sample were coated on the surface of the film sample and the leather (Full-Grain) to study the physical properties change. In the case of tensile strength, PUD-PA1, which reacted with the least amount of PVA, showed the highest resistance at 2.00 kgf/㎟. Likewise, the rate of elongation was measured as high as 554% for PUD-PA1, which reacted with the least amount of PVA. The abrasion resistance measurement result showed that as the PVA response increased, the strength of the surface decreased to 36.77 mg.loss.

Evaluation of Physical Properties of Polyurethane Resin for Wound Covering according to PTMG, DMBA Application (PTMG, DMBA 적용에 따른 창상피복 폴리우레탄 수지의 물리적 특성 평가)

  • Lee, Joo-Youb
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.5
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    • pp.1248-1256
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    • 2020
  • In this study, the polyurethane resin was synthesized by applying PTMG and DMBA of different composition ratios for the synthesis of water-dispersible polyurethane used in wound coating resin. The varying properties of the synthesized water-dispersible polyurethane were measured through tensile strength, elongation, and abrasion resistance analysis. As for the tensile strength measurement result according to the PTMG content, the sample with the highest reaction molar ratio was measured as 1.08 kgf/mm2 and the elongation was measured as 520%. As for the tensile strength result according to the DMBA content, the sample with the highest reaction molar ratio was measured as 0.51 kgf/mm2, and the elongation was measured as 435%. The degree of surface destruction by the abrasion resistance measurement was visually confirmed through SEM.

Clinical Application of Autologous Platelet-Rich Plasma (PRP) on Delayed Wound Healing of a Dog with Burns

  • Lee, Shinho;Cheong, Jongtae;Lee, Joo-Myoung
    • Journal of Veterinary Clinics
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    • v.35 no.5
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    • pp.229-232
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    • 2018
  • A 9-year-old intact female Poodle (weighing 3.6 kg) was presented for the treatment of a partial and full thickness burn that covering 45% of body including bilateral thigh and sacrolumbar region. Autologous platelet-rich plasma (PRP) stimulates angiogenesis, promoting vascular in-growth and fibroblast proliferation. On the unrecovered right thigh of the dog, autologous PRP was injected into the lesion after application of micro-needles. For macroscopic evaluation digital, photographs were taken from wounds at days 0, 3, 5, 13, 21, and 28. On the $3^{rd}$ day after PRP application, epithelialization was accelerated. Application of autologous PRP accelerated wound-healing rate and healing time in full thickness burns as well as secondary complications originating from unrecovered wounds. The delayed lesion was completely healed on the $28^{th}$ day by autologous PRP treatment. In human, PRP was increasingly used in the treatment of a variety of soft tissue in the management of chronic non-healing wounds. This study has shown that PRP treatment can be a valuable and effective aid on intractable wound healing in the dog with burns.

Development of Bioartificial Skin for Skin Regeneration (손상된 피부 재건을 위한 바이오인공피부의 개발 동향)

  • Seo, Young-Kwon;Song, Kye-Yong;Park, Jung-Keug
    • KSBB Journal
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    • v.23 no.1
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    • pp.8-17
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    • 2008
  • There are many different approaches to healing of acute and chronic ulcer and large skin defect, such as burn. Currently available wound covers fall into two categories. Permanent covering, such as autografts, and temporary ones, such as allograft including de-epidermized cadaver skin, bioartificial skin, xenografts, and synthetic dressings. Autologous skin grafting in the form of split- or full-thickness skin is still the good standard. Following on from developments in the 1980s involving the use of cultured keratinocyte grafts in wound healing, the last decade has been great progress in the fabrication of composite bioartificial skin grafts. However, two bottleneck on producing cultured bioartificial skin, whether of the simple epithelial cell sheet type, or the more complex composite type, continue to be the generation of sufficient keratinocytes cheaply and quickly and develop biocompatible dermal scaffolds. This article covers the development, clinical application, and current research directions associated with bioartificial skin.

Morphological Comparision of the Effect of Open and Occlusive Dressing on Rabbit Skin Wound (가토 피부상처에서의 개방드레싱과 밀봉드레싱의 효과에 대한 형태학적 비교)

  • Kang, Young-Hee;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.5 no.1
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    • pp.23-33
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    • 2003
  • This morphological study was carried out to investigate the healing effect of open and occlusive dressing on rabbit skin wounds. The male white rabbits were given incision wound measuring 1.0cm in length and excision wound measuring $1.0{\times}0.2cm$ respectively on backs. Five rabbits among their received sterilization with beta dine twice a day and kept wound open. Another group of rabbits received sterilization and occlusive dressing with application of 1% sulfadiazine ointment and covering of gauze. The rabbits were observed at 5, 10, and 15 days after dressing with light microscope. The results were as follows. Both incision and excision wounds received open and occlusive dressing respectively revealed formation of scab and regeneration of epidermal epithelial cells at wound margin. The superficial dermis showed infiltration of neutrophils, monocytes, and lymphocytes, fibroblastic proliferation, and edema. On 10 days after opera and occlusive dressing the scab had disappeared and regeneration of epidermal epithelium was completed. The capillaries and inflammatory cells were decreased in number. However, edema and fibroblastic proliferation were more pronounced. On 15 days after opera and occlusive dressing, there were keratinization of regenerated epidermal epithelium, loss of inflammatory infiltration, edema, and capillary proliferation, and increase of fibroblastic proliferation and collagen fibers. The amounts of scars were less in incision wound than of excision one. There were no differences in healing processes between both dressing methods. According to the above results, it was conceived that sterilization of wound is more important in wound healing than dressing method in trivial wounds.

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Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps

  • Sung, Ki Wook;Lee, Won Jai;Yun, In Sik;Lee, Dong Won
    • Archives of Plastic Surgery
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    • v.43 no.5
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    • pp.446-450
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    • 2016
  • Background Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation. Methods Fourteen patients who underwent reconstructive surgery with multiple perforator flaps for defects >$100cm^2$ in the perineal area were included in this retrospective cohort study. Characteristics of the perforator flap operation and postoperative outcomes were reviewed. Results Reconstruction was performed using 2 perforator flaps for 13 patients and 3 perforator flaps for 1 patient. Internal pudendal artery perforator flaps were mainly used for covering the defects. The average defect size was $176.3{\pm}61.8cm^2$ and the average size of each flap was $95.7{\pm}31.9cm^2$. Six patients had minor complications, such as wound dehiscence and partial necrosis of the flap margin, which were corrected with simple revision procedures. Conclusions Multiple perforator flaps can be used to achieve successful reconstructions of large perineal defects that are difficult to reconstruct with other coverage methods.

Synthesis and Characterization of Artificial Skin based on Polypeptides (Polypeptide계 인공 피부의 합성과 특성)

  • Kim, Seon-Jeong;Min, Dong-Seon;Kim, Gye-Yong
    • Journal of Biomedical Engineering Research
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    • v.8 no.1
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    • pp.87-92
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    • 1987
  • In order to evaluate the artificial skin for burn would covering materials, copoly(N. carbobenzoxy-L-Iysine-L-leucine)s were prepared by Ipolymerization of N - carbobenzoxy-L- I sine anhydride and L-leucine anhydride in homogeneous solvents using triethylamine as an initiator. The synthetic polypeptides and the oxter type polyurethane(PV)of medical grade were used as the sheet type membranes were prepared ; monolayer membrances were composed of only the polypeptides, bilayer membranes and blend membranes were controlled by composition of the polypeptides and PU. Test of the swelling degree, mechanical tensile strength, elongation, oxygen permeability, water-vapor loss and In vitro degradation treated by pretense TV of samples of artificial skin were measured by adequate methods so as to mechanical, physincal characterization and biodegradation. As a result, all the values of samples were found to be similar to desired value of skin which was nature. The Artificial skin based on polypeptides can be considered as ideal burn wound covering materials.

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YAC tripeptide of epidermal growth factor promotes the proliferation of HaCaT keratinocytes through activation of EGFR

  • Yoo, Yeon Ho;Kim, Yu Ri;Kim, Min Seo;Lee, Kyoung-Jin;Park, Kyeong Han;Hahn, Jang-Hee
    • BMB Reports
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    • v.47 no.10
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    • pp.581-586
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    • 2014
  • Epidermal growth factor (EGF) is known to play key roles in skin regeneration and wound-healing. Here, we demonstrate that Pep2-YAC, a tripeptide covering residues 29-31 in the B loop of EGF, promotes the proliferation of HaCaT keratinocytes with activity comparable to EGF. The treatment of HaCaT cells with Pep2-YAC induced phosphorylation, internalization, and degradation of EGFR and organization of signaling complexes, which consist of Grb2, Gab1, SHP2, and PI3K. In addition, it stimulated the phosphorylation of ERK1/2 at Thr 202/Tyr 204 and of Akt1 at Ser 473 and the nuclear translocation of EGFR, STAT3, c-Jun, and c-Fos. These results suggest that Pep2-YAC may be useful as a therapeutic agent for skin regeneration and wound-healing as an EGFR agonist.

Perforator Based Tibialis Anterior Segmental Muscle Island Flap in Lower Extremity Reconstruction

  • Byun, Il Hwan;Kwon, Soon Sung;Chung, Seum;Baek, Woo Yeol
    • Archives of Reconstructive Microsurgery
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    • v.25 no.2
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    • pp.69-71
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    • 2016
  • Reconstruction of the lower extremities is difficult due to a lack of skin laxity and muscular tissues. Here, we present a case of lower extremity reconstruction via the anterior tibial artery perforator based segmental muscle island flap. Our patient was a 75-year-old male with a chronic ulcerative wound on the right lower leg from an old car accident. A $5.0{\times}0.5cm$ size ulcerative wound with tibial bone exposure was noted. We planned to reconstruct the lower extremity defect with a free flap, but the vessel status was severely compromised intraoperatively. Thus, we found the anterior tibial artery perforator using Doppler ultrasound, elevated the tibialis anterior muscle segment flap, and transposed it to cover the defect successfully. The flap presented with a nice contour and the skin graft covering the flap survived completely. There were no complications of the surgical site at three months follow-up and no gait morbidity. This is a meaningful case applying the concept of segmental muscle flap based on a perforator that had advantages including proper bulkiness, vascularization, and preservation of function, which were well applied, leading to great success.

Bilateral Fasciocutaneous Sliding V-Y Advancement Flap for Meningomyelocele Defect (척수수막류 결손 재건을 위한 양측 V-Y 전진피판술)

  • Shin, Jong-Weon;Oh, Deuk-Young;Lee, Jung-Ho;Moon, Suk-Ho;Seo, Je-Won;Rhie, Jong-Won;Ahn, Sang-Tae
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.823-826
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    • 2010
  • Purpose: Meningomyelocele is the most common type of neural tube defect disease. Early surgical treatment is recommended to prevent central nervous system infection. Several reconstruction methods were reported previously regarding surgical wound defect closure following meningomyelocele excision. In this article, we report two successful patients using the bilateral fasciocutaneous sliding V-Y advancement flap as a covering for meningomyelocele defects. Methods: Two patients with meningomyelocele were evaluated. Both patients were male and received their operations on the 1st and 4th day of life. After neurosurgeons completed their part of the operation, the V-Y advancement flap was used to close the defect. Initially a bilateral V-shape incision design was made on the skin such that the base of the V-flap measures identical to the size of the wound defect. An incision was made down to the fascia in order to allow the V-flaps to slide into the defect. Subfascial dissection was performed up to 1/3 to 1/4 the length of the V-flap from the wound while minimizing injury to the perforating vessels. Results: Both patients were treated successfully and there was no evidence of complication in 2 months follow up. Conclusion: Several reconstruction methods such as local flaps, skin graft and myocutaneous flaps were reported regarding meningomyelocele surgical wound defect closure. Bilateral fasciocutaneous sliding V-Y advancement flap is an easy method without involving the underlying muscles or a secondary skin graft in a short operation time. Therefore we recommend this treatment option for reconstruction of the wound defect following meningomyelocele excision.