Conventional Versus Regenerative Methods for Wound Healing: A Comparative Experimental Study on a Sheep Model.

Details

Serval ID
serval:BIB_00C9D3109462
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Conventional Versus Regenerative Methods for Wound Healing: A Comparative Experimental Study on a Sheep Model.
Journal
Medicina
Author(s)
Elia R., Maruccia M., Di Summa P.G., Trisciuzzi R., Lovero G., Cazzato G., Lacitignola L., Staffieri F., Crovace A.M.
ISSN
1648-9144 (Electronic)
ISSN-L
1010-660X
Publication state
Published
Issued date
08/11/2024
Peer-reviewed
Oui
Volume
60
Number
11
Language
english
Notes
Publication types: Journal Article ; Comparative Study
Publication Status: epublish
Abstract
Background and Objectives: Wound healing is a complex process involving cellular, anatomical, and functional repair, often hindered in chronic wounds associated with diseases like diabetes and vascular disorders. This study investigated the efficacy of conventional and regenerative wound healing approaches in a sheep surgical wound model. Materials and Methods: Six female Bergamasca sheep underwent five full-thickness skin lesions treated with various methods: sterile gauze (control), chlorhexidine, sodium hypochlorite, micronized dermis system application, and dermal matrix. Wound healing progression was monitored over 42 days through wound dimension measurements, exudate analysis, and histopathological evaluations. Results: The results indicated that all wounds healed completely by day 42, with significant reductions in wound size and exudate over time. Notably, Micronized dermis system application and dermal matrix treatments showed a faster evolution in exudate characteristics and improved collagen reorganization compared to other treatments. Histological analysis revealed earlier neovascularization and better reconstitution of hair follicles in these groups. Despite the lack of significant differences in healing time, both regenerative approaches enhanced wound healing phases, contributing to exudate control, angiogenesis promotion, and reduced scar formation. Conclusions: The findings suggest that while micronized dermis system application and dermal matrix do not accelerate acute wound healing compared to conventional methods, they offer potential benefits in managing exudate and improving tissue regeneration, warranting further investigation in chronic wound scenarios.
Keywords
Animals, Wound Healing/drug effects, Sheep, Female, Disease Models, Animal, Chlorhexidine/therapeutic use, Chlorhexidine/pharmacology, Sodium Hypochlorite/therapeutic use, Sodium Hypochlorite/pharmacology, dermal matrix, micrograft, wound, wound bed preparation
Pubmed
Web of science
Open Access
Yes
Create date
02/12/2024 13:40
Last modification date
20/12/2024 7:07
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