Adaptation-reposition devices used in combination with the biologically active preparation ximedon for stimulating wound healing
Autor: | A. A. Guryleva, M. Yu. Kedrin, S. G. Izmailov, G. A. Izmailov, Garaev Vn, A. A. Muslinkin, E. E. Dyatlov, V. S. Reznik, N. G. Pashkurov |
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Rok vydání: | 1999 |
Předmět: | |
Zdroj: | Biomedical Engineering. 33:69-75 |
ISSN: | 1573-8256 0006-3398 |
DOI: | 10.1007/bf02386172 |
Popis: | Existing techniques for suture of wounds are far from perfect. Less traumatic and more effective methods for suture using simple but efficient surgical devices, improved suture technique, and new types of appliances for wound adaptation should be developed and introduced into clinical practice. The new appliances should keep the edges of a wound together during suture, obviating the need for doing this them manually with forceps. The probability of rupture of sutured tissues would be minimized if the stretching forces occurring while bringing the wound edges together are applied to the entire circumference of the wound rather than at a single point. The study of the dependence of regeneration of a sutured wound on the coefficient of tension of tissues showed that the coefficient of tension in the region of suture has a considerable effect on regeneration. It is best for regeneration if the tension in the region of suture of skin and soft tissues does not exceed 40 g/ram 2. Such tension provides the required primary adhesion of the wound along the suture. The value of the coefficient of tension in the region of suture is of importance for the first 68 days. By this time the adhesion becomes firm enough that the coefficient of tension has virtually no further effect on reparative regeneration [23]. |
Databáze: | OpenAIRE |
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