867:
debridement. Oedema increases the wound histologic accessibility for later fibroplastic migration. Second, as inflammation nears completion, macrophage and mast cells release fibroblast growth and chemotactic factors to activate fibroblasts from adjacent tissue. Fibroblasts at this stage loosen themselves from surrounding cells and ECM. Phagocytes further release proteases that break down the ECM of neighbouring tissue, freeing the activated fibroblasts to proliferate and migrate towards the wound. The difference between vascular sprouting and fibroblast proliferation is that the former is enhanced by hypoxia, whilst the latter is inhibited by hypoxia. The deposited fibroblastic connective tissue matures by secreting ECM into the extracellular space, forming granulation tissue (see below). Lastly collagen is deposited into the ECM.
1349:– Individuals with diabetes demonstrate reduced capability in the healing of acute wounds. Additionally, diabetic individuals are susceptible to developing chronic diabetic foot ulcers, a serious complication of diabetes which affects 15% of people with diabetes and accounts for 84% of all diabetes-related lower leg amputations. The impaired healing abilities of diabetics with diabetic foot ulcers and/or acute wounds involves multiple pathophysiological mechanisms. This impaired healing involves hypoxia, fibroblast and epidermal cell dysfunction, impaired angiogenesis and neovascularization, high levels of metalloproteases, damage from reactive oxygen species and AGEs (advanced glycation end-products), decreased host immune resistance, and neuropathy.
1355:– Malnutrition or nutritional deficiencies have a recognizable impact on wound healing post trauma or surgical intervention. Nutrients including proteins, carbohydrates, arginine, glutamine, polyunsaturated fatty acids, vitamin A, vitamin C, vitamin E, magnesium, copper, zinc and iron all play significant roles in wound healing. Fats and carbohydrates provide the majority of energy required for wound healing. Glucose is the most prominent source of fuel and it is used to create cellular ATP, providing energy for angiogenesis and the deposition of new tissues. As the nutritional needs of each patient and their associated wound are complex, it is suggested that tailored nutritional support would benefit both acute and chronic wound healing.
45:
52:
38:
749:: With the breakdown of endothelial basement membrane, detached endothelial cells from pre-existing capillaries and post-capillary venules can divide and migrate chemotactically towards the wound, laying down new vessels in the process. Vascular sprouting can be aided by ambient hypoxia and acidosis in the wound environment, as hypoxia stimulates the endothelial transcription factor, hypoxia inducible factor (HIF) to transactivate angiogenic genes such as VEGF and GLUT1. Sprouted vessels can self-organise into luminal morphologies, and fusion of blind channels give rise to new capillary networks.
31:
1535:(ECM) found in normal/un-injured dermis. Fundamental conditions required for tissue regeneration often oppose conditions that favor efficient wound repair, including inhibition of (1) platelet activation, (2) inflammatory response, and (3) wound contraction. In addition to providing support for fibroblast and endothelial cell attachment, biodegradable scaffolds inhibit wound contraction, thereby allowing the healing process to proceed towards a more-regenerative/less-scarring pathway. Pharmaceutical agents have been investigated which may be able to turn off
270:
243:
1322:
a few hours to a few weeks to recover. If a foreign body passes by a nerve and causes first-degree nerve injury during entry, then the sensation of the foreign body or pain due to internal wounding may be delayed by a few hours to a few weeks after entry. A sudden increase in pain during the first few weeks of wound healing could be a sign of a recovered nerve reporting internal injuries rather than a newly developed infection.
117:
917:) and fibronectin encourage proliferation, migration to the wound bed, and production of ECM molecules by fibroblasts. Fibroblasts also secrete growth factors that attract epithelial cells to the wound site. Hypoxia also contributes to fibroblast proliferation and excretion of growth factors, though too little oxygen will inhibit their growth and deposition of ECM components, and can lead to excessive, fibrotic
1956:
and maturation are occurring. Foreign materials are walled off by macrophages that may metamorphose into epithelioid cells, which are encircled by mononuclear leukocytes, forming granulomas. Usually the wound is closed surgically at this juncture, or the scab is eaten, and if the "cleansing" of the wound is incomplete, chronic inflammation can ensue, resulting in prominent scarring.
737:: As the wound macrophages switches from inflammatory to healing mode, it begins to secrete endothelial chemotactic and growth factors to attract adjacent endothelial cells. Activated endothelial cells respond by retracting and reducing cell junctions, loosening themselves from their embedded endothelium. Characteristically the activated endothelial cells show enlarged nucleoli.
1225:, actin in the myofibroblast is linked across the cell membrane to molecules in the extracellular matrix like fibronectin and collagen. Myofibroblasts have many such adhesions, which allow them to pull the ECM when they contract, reducing the wound size. In this part of contraction, closure occurs more quickly than in the first, myofibroblast-independent part.
1795:
collagen deposition by these cells. The alignment of collagen describes the degree of scarring; basket-weave orientation of collagen is characteristic of normal skin, whereas aligned collagen fibers lead to significant scarring. It has been shown that the growth of tissue and extent of scar formation can be controlled by modulating the stress at a wound site.
1118:
295:, inflammation, proliferation, and remodeling. Although a useful construct, this model employs considerable overlapping among individual phases. A complementary model has recently been described where the many elements of wound healing are more clearly delineated. The importance of this new model becomes more apparent through its utility in the fields of
1516:, refers to the replacement of lost/damaged tissue with an 'exact' copy, such that both morphology and functionality are completely restored. Though after injury mammals can completely regenerate spontaneously, they usually do not completely regenerate. An example of a tissue regenerating completely after an interruption of morphology is the
1638:. Currently, the principal goals in wound management are to achieve rapid wound closure with a functional tissue that has minimal aesthetic scarring. However, the ultimate goal of wound healing biology is to induce a more perfect reconstruction of the wound area. Scarless wound healing only occurs in mammalian foetal tissues and complete
960:
of the later maturation phase. Granulation gradually ceases and fibroblasts decrease in number in the wound once their work is done. At the end of the granulation phase, fibroblasts begin to commit apoptosis, converting granulation tissue from an environment rich in cells to one that consists mainly of collagen.
5434:
After the repair process has been completed, the structure and function of the injured tissue are completely normal. This type of regeneration is common in physiological situations. Examples of physiological regeneration are the continual replacement of cells of the skin and repair of the endometrium
5355:
The new tissue is not the same as the tissue that was lost. After the repair process has been completed, there is a loss in the structure or function of the injured tissue. In this type of repair, it is common that granulation tissue (stromal connective tissue) proliferates to fill the defect created
1798:
The growth of tissue can be simulated using the aforementioned relationships from a biochemical and biomechanical point of view. The biologically active chemicals that play an important role in wound healing are modeled with
Fickian diffusion to generate concentration profiles. The balance equation
1126:
must dissolve any scab that forms, keratinocyte migration is best enhanced by a moist environment, since a dry one leads to formation of a bigger, tougher scab. To make their way along the tissue, keratinocytes must dissolve the clot, debris, and parts of the ECM in order to get through. They secrete
959:
Even as fibroblasts are producing new collagen, collagenases and other factors degrade it. Shortly after wounding, synthesis exceeds degradation so collagen levels in the wound rise, but later production and degradation become equal so there is no net collagen gain. This homeostasis signals the onset
711:
Also called neovascularization, the process of angiogenesis occurs concurrently with fibroblast proliferation when endothelial cells migrate to the area of the wound. Because the activity of fibroblasts and epithelial cells requires oxygen and nutrients, angiogenesis is imperative for other stages in
260:
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; If the epithelization of a wounded area is fast, the healing will
1955:
If the wound edges are not reapproximated immediately, delayed primary wound healing transpires. This type of healing may be desired in the case of contaminated wounds. By the fourth day, phagocytosis of contaminated tissues is well underway, and the processes of epithelization, collagen deposition,
1794:
Considerable effort has been devoted to understanding the physical relationships governing wound healing and subsequent scarring, with mathematical models and simulations developed to elucidate these relationships. The growth of tissue around the wound site is a result of the migration of cells and
1658:
The etymology of the term scarless wound healing has a long history. In print the antiquated concept of scarless healing was brought up in the early 20th century and appeared in a paper published in the London Lancet. This process involved cutting at a surgical slant to the skin surface, rather than
1321:
Foreign bodies. Sharp, small foreign bodies can penetrate the skin leaving little surface wound but causing internal injury and internal bleeding. For a glass foreign body, "frequently, an innocent skin wound disguises the extensive nature of the injuries beneath". First-degree nerve injury requires
1204:
wounds, contraction peaks at 5 to 15 days post wounding. Contraction can last for several weeks and continues even after the wound is completely reepithelialized. A large wound can become 40 to 80% smaller after contraction. Wounds can contract at a speed of up to 0.75 mm per day, depending on
1149:
Growth factors, stimulated by integrins and MMPs, cause cells to proliferate at the wound edges. Keratinocytes themselves also produce and secrete factors, including growth factors and basement membrane proteins, which aid both in epithelialization and in other phases of healing. Growth factors are
992:
are the main cells responsible for the epithelialization phase of wound healing. They advance in a sheet across the wound site and proliferate at its edges, ceasing movement when they meet in the middle. In healing that results in a scar, sweat glands, hair follicles and nerves do not form. With the
951:
generally begin to be produced in appreciable amounts at somewhere between approximately 10 hours and 3 days, depending mainly on wound size. Their deposition peaks at one to three weeks. They are the predominating tensile substances until the later phase of maturation, in which they are replaced by
866:
As a model the mechanism of fibroplasia may be conceptualised as an analogous process to angiogenesis (see above) - only the cell type involved is fibroblasts rather than endothelial cells. Initially there is a latent phase where the wound undergoes plasma exudation, inflammatory decontamination and
646:
from the bloodstream enter the area through blood vessel walls. Numbers of monocytes in the wound peak one to one and a half days after the injury occurs. Once they are in the wound site, monocytes mature into macrophages. Macrophages also secrete a number of factors such as growth factors and other
1734:
Cotton gauze dressings have been the standard of care, despite their dry properties that can adhere to wound surfaces and cause discomfort upon removal. Recent research has set out to improve cotton gauze dressings to bring them closer in line to achieve modern wound dressing properties, by coating
1667:
After inflammation, restoration of normal tissue integrity and function is preserved by feedback interactions between diverse cell types mediated by adhesion molecules and secreted cytokines. Disruption of normal feedback mechanisms in cancer threatens tissue integrity and enables a malignant tumor
1558:
is degraded by prolyl hydroxylases (PHDs). Scientists found that the simple up-regulation of HIF-1a via PHD inhibitors regenerates lost or damaged tissue in mammals that have a repair response; and the continued down-regulation of Hif-1a results in healing with a scarring response in mammals with a
1464:
In rare circumstances, such as extensive cutaneous injury, self-renewal subpopulations in the bone marrow are induced to participate in the healing process, whereby they give rise to collagen-secreting cells that seem to play a role during wound repair. These two self-renewal subpopulations are (1)
1762:
Dirt or dust on the surface of the wound, bacteria, tissue that has died, and fluid from the wound may be cleaned. The evidence supporting the most effective technique is not clear and there is insufficient evidence to conclude whether cleaning wounds is beneficial for promoting healing or whether
1688:
and skin aging. Oral collagen supplements also increase skin elasticity, hydration, and dermal collagen density. Collagen supplementation is generally safe with no reported adverse events. Further studies are needed to elucidate medical use in skin barrier diseases such as atopic dermatitis and to
1382:
Age – Increased age (over 60 years) is a risk factor for impaired wound healing. It is recognized that, in older adults of otherwise overall good health, the effects of aging causes a temporal delay in healing, but no major impairment with regard to the quality of healing. Delayed wound healing in
1145:
As keratinocytes continue migrating, new epithelial cells must be formed at the wound edges to replace them and to provide more cells for the advancing sheet. Proliferation behind migrating keratinocytes normally begins a few days after wounding and occurs at a rate that is 17 times higher in this
1125:
As keratinocytes migrate, they move over granulation tissue but stay underneath the scab, thereby separating the scab from the underlying tissue. Epithelial cells have the ability to phagocytize debris such as dead tissue and bacterial matter that would otherwise obstruct their path. Because they
999:
migrate without first proliferating. Migration can begin as early as a few hours after wounding. However, epithelial cells require viable tissue to migrate across, so if the wound is deep it must first be filled with granulation tissue. Thus the time of onset of migration is variable and may occur
862:
begin accumulating in the wound site. Fibroblasts begin entering the wound site two to five days after wounding as the inflammatory phase is ending, and their numbers peak at one to two weeks post-wounding. By the end of the first week, fibroblasts are the main cells in the wound. Fibroplasia ends
871:
suggests that some are derived from blood-borne, circulating adult stem cells/precursors). Initially fibroblasts utilize the fibrin cross-linking fibers (well-formed by the end of the inflammatory phase) to migrate across the wound, subsequently adhering to fibronectin. Fibroblasts then deposit
730:
During the haemostatic and inflammatory phase of the wound healing process, vasodilation and permeabilisation allow leukocyte extravasation and phagocytic debridement and decontamination of the wound area. Tissue swelling aids later angiogenesis by expanding and loosening the existing collagenous
1654:
deposition, collagen remodelling and eventual scar formation, where fetal wound healing is believed to be more of a regenerative process with minimal or no scar formation. Therefore, foetal wound healing can be used to provide an accessible mammalian model of an optimal healing response in adult
1494:
An injury is an interruption of morphology and/or functionality of a given tissue. After injury, structural tissue heals with incomplete or complete regeneration. Tissue without an interruption to the morphology almost always completely regenerates. An example of complete regeneration without an
1208:
At first, contraction occurs without myofibroblast involvement. Later, fibroblasts, stimulated by growth factors, differentiate into myofibroblasts. Myofibroblasts, which are similar to smooth muscle cells, are responsible for contraction. Myofibroblasts contain the same kind of actin as that
1228:
As the actin in myofibroblasts contracts, the wound edges are pulled together. Fibroblasts lay down collagen to reinforce the wound as myofibroblasts contract. The contraction stage in proliferation ends as myofibroblasts stop contracting and commit apoptosis. The breakdown of the provisional
436:
and particles and prevents further blood loss. This fibrin-fibronectin plug is also the main structural support for the wound until collagen is deposited. Migratory cells use this plug as a matrix to crawl across, and platelets adhere to it and secrete factors. The clot is eventually lysed and
1449:
Multipotent adult stem cells have the capacity to be self-renewing and give rise to different cell types. Stem cells give rise to progenitor cells, which are cells that are not self-renewing, but can generate several types of cells. The extent of stem cell involvement in cutaneous (skin) wound
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functions as rudimentary tissue, and begins to appear in the wound already during the inflammatory phase, two to five days post wounding, and continues growing until the wound bed is covered. Granulation tissue consists of new blood vessels, fibroblasts, inflammatory cells, endothelial cells,
870:
In the first two or three days after injury, fibroblasts mainly migrate and proliferate, while later, they are the main cells that lay down the collagen matrix in the wound site. Origins of these fibroblasts are thought to be from the adjacent uninjured cutaneous tissue (although new evidence
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damage if it lasts too long. Thus the reduction of inflammation is frequently a goal in therapeutic settings. Inflammation lasts as long as there is debris in the wound. Thus, if the individual's immune system is compromised and is unable to clear the debris from the wound and/or if excessive
663:
As inflammation dies down, fewer inflammatory factors are secreted, existing ones are broken down, and numbers of neutrophils and macrophages are reduced at the wound site. These changes indicate that the inflammatory phase is ending and the proliferative phase is underway. In vitro evidence,
650:
In wound healing that result in incomplete repair, scar contraction occurs, bringing varying gradations of structural imperfections, deformities and problems with flexibility. Macrophages may restrain the contraction phase. Scientists have reported that removing the macrophages from a
1245:. The onset of the maturation phase may vary extensively, depending on the size of the wound and whether it was initially closed or left open, ranging from approximately three days to three weeks. The maturation phase can last for a year or longer, similarly depending on wound type.
1252:
of the wound increases. Collagen will reach approximately 20% of its tensile strength after three weeks, increasing to 80% after 12 months. The maximum scar strength is 80% of that of unwounded skin. Since activity at the wound site is reduced, the scar loses its red appearance as
1216:
Myofibroblasts are attracted by fibronectin and growth factors and they move along fibronectin linked to fibrin in the provisional ECM in order to reach the wound edges. They form connections to the ECM at the wound edges, and they attach to each other and to the wound edges by
1374:
Smoking – Smoking causes a delay in the speed of wound repair notably in the proliferative and inflammatory phases. It also increases the likelihood of certain complications such as wound rupture, wound and flap necrosis, decrease in wound tensile strength and infection.
1184:
Contraction is a key phase of wound healing with repair. If contraction continues for too long, it can lead to disfigurement and loss of function. Thus there is a great interest in understanding the biology of wound contraction, which can be modelled in vitro using the
1852:
Primary intention is the healing of a clean wound without tissue loss. In this process, wound edges are brought together, so that they are adjacent to each other (re-approximated). Wound closure is performed with sutures (stitches), staples, or adhesive tape or glue.
1623:). Clinical judgment is necessary to successfully balance the potential benefits of the various treatments available against the likelihood of a poor response and possible complications resulting from these treatments. Many of these treatments may only have a
572:(PMNs) arrive at the wound site and become the predominant cells in the wound for the first two days after the injury occurs, with especially high numbers on the second day. They are attracted to the site by fibronectin, growth factors, and substances such as
696:
begin to enter the wound site, marking the onset of the proliferative phase even before the inflammatory phase has ended. As in the other phases of wound healing, steps in the proliferative phase do not occur in a series but rather partially overlap in time.
1546:
are key player in tissue homeostasis: the process that makes the tissue replace dead cells by identical cells. In wound areas, tissue homeostasis is lost as the heparan sulfates are degraded preventing the replacement of dead cells by identical cells.
1011:
in the same fashion that occurs in uninjured skin. However, if the basement membrane is ruined at the wound site, reepithelization must occur from the wound margins and from skin appendages such as hair follicles and sweat and oil glands that enter the
3495:
Macrophages are present essentially in all tissues, beginning with embryonic development and, in addition to their role in host defense and in the clearance of apoptotic cells, are being increasingly recognized for their trophic function and role in
1114:, collagen, and fibronectin in the ECM may further signal cells to divide and migrate. Like fibroblasts, migrating keratinocytes use the fibronectin cross-linked with fibrin that was deposited in inflammation as an attachment site to crawl across.
246:
Approximate times of the different phases of wound healing on a logarithmic scale, with faded intervals marking substantial variation, depending mainly on wound size and healing conditions, but image does not include major impairments that cause
1157:
causes them to stop migrating. When they have finished migrating, the keratinocytes secrete the proteins that form the new basement membrane. Cells reverse the morphological changes they underwent in order to begin migrating; they reestablish
96:
layer) form a protective barrier against the external environment. When the barrier is broken, a regulated sequence of biochemical events is set into motion to repair the damage. This process is divided into predictable phases: blood clotting
5557:
Tong M, Tuk B, Hekking IM, Vermeij M, Barritault D, van Neck JW (2009). "Stimulated neovascularization, inflammation resolution and collagen maturation in healing rat cutaneous wounds by a heparan sulfate glycosaminoglycan mimetic, OTR4120".
1859:
This process is faster than healing by secondary intention. There is also less scarring associated with primary intention, as there are no large tissue losses to be filled with granulation tissue, though some granulation tissue will form.
1477:
progenitor cells or EPC) that, in the same type of setting, are mobilized to aid in the reconstruction of blood vessels. Moreover, it is thought that extensive injury to skin also promotes the early trafficking of a unique subclass of
1229:
matrix leads to a decrease in hyaluronic acid and an increase in chondroitin sulfate, which gradually triggers fibroblasts to stop migrating and proliferating. These events signal the onset of the maturation stage of wound healing.
4206:
1092:
on the pseudopod attach to the ECM, and the actin filaments in the projection pull the cell along. The interaction with molecules in the ECM through integrins further promotes the formation of actin filaments, lamellipodia, and
1142:(MMPs) to dissolve damaged parts of the ECM in their way, particularly at the front of the migrating sheet. Keratinocytes also dissolve the basement membrane, using instead the new ECM laid down by fibroblasts to crawl across.
1383:
patients of increasing age is associated with altered inflammatory response; for example delayed T-cell infiltration of the wound with alterations in the production of chemokines, and reduced macrophage phagocytic capacity.
6335:
Gurtner GC, Dauskardt RH, Wong VW, Bhatt KA, Wu K, Vial IN, Padois K, Korman JM, Longaker MT (August 2011). "Improving cutaneous scar formation by controlling the mechanical environment: large animal and phase I studies".
1205:
how loose the tissue in the wounded area is. Contraction usually does not occur symmetrically; rather most wounds have an 'axis of contraction' which allows for greater organization and alignment of cells with collagen.
936:
Collagen deposition is important because it increases the strength of the wound; before it is laid down, the only thing holding the wound closed is the fibrin-fibronectin clot, which does not provide much resistance to
314:
The early phase, which begins immediately following skin injury, involves cascading molecular and cellular events leading to hemostasis and formation of an early, makeshift extracellular matrix that provides structural
588:
that break down damaged tissue. Functional neutrophils at the wound site only have life-spans of around two days, so they usually undergo apoptosis once they have completed their tasks and are engulfed and degraded by
968:
The formation of granulation tissue into an open wound allows the reepithelialization phase to take place, as epithelial cells migrate across the new tissue to form a barrier between the wound and the environment.
3851:
Researchers have identified a cell that aids limb regrowth in
Salamanders. Macrophages are a type of repairing cell that devour dead cells and pathogens, and trigger other immune cells to respond to pathogens.
322:
The cellular phase involves several types of cells working together to mount an inflammatory response, synthesize granulation tissue, and restore the epithelial layer. Subdivisions of the cellular phase are:
540:, a widening of blood vessels, which peaks at about 20 minutes post-wounding. Vasodilation is the result of factors released by platelets and other cells. The main factor involved in causing vasodilation is
1595:(wound healing to scar more). Historically, certain cultures consider scarification attractive; however, this is generally not the case in the modern western society, in which many patients are turning to
223:
decrease the size of the wound by gripping the wound edges and contracting using a mechanism that resembles that in smooth muscle cells. When the cells' roles are close to complete, unneeded cells undergo
5998:
1655:
human tissues. Clues as to how this might be achieved come from studies of wound healing in embryos, where repair is fast and efficient and results in essentially perfect regeneration of any lost tissue.
5934:
4640:
Mirastschijski U, Haaksma CJ, Tomasek JJ, Agren MS (October 2004). "Matrix metalloproteinase inhibitor GM 6001 attenuates keratinocyte migration, contraction and myofibroblast formation in skin wounds".
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in the blood begin to stick to the injured site. They change into an amorphous shape, more suitable for clotting, and they release chemical signals to promote clotting. This results in the activation of
4696:
by
Gregory S Schultz, Glenn Ladwig and Annette Wysocki – in turn adapted from Asmussen PD, Sollner B. Mechanism of wound healing. In: Wound Care. Tutorial Medical Series. Stuttgart: Hippokrates Verlag,
4898:
1506:. Repair or incomplete regeneration, refers to the physiologic adaptation of an organ after injury in an effort to re-establish continuity without regards to exact replacement of lost/damaged tissue.
5396:(1) Complete regeneration: The new tissue is the same as the tissue that was lost. After the repair process has been completed, the structure and function of the injured tissue are completely normal
1697:
Modern wound dressing to aid in wound repair has undergone considerable research and development in recent years. Scientists aim to develop wound dressings which have the following characteristics:
1551:
cannot be degraded by all known heparanases and glycanases and bind to the free heparin sulfate binding spots on the ECM, therefore preserving the normal tissue homeostasis and preventing scarring.
4470:
Etscheid M, Beer N, Dodt J (December 2005). "The hyaluronan-binding protease upregulates ERK1/2 and PI3K/Akt signalling pathways in fibroblasts and stimulates cell proliferation and migration".
635:. By secreting these factors, macrophages contribute to pushing the wound healing process into the next phase. They replace PMNs as the predominant cells in the wound by two days after injury.
3434:
4226:
1108:. These basal cells continue to migrate across the wound bed, and epithelial cells above them slide along as well. The more quickly this migration occurs, the less of a scar there will be.
842:
When macrophages and other growth factor-producing cells are no longer in a hypoxic, lactic acid-filled environment, they stop producing angiogenic factors. Thus, when tissue is adequately
668:
model, suggests that the presence of macrophages actually delays wound contraction and thus the disappearance of macrophages from the wound may be essential for subsequent phases to occur.
1495:
interruption of the morphology is non-injured tissue, such as skin. Non-injured skin has a continued replacement and regeneration of cells which always results in complete regeneration.
906:, which create a very hydrated matrix and facilitate cell migration. Later this provisional matrix is replaced with an ECM that more closely resembles that found in non-injured tissue.
788:
by angiogenic factors released by other cells, e.g. from macrophages and platelets when in a low-oxygen environment. Endothelial growth and proliferation is also directly stimulated by
2980:
Healing in 2 weeks – minimal to no scar; Healing in 3 weeks – minimal to no scar except in high risk scar formers;Healing in 4 weeks or more – hypertrophic in more than 50% of patients
2895:
Cubison TC, Pape SA, Parkhouse N (December 2006). "Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury".
1461:(hair follicular stem cell or HFSC), and the papillary dermis (dermal stem cells). Moreover, bone marrow may also contain stem cells that play a major role in cutaneous wound healing.
1856:
Primary intention can only be implemented when the wound is precise and there is minimal disruption to the local tissue and the epithelial basement membrane, e.g. surgical incisions.
1402:. The models show that the "rate of the healing process" appears to be "highly influenced by the activity and size of the injury itself as well as the activity of the healing agent."
680:
is present in the wound, these factors may cause a prolonged inflammatory phase and prevent the wound from properly commencing the proliferation phase of healing. This can lead to a
1889:
Secondary intention is implemented when primary intention is not possible because of significant tissue damage or loss, usually due to the wound having been created by major trauma.
886:(ECM). The provisional ECM is different in composition from the ECM in normal tissue and its components originate from fibroblasts. Such components include fibronectin, collagen,
671:
Because inflammation plays roles in fighting infection, clearing debris and inducing the proliferation phase, it is a necessary part of healing. However, inflammation can lead to
3247:
Muller MJ, Hollyoak MA, Moaveni Z, Brown TL, Herndon DN, Heggers JP (December 2003). "Retardation of wound healing by silver sulfadiazine is reversed by Aloe vera and nystatin".
203:
formation, epithelialization, and wound contraction occur. In angiogenesis, vascular endothelial cells form new blood vessels. In fibroplasia and granulation tissue formation,
1150:
also important for the innate immune defense of skin wounds by stimulation of the production of antimicrobial peptides and neutrophil chemotactic cytokines in keratinocytes.
4598:
Eichler MJ, Carlson MA (February 2006). "Modeling dermal granulation tissue with the linear fibroblast-populated collagen matrix: a comparison with the round matrix model".
1100:
Epithelial cells climb over one another in order to migrate. This growing sheet of epithelial cells is often called the epithelial tongue. The first cells to attach to the
941:. Also, cells involved in inflammation, angiogenesis, and connective tissue construction attach to, grow and differentiate on the collagen matrix laid down by fibroblasts.
755:: the endothelium of vessels mature by laying down new endothelial extracellular matrix, followed by basal lamina formation. Lastly the vessel establishes a pericyte layer.
3839:
642:
contains half the body's monocytes in reserve ready to be deployed to injured tissue. Attracted to the wound site by growth factors released by platelets and other cells,
363:
Dermal matrix: elements of fabrication (begins on day 4, lasting 2 weeks) and alteration/remodeling (begins after week 2, lasting weeks to months—depending on wound size).
4678:
131:
Wound care encourages and speeds wound healing via cleaning and protection from reinjury or infection. Depending on each patient's needs, it can range from the simplest
5683:
Zhang Y, Strehin I, Bedelbaeva K, Gourevitch D, Clark L, Leferovich J, Messersmith PB, Heber-Katz E. Drug-induced regeneration in adult mice. Sci Transl Med. 2015;290.
380:, or the stopping of blood loss by way of a fibrin clot. Thereafter, various soluble factors (including chemokines and cytokines) are released to attract cells that
1241:, which is prevalent during proliferation, is replaced by type I collagen. Originally disorganized collagen fibers are rearranged, cross-linked, and aligned along
604:
to cause more T cells to divide and to increase inflammation and enhance vasodilation and vessel permeability. T cells also increase the activity of macrophages.
993:
lack of hair follicles, nerves and sweat glands, the wound, and the resulting healing scar, provide a challenge to the body with regards to temperature control.
5926:
1146:
stage of epithelialization than in normal tissues. Until the entire wound area is resurfaced, the only epithelial cells to proliferate are at the wound edges.
4890:
2672:
1559:
previous regenerative response to the loss of tissue. The act of regulating HIF-1a can either turn off, or turn on the key process of mammalian regeneration.
1386:
Alcohol – Alcohol consumption impairs wound healing and also increases the chances of infection. Alcohol affects the proliferative phase of healing. A single
647:
cytokines, especially during the third and fourth post-wounding days. These factors attract cells involved in the proliferation stage of healing to the area.
5635:
Van Neck et al, Heparan sulfate proteoglycan mimetics thrive tissue regeneration: an overview. In Intech book under the working title "Tissue
Regeneration",
1000:
about one day after wounding. Cells on the wound margins proliferate on the second and third day post-wounding in order to provide more cells for migration.
5966:
4351:
Larjava H., Koivisto L., and
Hakkinen L. 2002. Chapter 3: Keratinocyte Interactions with Fibronectin During Wound Healing. In, Heino, J. and Kahari, V.M.
2429:
and scaffolds have been developed to facilitate wound healing through various mechanisms. This includes a number of products under the trade names such as
5839:
Ferguson MW, Whitby DJ, Shah M, Armstrong J, Siebert JW, Longaker MT (April 1996). "Scar formation: the spectral nature of fetal and adult wound repair".
234:
During maturation and remodeling, collagen is realigned along tension lines, and cells that are no longer needed are removed by programmed cell death, or
2935:
1523:
In some instances, after a tissue breakdown, such as in skin, a regeneration closer to complete regeneration may be induced by the use of biodegradable (
1570:
is a concept based on the healing or repair of the skin (or other tissue/organs) after injury with the aim of healing with subjectively and relatively
1016:
that are lined with viable keratinocytes. If the wound is very deep, skin appendages may also be ruined and migration can only occur from wound edges.
4689:
1799:
for open systems when modeling wound healing incorporates mass growth due to cell migration and proliferation. Here the following equation is used:
5414:
5376:
5335:
5250:
3072:
Sandeman SR, Allen MC, Liu C, Faragher RG, Lloyd AW (November 2000). "Human keratocyte migration into collagen gels declines with in vitro ageing".
128:. Factors that contribute to non-healing chronic wounds are diabetes, venous or arterial disease, infection, and metabolic deficiencies of old age.
124:
The wound-healing process is not only complex but fragile, and it is susceptible to interruption or failure leading to the formation of non-healing
3414:
1201:
548:
because proteins from the bloodstream leak into the extravascular space, which increases its osmolar load and draws water into the area. Increased
4847:
Iconomou TG, Zuker RM, Michelow BJ (1993). "Management of major penetrating glass injuries to the upper extremities in children and adolescents".
1836:, where the sensitivity to single parameters such as initial collagen alignment, cytokine properties, and cell proliferation rates can be tested.
177:
During this phase, damaged and dead cells are cleared out, along with bacteria and other pathogens or debris. This happens through the process of
1237:
When the levels of collagen production and degradation equalize, the maturation phase of tissue repair is said to have begun. During maturation,
4267:
When the dermis is destroyed, the scars do not regrow hair, nerves or sweat glands, providing additional challenges to body temperature control.
2669:
Cellular, molecular and biochemical differences in the pathophysiology of healing between acute wounds, chronic wounds and wounds in the elderly
1264:
The phases of wound healing normally progress in a predictable, timely manner; if they do not, healing may progress inappropriately to either a
5702:
Brown BC, McKenna SP, Siddhi K, McGrouther DA, Bayat A (September 2008). "The hidden cost of skin scars: quality of life after skin scarring".
5662:
4335:. Office of the Surgeon General, Department of the Army. Virtual Naval Hospital Project. Accessed through web archive on September 15, 2007.
7494:
6078:"Aberrant control of NF-κB in cancer permits transcriptional and phenotypic plasticity, to curtail dependence on host tissue: molecular mode"
4250:
4207:"Morphological and distribution characteristics of sweat glands in hypertrophic scar and their possible effects on sweat gland regeneration"
3799:
Hinz B (April 2006). "Masters and servants of the force: the role of matrix adhesions in myofibroblast force perception and transmission".
1222:
384:
debris, bacteria, and damaged tissue, in addition to releasing signaling molecules that initiate the proliferative phase of wound healing.
5514:
O'Leary R, Ponnambalam S, Wood EJ (September 2003). "Pioglitazone-induced myofibroblast cell death: implications for cutaneous scarring".
2963:
1782:
to help venous leg ulcers heal. It is uncertain whether the choice of cleaning solution or method of application makes any difference to
1170:
begin to divide and differentiate in the same manner as they do in normal skin to reestablish the strata found in reepithelialized skin.
6140:
Zeng R, Lin C, Lin Z, Chen H, Lu W, Lin C, Li H (November 2018). "Approaches to cutaneous wound healing: basics and future directions".
743:: The wound macrophages, mast cells and the endothelial cells themselves secrete proteases to break down existing vascular basal lamina.
5215:[Modelamiento matemático del proceso de sanación de heridas bajo la acción de un ingrediente farmacéuticamente activo (IFA).].
1450:
healing is complex and not fully understood. Stem cell injection leads to wound healing primarily through stimulation of angiogenesis.
3604:
Swirski FK, Nahrendorf M, Etzrodt M, Wildgruber M, Cortez-Retamozo V, Panizzi P, Figueiredo JL, Kohler RH, et al. (July 2009).
303:(see Research and development section below). In this construct, the process of wound healing is divided into two major phases: the
5078:"Effects of "second-hand" smoke on structure and function of fibroblasts, cells that are critical for tissue repair and remodeling"
4707:
Morton LM, Phillips TJ (April 2016). "Wound healing and treating wounds: Differential diagnosis and evaluation of chronic wounds".
1832:
represents a mass source (from cell proliferation, division, or enlargement). Relationships like these can be incorporated into an
5274:"Stem and Somatic Cell Monotherapy for the Treatment of Diabetic Foot Ulcers: Review of Clinical Studies and Mechanisms of Action"
2820:"Gene expression signature of fibroblast serum response predicts human cancer progression: similarities between tumors and wounds"
7290:
3515:
Newton PM, Watson JA, Wolowacz RG, Wood EJ (August 2004). "Macrophages restrain contraction of an in vitro wound healing model".
2421:
have commanded significant biomedical innovations in the treatment of acute, chronic, and other types of wounds. Many biologics,
3835:
1668:
to escape the immune system. An example of the importance of the wound healing response within tumors is illustrated in work by
5435:
after menstruation. Complete regeneration can occur in pathological situations in tissues that have good regenerative capacity.
2299:
5692:
Rush, J. (2005). Spiritual tattoo: a cultural history of tattooing, piercing, scarification, branding, and implants, Frog Ltd.
4675:
712:
wound healing, like epidermal and fibroblast migration. The tissue in which angiogenesis has occurred typically looks red (is
655:
resulted in failure of a typical regeneration response (limb regeneration), instead bringing on a repair (scarring) response.
444:
Platelets, the cells present in the highest numbers shortly after a wound occurs, release mediators into the blood, including
6759:
5640:
4400:
Son HJ, Bae HC, Kim HJ, Lee DH, Han DW, Park JC (2005). "Effects of β-glucan on proliferation and migration of fibroblasts".
4159:
3759:
3736:
2541:
493:
136:
1284:
Many factors controlling the efficacy, speed, and manner of wound healing fall under two types: local and systemic factors.
3582:
3332:
Santoro MM, Gaudino G (March 2005). "Cellular and molecular facets of keratinocyte reepithelization during wound healing".
3180:
3055:
1928:
There is lack of evidence for the effectiveness of negative pressure wound therapy in wound healing by secondary intention.
1076:
Before they begin migrating, keratinocytes change shape, becoming longer and flatter and extending cellular processes like
5449:"Synthesis and characterization of a model extracellular matrix that induces partial regeneration of adult mammalian skin"
3370:
1453:
It is thought that the epidermis and dermis are reconstituted by mitotically active stem cells that reside at the apex of
7824:
6866:
1604:
846:, migration and proliferation of endothelial cells is reduced. Eventually blood vessels that are no longer needed die by
3946:
2882:
1394:
In the 2000s there arose the first
Mathematical models of the healing process, based on simplified assumptions and on a
7177:
6827:
2109:
1554:
Repair or regeneration with regards to hypoxia-inducible factor 1-alpha (HIF-1a). In normal circumstances after injury
1138:
to dissolve the scab. Cells can only migrate over living tissue, so they must excrete collagenases and proteases like
809:
452:. Growth factors stimulate cells to speed their rate of division. Platelets release other proinflammatory factors like
3985:
1925:
There is insufficient evidence that the choice of dressings or topical agents affects the secondary healing of wounds.
1153:
Keratinocytes continue migrating across the wound bed until cells from either side meet in the middle, at which point
5272:
Krasilnikova, O. A.; Baranovskii, D. S.; Lyundup, A. V.; Shegay, P. V.; Kaprin, A. D.; Klabukov, I. D. (2022-04-27).
4328:
4286:
Bartkova J, Grøn B, Dabelsteen E, Bartek J (February 2003). "Cell-cycle regulatory proteins in human wound healing".
532:
that cause the vessel to spasm to prevent blood loss and to collect inflammatory cells and factors in the area. This
4064:"Use of the parabiotic model in studies of cutaneous wound healing to define the participation of circulating cells"
2780:
Midwood KS, Williams LV, Schwarzbauer JE (June 2004). "Tissue repair and the dynamics of the extracellular matrix".
7829:
7385:
7145:
6379:
Kuhl E, Steinmann P (June 2004). "Computational modeling of healing: an application of the material force method".
2667:
1395:
1293:
Moisture; keeping a wound moist rather than dry makes wound healing more rapid and with less pain and less scarring
6557:
Toon CD, Lusuku C, Ramamoorthy R, Davidson BR, Gurusamy KS, et al. (Cochrane Wounds Group) (September 2015).
3282:
Martin P, Leibovich SJ (November 2005). "Inflammatory cells during wound repair: the good, the bad and the ugly".
2931:
2632:
Stadelmann WK, Digenis AG, Tobin GR (August 1998). "Physiology and healing dynamics of chronic cutaneous wounds".
1007:
is not breached, epithelial cells are replaced within three days by division and upward migration of cells in the
5958:
2261:
2037:
7880:
5213:"Mathematical modeling of injury healing process under the action of an active pharmaceutical ingredient (API)"
4435:
Falanga V (2004). "The chronic wound: impaired healing and solutions in the context of wound bed preparation".
2136:
1904:
Wound care must be performed daily to encourage wound debris removal to allow for granulation tissue formation.
1186:
182:
5601:
Barritault D, Caruelle JP (March 2006). "" [Regenerating agents (RGTAs): a new therapeutic approach].
1520:; the endometrium after the process of breakdown via the menstruation cycle heals with complete regeneration.
476:, which serve several purposes, including increasing cell proliferation and migration to the area and causing
6559:"Early versus delayed dressing removal after primary closure of clean and clean-contaminated surgical wounds"
1073:
during migration. Thus keratinocytes detach from the basement membrane and are able to enter the wound bed.
631:
and they also stimulate cells that reepithelialize the wound, create granulation tissue, and lay down a new
7521:
7489:
7345:
6655:
Vermeulen H, Ubbink D, Goossens A, de Vos R, Legemate D, et al. (Cochrane Wounds Group) (2004-01-26).
5212:
4507:"The cell based dressing with living allogenic keratinocytes in the treatment of foot ulcers: a case study"
44:
4686:
1844:
Successful wound healing is dependent on various cell types, molecular mediators and structural elements.
185:
are released into the wound that cause the migration and division of cells during the proliferative phase.
51:
37:
7283:
5990:
5422:
5384:
5343:
4355:. Medical Intelligence Unit; 33. Georgetown, Tex., Austin, Tex Landes Bioscience, Inc. Electronic book.
2439:
Transcyte, Dermagraft, AlloDerm/Strattice, Biobrane, Integra, Apligraf, OrCel, GraftJacket and PermaDerm.
1879:
Early removal of dressings from clean or clean-contaminated wounds does affect primary healing of wounds.
1764:
623:
Macrophages function in regeneration and are essential for wound healing. They are stimulated by the low
6704:
Dumville JC, Owens GL, Crosbie EJ, Peinemann F, Liu Z, et al. (Cochrane Wounds Group) (June 2015).
5210:
1907:
Using antibiotics or antiseptics for the surgical wound healing by secondary intention is controversial.
6424:"Mechanical regulation of fibroblast migration and collagen remodelling in healing myocardial infarcts"
2321:
1414:
restricted to organ-specific lineages, had never been seriously challenged. Since then, the notion of
1390:
causes a negative effect on re-epithelialization, wound closure, collagen production and angiogenesis.
219:
proliferate and 'crawl' atop the wound bed, providing cover for the new tissue. In wound contraction,
113:). Blood clotting may be considered to be part of the inflammation stage instead of a separate stage.
7844:
7562:
5211:
Alfredo
Palomino I.; Leighton Estrada R.; Javier Valeriano M.; Sergio Luque M. (September 24, 2019).
4769:
Desmoulière A, Chaponnier C, Gabbiani G (2005). "Tissue repair, contraction, and the myofibroblast".
2455:
1196:
Contraction commences approximately a week after wounding, when fibroblasts have differentiated into
1139:
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7916:
7458:
7450:
2450:
2395:
2207:
2180:
2076:
1608:
1548:
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1423:
801:
77:
refers to a living organism's replacement of destroyed or damaged tissue by newly produced tissue.
7926:
7689:
7684:
7252:
6859:
4254:
1988:
1047:
274:
2722:
Versteeg HH, Heemskerk JW, Levi M, Reitsma PH (January 2013). "New fundamentals in hemostasis".
7885:
7694:
7531:
7526:
7276:
6124:
2967:
2818:
Chang HY, Sneddon JB, Alizadeh AA, Sood R, West RB, Montgomery K, et al. (February 2004).
2470:
1685:
1639:
1511:
1466:
1036:
354:: progressive alignment, collagen production, and matrix contraction (between day 4 and day 14)
7873:
7659:
7619:
7463:
7433:
7040:
7008:
6706:"Negative pressure wound therapy for treating surgical wounds healing by secondary intention"
4897:. The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System.
2529:
2480:
2465:
1127:
824:
296:
6284:
Gurtner GC, Werner S, Barrandon Y, Longaker MT (May 2008). "Wound repair and regeneration".
1941:
The wound is initially cleaned, debrided and observed, typically 4 or 5 days before closure.
1630:
Since the 1960s, comprehension of the basic biologic processes involved in wound repair and
620:, bacteria and damaged tissue, and they also debride damaged tissue by releasing proteases.
7834:
7473:
7378:
7210:
7205:
7162:
7112:
7003:
6982:
6293:
6032:
5460:
4812:
Metzger S (September 2004). "Clinical and financial advantages of moist wound management".
4409:
4150:
Pollock RE, Brunicardi FC, Andersen DK, Billiar TR, Dunn D, Hunter JG, Matthews JJ (2009).
3876:
3674:
3617:
1620:
1532:
883:
797:
771:
632:
419:
208:
110:
3606:"Identification of splenic reservoir monocytes and their deployment to inflammatory sites"
1577:
tissue than normally expected. Scarless healing is sometimes mixed up with the concept of
496:
in infection: they become activated, and secrete molecular mediators – vasoactive amines,
30:
8:
7921:
7669:
7639:
7167:
7135:
6977:
6945:
4742:
O'Leary R, Wood EJ, Guillou PJ (2002). "Pathological scarring: strategic interventions".
3528:
2406:
1673:
1631:
283:
larvae healing after a puncture wound. The arrow points to cells that have fused to form
6726:
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6297:
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5891:
5464:
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3880:
3678:
3621:
1486:) to the injured region, where they perform various functions related to wound healing.
7804:
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4946:
4921:
4872:
4794:
4572:
4547:
4088:
4063:
4028:
4004:"Experimental observations in the rat on the influence of cadmium on skin wound repair"
4003:
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3638:
3605:
3540:
3486:
3097:
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2586:
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into non-lineage cells has emerged as an alternative explanation. To be more specific,
1304:
1154:
1020:
878:
438:
300:
200:
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that serves to plug the break in the blood vessel, slowing/preventing further bleeding.
106:
5614:
5491:
5448:
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4299:
3260:
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2846:
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1750:. These updated dressing provide increase water absorbency and improved antibacterial
544:. Histamine also causes blood vessels to become porous, allowing the tissue to become
484:. In many ways, extravasated platelets in trauma perform a similar function to tissue
167:, which forms a mesh and acts as "glue" to bind platelets to each other. This makes a
7654:
7649:
7604:
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93:
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Wong LS, Green HM, Feugate JE, Yadav M, Nothnagel EA, Martins-Green M (April 2004).
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5895:
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5848:
5808:
5758:
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5224:
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5099:
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4856:
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4778:
4716:
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4607:
4567:
4559:
4518:
4479:
4444:
4417:
4374:
4295:
4120:
4111:
Ruszczak Z (November 2003). "Effect of collagen matrices on dermal wound healing".
4083:
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4015:
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3747:
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977:
938:
872:
777:
763:
672:
533:
399:
373:
357:
5785:
Clark, R. (1996). The molecular and cellular biology of wound repair, Springer Us.
4687:
Figure 3 – The time relationship between the different processes of wound healing.
4483:
3773:
7371:
7220:
7200:
6831:
6657:"Dressings and topical agents for surgical wounds healing by secondary intention"
6480:"The wound healing process: an overview of the cellular and molecular mechanisms"
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Granulocyte, macrophage, lymphocyte, fibroblast and smooth muscle cell chemotaxis
2004:
1779:
1669:
1596:
1543:
1387:
1376:
989:
953:
216:
6608:"Antibiotics and antiseptics for surgical wounds healing by secondary intention"
6543:
6186:
McLain NE, Moore ZE, Avsar P, et al. (Cochrane Wounds Group) (March 2021).
5229:
4654:
3574:
3345:
3177:
3052:
2908:
875:
into the wound bed, and later collagen, which they can adhere to for migration.
7856:
7851:
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5453:
Proceedings of the
National Academy of Sciences of the United States of America
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Proceedings of the
National Academy of Sciences of the United States of America
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1965:
1624:
1326:
1167:
1105:
1032:
1008:
970:
351:
6392:
6153:
5655:"Scientist at LIMR leads study demonstrating drug-induced tissue regeneration"
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3295:
1922:
sockets, poorly reduced fractures, burns, severe lacerations, pressure ulcers.
7905:
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7737:
7732:
7594:
7536:
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7125:
5297:
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5001:
4148:
Fig. 9-1. The cellular, biochemical, and mechanical phases of wound healing.
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2009:
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125:
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5754:
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3629:
3457:"Macrophages in the embryo and beyond: much more than just giant phagocytes"
2523:
2521:
269:
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6111:
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by the necrotic cells. The necrotic cells are then replaced by scar tissue.
5305:
5273:
5197:
5148:
5113:
5094:
5054:
5019:
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4833:
4790:
4755:
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4132:
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3093:
3029:
2932:"Giving Burns the First, Second and Third Degree - Classification of burns"
2916:
2855:
2801:
2743:
2595:
2530:"4 The Pathophysiologic Basis for Wound Healing and Cutaneous Regeneration"
2519:
2517:
2515:
2513:
2511:
2509:
2507:
2505:
2503:
2501:
2391:
Deficient contraction (in skin grafts) or excessive contraction (in burns).
1948:
1911:
1873:
1612:
1341:
1269:
1254:
1062:
1058:
1040:
1024:
996:
985:
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411:
381:
192:
178:
102:
5860:
5500:
5473:
4868:
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4563:
3928:
Falanga V. (2005). Wound
Healing. American Academy of Dermatology (AAD).
3836:"Scientists identify cell that could hold the secret to limb regeneration"
3233:
3212:
Greenhalgh DG (September 1998). "The role of apoptosis in wound healing".
2653:
2412:
2366:
or rupture of the wound due to inadequate formation of granulation tissue.
781:
7839:
7778:
7624:
7546:
7215:
7081:
6962:
6957:
6933:
6530:
Armitage J, Lockwood S (2011-10-01). "Skin incisions and wound closure".
4505:
Bayram Y, Deveci M, Imirzalioglu N, Soysal Y, Sengezer M (October 2005).
4365:
Witte MB, Barbul A (April 2002). "Role of nitric oxide in wound repair".
4058:
Song G, Nguyen DT, Pietramaggiori G, Scherer S, Chen B, Zhan Q, Ogawa R,
2948:
Formation of a thick eschar, slow healing (>1month), Obvious scarring,
2426:
2385:
2184:
2165:
1999:
1727:
1643:
1517:
1474:
1454:
1273:
1131:
948:
820:
793:
693:
613:
569:
557:
525:
469:
429:
393:
347:
337:
316:
212:
140:
16:
Series of events that restore integrity to damaged tissue after an injury
6606:
Norman G, Dumville JC, Mohapatra DP, Owens GL, Crosbie EJ (March 2016).
6305:
6044:
2498:
1627:, and the evidence base for the use of many current treatments is poor.
1019:
Migration of keratinocytes over the wound site is stimulated by lack of
287:, and the arrowheads point to cells that are oriented to face the wound.
215:. Concurrently, re-epithelialization of the epidermis occurs, in which
7747:
7629:
7468:
7408:
7247:
7090:
7086:
7062:
6991:
6972:
6792:
5172:"Age-related alterations in the inflammatory response to dermal injury"
2188:
2169:
2060:
1901:
Healing process can be slow due to presence of drainage from infection.
1865:
1744:
1479:
1411:
1218:
1028:
903:
859:
785:
723:
Angiogenesis occurs in overlapping phases in response to inflammation:
652:
627:
content of their surroundings to produce factors that induce and speed
590:
552:
of blood vessels also facilitates the entry of inflammatory cells like
497:
485:
457:
410:
to begin secreting inflammatory factors. Platelets also express sticky
377:
333:
327:
292:
279:
242:
204:
98:
6825:
Wound Healing: Biologics, Skin Substitutes, Biomembranes and Scaffolds
3473:
3456:
1686:
short and long-term use of oral collagen supplements for wound healing
1659:
at a right angle it; the process was described in various Newspapers.
1410:
Up until about 2000, the classic paradigm of wound healing, involving
1065:, are released from the cell's intermediate filaments and relocate to
7599:
7335:
7102:
7045:
6967:
6894:
6875:
5482:
4937:
2994:"Cellular and genetic analysis of wound healing in Drosophila larvae"
2577:
2221:
1789:
1483:
1258:
1159:
1094:
1085:
1077:
1070:
847:
843:
767:
759:
717:
617:
601:
553:
541:
489:
473:
453:
341:
235:
225:
159:
132:
85:
81:
5447:
Yannas IV, Lee E, Orgill DP, Skrabut EM, Murphy GF (February 1989).
5440:
5271:
7863:
7310:
7257:
7052:
7013:
6998:
6921:
6899:
1751:
1736:
1651:
1524:
1498:
There is a subtle distinction between 'repair' and 'regeneration'.
1433:(that give rise to mature cells in the blood) may have the ability
1352:
1346:
1316:
1312:
1089:
1054:
930:
780:
are attracted to the wound area by fibronectin found on the fibrin
713:
643:
585:
549:
501:
445:
407:
403:
284:
196:
168:
4979:
4977:
4975:
4973:
4971:
4969:
4967:
4965:
3603:
3047:
3045:
3043:
3041:
3039:
914:
7130:
7095:
7075:
6952:
6889:
4639:
3865:"Macrophages are required for adult salamander limb regeneration"
2562:"The role of nuclear hormone receptors in cutaneous wound repair"
2378:
2177:
Fibroblast, endothelial cell and smooth muscle cell proliferation
2019:
1895:
Surgeon may pack the wound with a gauze or use a drainage system.
1768:
1705:
1607:(intralesional steroid injections, surgery) and/or conservative (
1135:
1050:
891:
839:
and ECM to allow cell migration, proliferation and angiogenesis.
677:
433:
7268:
4149:
576:. Neutrophils phagocytise debris and kill bacteria by releasing
116:
7583:
7423:
7394:
6237:"A mathematical model of wound healing and subsequent scarring"
5801:
The Journal of Investigative Dermatology. Symposium Proceedings
5127:
Gosain A, DiPietro LA (March 2004). "Aging and wound healing".
5033:
Arnold M, Barbul A (June 2006). "Nutrition and wound healing".
4962:
4057:
3036:
2417:
Advancements in the clinical understanding of wounds and their
2374:
1740:
1399:
1299:
1111:
1013:
929:
One of fibroblasts' most important duties is the production of
853:
639:
624:
481:
425:
319:
for cellular attachment and subsequent cellular proliferation.
164:
89:
6283:
4504:
796:
in the wound. For example, hypoxia stimulates the endothelial
6703:
6654:
6556:
6021:"Reparative inflammation takes charge of tissue regeneration"
4768:
3125:. Oxford; Malden, Mass. Blackwell Science. Electronic book.
1555:
1081:
1066:
1061:
and normally anchor the cell to the basement membrane by its
813:
766:, originating from parts of uninjured blood vessels, develop
573:
545:
6844:
6605:
5701:
4285:
4194:. Methods in Molecular Medicine. Totowa, N.J.: Humana Press.
4053:
4051:
4049:
4047:
3214:
The International Journal of Biochemistry & Cell Biology
2782:
The International Journal of Biochemistry & Cell Biology
2721:
2560:
Rieger S, Zhao H, Martin P, Abe K, Lisse TS (January 2015).
1584:
which is wound healing which results in absolutely no scar (
1473:(HSC). Bone marrow also harbors a progenitor subpopulation (
7722:
7330:
5838:
4922:"Cellular and molecular basis of wound healing in diabetes"
3384:. Cambridge University Press. 21 March 2003. Archived from
2779:
1600:
1574:
1531:) scaffolds. These scaffolds are structurally analogous to
918:
910:
828:
6777:"Using biomaterials to rewire the process of wound repair"
5965:. paperspast.natlib.govt.nz. 1906-07-12. pp. Page 1.
5933:. Christchurch, New Zealand. 1906-07-07. pp. Page 4.
5704:
Journal of Plastic, Reconstructive & Aesthetic Surgery
5513:
5170:
Swift ME, Burns AL, Gray KL, DiPietro LA (November 2001).
3246:
1027:. Before they begin to migrate, cells must dissolve their
7363:
6334:
4044:
3172:
3170:
3168:
3166:
3164:
3162:
3160:
3158:
2338:
Keratinocyte migration, proliferation and differentiation
1166:
and become anchored once again to the basement membrane.
882:
myofibroblasts, and the components of a new, provisional
6749:
5336:"Graphic general pathology: 2.3 Incomplete regeneration"
3514:
3071:
2817:
181:, where white blood cells engulf debris and destroy it.
120:
Deep wound on shin with stitches healing over five weeks
5736:
2413:
Biologics, skin substitutes, biomembranes and scaffolds
1117:
5446:
5415:"Graphic general pathology: 2.2 complete regeneration"
5377:"Graphic general pathology: 2.2 complete regeneration"
5169:
4741:
4593:
4591:
3155:
2631:
1959:
5643:
is scheduled for on line publication on Nov 26, 2011"
5556:
5075:
4846:
1864:
Examples of primary intention include: well-repaired
1444:
372:
Just before the inflammatory phase is initiated, the
6525:
6523:
6234:
5737:
Bayat A, McGrouther DA, Ferguson MW (January 2003).
5652:
4548:"Fibroblasts, myofibroblasts, and wound contraction"
3862:
2894:
1599:
clinics with unrealistic expectations. Depending on
774:
into the wound site to establish new blood vessels.
511:
344:
change within hours, migration begins on day 1 or 2)
6774:
6477:
5873:
4588:
4333:
Textbook of Military Medicine: Military Dermatology
4001:
3510:
3508:
3506:
3504:
3408:
3406:
3404:
3402:
3400:
3398:
2559:
1588:of scarring). However they are different concepts.
1542:A new way of thinking derived from the notion that
1489:
5661:. Lankenau Institute for Medical Research (LIMR).
5600:
5329:
5327:
5325:
5323:
2527:
2346:Unless else specified in boxes, then reference is:
1825:represents a mass flux (from cell migration), and
1790:Simulating wound healing from a growth perspective
1650:. In adult humans, injured tissue are repaired by
1279:
255:
6750:Mitchell RS, Kumar V, Abbas AK, Nelson F (2007).
6520:
6235:Cumming BD, McElwain DL, Upton Z (January 2010).
5794:
5677:
5408:
5406:
5404:
4744:The European Journal of Surgery = Acta Chirurgica
4635:
4633:
4631:
4629:
3365:
3363:
2964:"POST BURN SCAR RELATIVE TO RE-EPITHELIALIZATION"
2353:
2174:Granulocyte, macrophage and fibroblast activation
1069:filaments to serve as attachments to the ECM for
7903:
6529:
6188:"Wound cleansing for treating venous leg ulcers"
6185:
5370:
5368:
5366:
5364:
4469:
4358:
4245:
4243:
4205:Fu XB, Sun TZ, Li XK, Sheng ZY (February 2005).
4002:Lansdown AB, Sampson B, Rowe A (February 2001).
3924:
3922:
3920:
3918:
3572:
3501:
3415:"Surgical physiology of wound healing: a review"
3395:
2958:
2956:
2872:. New York Marcel Dekker, Inc. Electronic book.
2168:, macrophage, fibroblast and smooth muscle cell
692:About two or three days after the wound occurs,
658:
563:
6421:
5834:
5832:
5795:Tonnesen MG, Feng X, Clark RA (December 2000).
5320:
4919:
4152:Schwartz's Principles of Surgery, Ninth Edition
4008:International Journal of Experimental Pathology
3863:Godwin JW, Pinto AR, Rosenthal NA (June 2013).
3281:
432:cross-link together and form a plug that traps
6139:
5985:
5983:
5953:
5951:
5921:
5919:
5401:
5126:
4709:Journal of the American Academy of Dermatology
4706:
4626:
4597:
3953:. Emedicine.com. Accessed September 15, 2007.
3734:
3360:
3331:
2405:Other complications can include infection and
2311:Matrix metalloproteinase production inhibition
1634:have expanded due to advances in cellular and
402:is first wounded, blood comes in contact with
7495:Focused assessment with sonography for trauma
7379:
7284:
6860:
6484:The Journal of International Medical Research
6378:
5361:
4428:
4329:Chapter 7: Cutaneous trauma and its treatment
4253:. nationaltraumainstitute.org. Archived from
4240:
4189:
3992:. Emedicine.com. Accessed December 27, 2006.
3915:
3207:
3205:
3203:
3201:
3199:
3197:
3195:
3193:
3187:. Emedicine.com. Accessed January 20, 2008.
3135:Theoret CL (2004). "Update on wound repair".
2953:
2627:
2625:
1441:into non-lineage cells, such as fibroblasts.
536:lasts five to ten minutes and is followed by
330:and inflammatory components (within 1–2 days)
6478:Velnar T, Bailey T, Smrkolj V (2009-10-01).
6018:
5963:Marlborough Express, Volume XXXIX, Issue 160
5829:
5788:
5032:
4399:
4204:
3856:
3827:
3746:. New York, NY: Springer. pp. 191–208.
3737:"Wounds: Biology, Pathology, and Management"
3663:"Immunology. Dispensable but not irrelevant"
3062:. Emedicine.com. Accessed January 20, 2008.
2991:
2623:
2621:
2619:
2617:
2615:
2613:
2611:
2609:
2607:
2605:
1679:
1379:also impairs a proper wound healing process.
1232:
854:Fibroplasia and granulation tissue formation
741:Degradation of endothelial basement membrane
6710:The Cochrane Database of Systematic Reviews
6661:The Cochrane Database of Systematic Reviews
6612:The Cochrane Database of Systematic Reviews
6563:The Cochrane Database of Systematic Reviews
6381:Biomechanics and Modeling in Mechanobiology
6192:The Cochrane Database of Systematic Reviews
6075:
5980:
5948:
5916:
5867:
4983:
4762:
4735:
4364:
4323:
4321:
4319:
4317:
4281:
4279:
4277:
4275:
4185:
4183:
4181:
4179:
4177:
4175:
4173:
4171:
3938:
3936:
3934:
3454:
3412:
2888:
1839:
1405:
1080:and wide processes that look like ruffles.
676:detritus, devitalized tissue, or microbial
596:Other leukocytes to enter the area include
584:. They also cleanse the wound by secreting
7386:
7372:
7291:
7277:
6867:
6853:
6422:Rouillard AD, Holmes JW (September 2012).
5876:"Regeneration as an evolutionary variable"
5646:
5594:
5412:
5374:
5333:
4347:
4345:
4343:
4341:
4198:
4144:
4142:
4062:, Wagers AJ, Orgill DP, Murphy GF (2010).
3833:
3327:
3325:
3323:
3321:
3319:
3317:
3315:
3313:
3211:
3190:
2923:
1684:Preliminary results are promising for the
1437:back into hematopoietic stem cells and/or
902:. Its main components are fibronectin and
291:Wound healing is classically divided into
264:
6800:
6742:
6725:
6680:
6631:
6582:
6495:
6447:
6260:
6211:
6101:
6052:
5899:
5812:
5779:
5762:
5730:
5695:
5490:
5472:
5228:
5187:
5103:
5093:
5009:
4945:
4571:
4522:
4087:
4027:
3898:
3888:
3730:
3728:
3726:
3724:
3722:
3720:
3718:
3716:
3714:
3694:
3637:
3472:
3117:
3115:
3113:
3111:
3019:
3009:
2845:
2835:
2775:
2773:
2771:
2769:
2767:
2765:
2763:
2761:
2706:
2691:"Haemostasis and thrombosis: an overview"
2602:
2585:
2242:Fibroblast and keratinocyte proliferation
1642:is limited to lower vertebrates, such as
1562:
1257:that are no longer needed are removed by
827:to degrade the clot and part of the ECM.
109:), and tissue remodeling (maturation and
6775:Stejskalová A, Almquist BD (July 2017).
6754:(8th ed.). Philadelphia: Saunders.
5874:Brockes JP, Kumar A, Velloso CP (2001).
5686:
5176:The Journal of Investigative Dermatology
4545:
4463:
4314:
4272:
4168:
4110:
4104:
3995:
3931:
3660:
3065:
2555:
2553:
2528:Nguyen DT, Orgill DP, Murphy GT (2009).
1457:(basal stem cells or BSC), the bulge of
1116:
268:
241:
158:Within the first few minutes of injury,
115:
6241:Journal of the Royal Society, Interface
5421:. pathol.med.stu.edu.cn. Archived from
5383:. pathol.med.stu.edu.cn. Archived from
5342:. pathol.med.stu.edu.cn. Archived from
4811:
4434:
4338:
4139:
3977:
3975:
3973:
3971:
3969:
3967:
3965:
3963:
3961:
3959:
3794:
3792:
3790:
3788:
3786:
3597:
3568:
3566:
3564:
3562:
3560:
3558:
3556:
3554:
3371:"The phases of cutaneous wound healing"
3310:
3134:
3128:
2966:. Burnsurgery.org. 2011. Archived from
2813:
2811:
2492:
1591:A reverse to scarless wound healing is
808:a set of proliferative genes including
7904:
6473:
6471:
6469:
6467:
5629:
4901:from the original on 27 September 2016
4498:
4327:Mulvaney M. and Harrington A. 1994.
3942:Kuwahara R.T. and Rasberry R. 2007.
3711:
3275:
3240:
3137:Clinical Techniques in Equine Practice
3123:The care of wounds: A guide for nurses
3108:
2929:
2758:
2688:
1947:Examples: healing of wounds by use of
1898:Granulation results in a broader scar.
1883:
924:
687:
135:to entire nursing specialties such as
7367:
7272:
6848:
6181:
6179:
6135:
6133:
5550:
4926:The Journal of Clinical Investigation
4437:Blood Cells, Molecules & Diseases
3585:from the original on 21 November 2008
3448:
3051:Rosenberg L., de la Torre J. (2006).
2938:from the original on 26 December 2011
2550:
2398:, pigmentary changes, painful scars,
2362:Deficient scar formation: Results in
1932:
1035:, which normally anchor the cells by
367:
189:Proliferation (growth of new tissue):
137:wound, ostomy, and continence nursing
5653:eurekalert.org staff (3 June 2015).
4192:Wound Healing: Methods and Protocols
4190:DiPietro LA, Burns AL, eds. (2003).
3956:
3875:(23). University of Texas: 9415–20.
3798:
3783:
3551:
3378:Expert Reviews in Molecular Medicine
3074:Mechanisms of Ageing and Development
2992:Galko MJ, Krasnow MA (August 2004).
2808:
2660:
2066:Expression of antimicrobial peptides
1847:
1723:Are easily removed from a wound site
963:
7825:Acute respiratory distress syndrome
6464:
6094:10.20892/j.issn.2095-3941.2017.0029
6019:Karin M, Clevers H (January 2016).
5892:10.1046/j.1469-7580.2001.19910003.x
5219:(in American English and Spanish).
4393:
3654:
3575:"Wound Healing: Healing and Repair"
3176:de la Torre J., Sholar A. (2006).
2862:
2534:Biomaterials for Treating Skin Loss
2254:Matrix (collagen fibers) deposition
2069:Expression of chemotactic cytokines
1960:Overview of involved growth factors
1735:cotton gauze wound dressing with a
1689:determine optimal dosing regimens.
1335:
1272:or pathological scarring such as a
1221:. Also, at an adhesion called the
819:To migrate, endothelial cells need
387:
340:interaction: re-epithelialization (
13:
7178:Fluorescence in situ hybridization
6176:
6130:
5841:Plastic and Reconstructive Surgery
5603:Annales Pharmaceutiques Françaises
5516:The British Journal of Dermatology
5253:from the original on July 22, 2020
5047:10.1097/01.prs.0000225432.17501.6c
5035:Plastic and Reconstructive Surgery
4920:Brem H, Tomic-Canic M (May 2007).
4511:British Journal of Plastic Surgery
3529:10.1023/B:IFLA.0000049045.41784.59
2695:European Heart Journal Supplements
2358:The major complications are many:
2110:Vascular endothelial growth factor
1892:The wound is allowed to granulate.
1757:
1692:
1445:Stem cells and cellular plasticity
863:two to four weeks after wounding.
858:Simultaneously with angiogenesis,
810:vascular endothelial growth factor
524:release inflammatory factors like
360:and angiogenesis (begins on day 4)
14:
7938:
7298:
6840:
6834:. Healthcare. 2014; 2(3):356-400.
6125:J Drugs Dermatol. 2019;18(1):9-16
4986:"Factors affecting wound healing"
4984:Guo S, Dipietro LA (March 2010).
4783:10.1111/j.1067-1927.2005.130102.x
4600:Journal of Dermatological Science
3455:Ovchinnikov DA (September 2008).
2532:. In Orgill DP, Blanco C (eds.).
2063:and epithelial cell proliferation
1944:The wound is purposely left open.
1309:Faulty technique of wound closure
616:is to phagocytize other expended
512:Vasoconstriction and vasodilation
207:grow and form a new, provisional
7830:Chronic traumatic encephalopathy
7146:Oral and maxillofacial pathology
6817:
6768:
6697:
6648:
6599:
6550:
6415:
5853:10.1097/00006534-199604000-00029
5814:10.1046/j.1087-0024.2000.00014.x
5665:from the original on 4 July 2015
5572:10.1111/j.1524-475X.2009.00548.x
5528:10.1046/j.1365-2133.2003.05501.x
5189:10.1046/j.0022-202x.2001.01539.x
4826:10.1097/00004045-200409000-00003
4080:10.1111/j.1524-475X.2010.00595.x
4020:10.1046/j.1365-2613.2001.00180.x
3981:Romo T. and Pearson J.M. 2005.
3801:European Journal of Cell Biology
3573:Mercandetti M, Cohen AJ (2005).
3419:Journal of Postgraduate Medicine
1720:Have high permeability to oxygen
1490:Wound repair versus regeneration
1396:system of differential equations
1287:
211:(ECM) by excreting collagen and
50:
43:
36:
29:
6372:
6328:
6277:
6228:
6118:
6069:
6012:
6001:from the original on 2016-03-12
5997:. 1906-07-06. pp. Page 6.
5969:from the original on 2013-10-08
5937:from the original on 2013-10-08
5797:"Angiogenesis in wound healing"
5507:
5265:
5204:
5163:
5120:
5069:
5026:
4913:
4883:
4840:
4805:
4700:
4669:
4539:
3842:from the original on 2017-07-31
3735:Lorenz HP, Longaker MT (2008).
3437:from the original on 2011-02-26
2985:
2875:
1280:Factors affecting wound healing
1121:A scab covering a healing wound
1043:to other cells and to the ECM.
700:
256:Timing and re-epithelialization
183:Platelet-derived growth factors
7881:Post-traumatic stress disorder
6718:10.1002/14651858.CD011278.pub2
6673:10.1002/14651858.CD003554.pub2
6624:10.1002/14651858.CD011712.pub2
6575:10.1002/14651858.CD010259.pub3
6204:10.1002/14651858.CD011675.pub2
6076:Vlahopoulos SA (August 2017).
5413:Min S, Wang SW, Orr W (2006).
5375:Min S, Wang SW, Orr W (2006).
5334:Min S, Wang SW, Orr W (2006).
4612:10.1016/j.jdermsci.2005.09.002
4113:Advanced Drug Delivery Reviews
2715:
2682:
2566:Cell Biochemistry and Function
2354:Complications of wound healing
2200:Integrin expression regulation
2137:Platelet derived growth factor
2129:Endothelial cell proliferation
1187:collagen gel contraction assay
1173:
607:
494:microbial molecular signatures
441:and then later with collagen.
1:
6874:
6082:Cancer Biology & Medicine
5615:10.1016/S0003-4509(06)75306-8
5560:Wound Repair and Regeneration
5278:Stem Cell Reviews and Reports
4771:Wound Repair and Regeneration
4484:10.1016/j.cellsig.2005.03.007
4379:10.1016/S0002-9610(02)00815-2
4300:10.1016/S0003-9969(02)00202-9
4068:Wound Repair and Regeneration
3661:Jia T, Pamer EG (July 2009).
3261:10.1016/S0305-4179(03)00198-0
3226:10.1016/S1357-2725(98)00058-2
3178:Wound healing: Chronic wounds
3086:10.1016/S0047-6374(00)00177-9
3053:Wound Healing, Growth Factors
2708:10.1016/S1520-765X(01)90034-3
2646:10.1016/S0002-9610(98)00183-4
1248:As the phase progresses, the
659:Decline of inflammatory phase
570:polymorphonuclear neutrophils
564:Polymorphonuclear neutrophils
556:into the wound site from the
7522:Advanced trauma life support
7490:Diagnostic peritoneal lavage
6440:10.1113/jphysiol.2012.229484
6350:10.1097/SLA.0b013e318220b159
4546:Grinnell F (February 1994).
4154:. McGraw-Hill Professional.
3752:10.1007/978-0-387-68113-9_10
3413:Deodhar AK, Rana RE (1997).
3011:10.1371/journal.pbio.0020239
2837:10.1371/journal.pbio.0020007
2794:10.1016/j.biocel.2003.12.003
2666:Enoch, S. Price, P. (2004).
2536:. Elsevier. pp. 25–57.
2262:Transforming growth factor-β
2038:Transforming growth factor-α
2018:Keratinocyte and fibroblast
1717:Maintain a humid environment
568:Within an hour of wounding,
7:
6544:10.1016/j.mpsur.2011.06.022
5230:10.17268/sel.mat.2019.02.14
4655:10.1016/j.yexcr.2004.06.007
4552:The Journal of Cell Biology
4367:American Journal of Surgery
3834:Souppouris A (2013-05-23).
3346:10.1016/j.yexcr.2004.10.033
2909:10.1016/j.burns.2006.02.007
2881:Reference list is found on
2634:American Journal of Surgery
2443:
1968:involved in wound healing:
1937:(Delayed primary closure):
1765:polyhexamethylene biguanide
376:occurs in order to achieve
10:
7943:
7393:
6497:10.1177/147323000903700531
5716:10.1016/j.bjps.2008.03.020
5290:10.1007/s12015-022-10379-z
4990:Journal of Dental Research
4721:10.1016/j.jaad.2015.08.068
4715:(4): 589–605, quiz 605–6.
4643:Experimental Cell Research
4524:10.1016/j.bjps.2005.04.031
4449:10.1016/j.bcmd.2003.09.020
4125:10.1016/j.addr.2003.08.003
3813:10.1016/j.ejcb.2005.09.004
3334:Experimental Cell Research
3149:10.1053/j.ctep.2004.08.009
2736:10.1152/physrev.00016.2011
2369:Excessive scar formation:
2322:Keratinocyte growth factor
2314:Keratinocyte proliferation
1763:wound cleaning solutions (
1177:
704:
391:
7817:
7792:
7756:
7705:
7582:
7575:
7563:Resuscitative thoracotomy
7555:
7514:
7507:
7482:
7451:Clinical prediction rules
7449:
7442:
7401:
7306:
7186:
7111:
6882:
6428:The Journal of Physiology
6393:10.1007/s10237-003-0034-3
6154:10.1007/s00441-018-2830-1
5991:"A Wonderful New Surgery"
5141:10.1007/s00268-003-7397-6
4422:10.1016/j.cap.2005.01.011
3296:10.1016/j.tcb.2005.09.002
2456:Collective cell migration
2344:
1821:represents mass density,
1680:Oral collagen supplements
1676:studying breast cancers.
1662:
1549:Heparan sulfate analogues
1233:Maturation and remodeling
1140:matrix metalloproteinases
1023:and by chemicals such as
976:from the wound edges and
716:) due to the presence of
146:
21:
7459:Abbreviated Injury Scale
6142:Cell and Tissue Research
5129:World Journal of Surgery
5002:10.1177/0022034509359125
4288:Archives of Oral Biology
2451:Wound response in plants
2396:Dystrophic calcification
2208:Fibroblast growth factor
2181:Matrix metalloproteinase
2077:Hepatocyte growth factor
1840:Wound closure intentions
1774:, etc.) are better than
1701:Provide wound protection
1508:True tissue regeneration
1471:hematopoietic stem cells
1406:Research and development
1088:form. During migration,
802:hypoxia-inducible factor
261:result in regeneration.
232:Maturation (remodeling):
7690:Penetrating head injury
7685:Intracranial hemorrhage
7253:Microbiological culture
6883:Principles of pathology
6752:Robbins Basic Pathology
5755:10.1136/bmj.326.7380.88
5217:Selecciones Matemáticas
4861:10.1002/micr.1920140202
4402:Current Applied Physics
4211:Chinese Medical Journal
3890:10.1073/pnas.1300290110
3687:10.1126/science.1178329
3630:10.1126/science.1175202
2701:(Supplement Q): Q3–Q7.
2384:Exuberant granulation (
1989:Epidermal growth factor
1964:Following are the main
1603:type, treatment may be
1504:incomplete regeneration
275:fluorescence micrograph
265:Early vs cellular phase
80:In undamaged skin, the
7886:Subcutaneous emphysema
7845:Volkmann's contracture
7695:Traumatic brain injury
7532:Early appropriate care
7527:Damage control surgery
6823:Vyas KS, Vasconez HC.
6253:10.1098/rsif.2008.0536
5095:10.1186/1471-2121-5-13
4895:Johns Hopkins Medicine
3742:. In Norton JA (ed.).
3284:Trends in Cell Biology
2870:Scarless Wound Healing
2471:Regeneration in humans
2245:Keratinocyte migration
2024:Keratinocyte migration
1568:Scarless wound healing
1563:Scarless wound healing
1467:mesenchymal stem cells
1122:
1037:intermediate filaments
990:sebaceous (oil) glands
735:Endothelial activation
520:is breached, ruptured
480:to become dilated and
288:
252:
121:
7660:Thoracic aorta injury
7620:Diaphragmatic rupture
7464:Injury Severity Score
7434:Trauma triad of death
7216:Diagnostic immunology
7041:Programmed cell death
7009:Liquefactive necrosis
5474:10.1073/pnas.86.3.933
4814:Home Healthcare Nurse
4564:10.1083/jcb.124.4.401
2724:Physiological Reviews
2640:(2A Suppl): 26S–38S.
2481:Wound bed preparation
2466:History of wound care
2239:Fibroblast chemotaxis
2126:Vascular permeability
2047:Activated macrophages
1513:complete regeneration
1128:plasminogen activator
1120:
825:plasminogen activator
814:glucose transporter 1
770:and push through the
731:extracellular matrix.
705:Further information:
297:regenerative medicine
272:
245:
119:
7835:Compartment syndrome
7474:Revised Trauma Score
7211:Medical microbiology
7206:Transfusion medicine
7163:Immunohistochemistry
7113:Anatomical pathology
7004:Coagulative necrosis
6781:Biomaterials Science
6534:. Wound Management.
5041:(7 Suppl): 42S–58S.
2934:. skincareguide.ca.
2868:Garg, H.G. (2000).
2493:Notes and references
1621:photodynamic therapy
1533:extracellular matrix
1465:bone marrow-derived
1057:, which are made of
884:extracellular matrix
798:transcription factor
633:extracellular matrix
612:One of the roles of
580:in what is called a
516:Immediately after a
504:– that initiate the
209:extracellular matrix
111:cell differentiation
7670:Blunt kidney trauma
7640:Pulmonary contusion
7168:Electron microscopy
7136:Molecular pathology
7014:Gangrenous necrosis
6946:Cellular adaptation
6306:10.1038/nature07039
6298:2008Natur.453..314G
6045:10.1038/nature17039
6037:2016Natur.529..307K
5465:1989PNAS...86..933Y
4676:worldwidewounds.com
4472:Cellular Signalling
4414:2005CAP.....5..468S
3983:Wound Healing, Skin
3881:2013PNAS..110.9415G
3679:2009Sci...325..549J
3622:2009Sci...325..612S
2286:Smooth muscle cells
2155:Smooth muscle cells
2102:Hepatocyte motility
1884:Secondary intention
1674:Stanford University
1632:tissue regeneration
1609:compression therapy
925:Collagen deposition
753:Vascular maturation
688:Proliferative phase
664:obtained using the
418:that allow them to
406:, triggering blood
7784:Spinal cord injury
7743:Penetrating trauma
7610:Soft tissue injury
7321:Granulation tissue
7196:Clinical chemistry
7188:Clinical pathology
7173:Immunofluorescence
7141:Forensic pathology
7121:Surgical pathology
7029:Fibrinoid necrosis
6830:2017-04-13 at the
6793:10.1039/c7bm00295e
5959:"Scarless Healing"
5927:"Scarless Healing"
5880:Journal of Anatomy
4692:2011-07-18 at the
4681:2011-07-05 at the
3988:2008-12-07 at the
3949:2008-10-25 at the
3779:on 24 August 2014.
3183:2008-10-29 at the
3121:Dealey C. (1999).
3058:2008-11-21 at the
2930:Kraft J, Lynde C.
2675:2017-07-06 at the
2461:Dressing (medical)
2028:Granulation tissue
1933:Tertiary intention
1834:agent-based models
1672:and colleagues at
1439:transdifferentiate
1422:or the ability to
1359:Metabolic diseases
1305:Ionizing radiation
1296:Mechanical factors
1155:contact inhibition
1134:, turning it into
1130:, which activates
1123:
1021:contact inhibition
888:glycosaminoglycans
879:Granulation tissue
833:metalloproteinases
792:, and presence of
747:Vascular sprouting
439:granulation tissue
422:, forming a mass.
368:Inflammatory phase
301:tissue engineering
289:
253:
201:granulation tissue
122:
107:cell proliferation
7899:
7898:
7813:
7812:
7655:Internal bleeding
7650:Cardiac tamponade
7605:Joint dislocation
7571:
7570:
7503:
7502:
7361:
7360:
7266:
7265:
7233:Mass spectrometry
6761:978-1-4160-2973-1
6338:Annals of Surgery
5641:978-953-307-876-2
4161:978-0-07-154769-7
3838:. the verge.com.
3761:978-0-387-30800-5
3474:10.1002/dvg.20417
2689:Rasche H (2001).
2543:978-1-84569-554-5
2476:Scar free healing
2400:incisional hernia
2371:Hypertrophic scar
2351:
2350:
2280:Endothelial cells
2251:Wound contraction
2229:Endothelial cells
2152:Endothelial cells
2119:Mesenchymal cells
2087:Mesenchymal cells
1848:Primary intention
1772:hydrogen peroxide
1636:molecular biology
1580:scar free healing
1539:differentiation.
1369:Connective tissue
1364:Immunosuppression
1239:type III collagen
1191:dermal equivalent
1180:Wound contracture
1102:basement membrane
1005:basement membrane
978:dermal appendages
964:Epithelialization
945:Type III collagen
837:basement membrane
778:Endothelial cells
764:endothelial cells
666:dermal equivalent
582:respiratory burst
358:Endothelial cells
156:(blood clotting):
105:, tissue growth (
72:
71:
7934:
7805:Pediatric trauma
7800:Geriatric trauma
7764:Abdominal trauma
7580:
7579:
7512:
7511:
7447:
7446:
7388:
7381:
7374:
7365:
7364:
7293:
7286:
7279:
7270:
7269:
7153:Gross processing
7019:Caseous necrosis
6869:
6862:
6855:
6846:
6845:
6835:
6821:
6815:
6814:
6804:
6787:(8): 1421–1434.
6772:
6766:
6765:
6746:
6740:
6739:
6729:
6701:
6695:
6694:
6684:
6652:
6646:
6645:
6635:
6603:
6597:
6596:
6586:
6554:
6548:
6547:
6532:Surgery (Oxford)
6527:
6518:
6517:
6499:
6475:
6462:
6461:
6451:
6434:(18): 4585–602.
6419:
6413:
6412:
6376:
6370:
6369:
6332:
6326:
6325:
6292:(7193): 314–21.
6281:
6275:
6274:
6264:
6232:
6226:
6225:
6215:
6183:
6174:
6173:
6137:
6128:
6122:
6116:
6115:
6105:
6073:
6067:
6066:
6056:
6031:(7586): 307–15.
6016:
6010:
6009:
6007:
6006:
5987:
5978:
5977:
5975:
5974:
5955:
5946:
5945:
5943:
5942:
5923:
5914:
5913:
5903:
5886:(Pt 1–2): 3–11.
5871:
5865:
5864:
5836:
5827:
5826:
5816:
5792:
5786:
5783:
5777:
5776:
5766:
5734:
5728:
5727:
5699:
5693:
5690:
5684:
5681:
5675:
5674:
5672:
5670:
5650:
5644:
5633:
5627:
5626:
5598:
5592:
5591:
5554:
5548:
5547:
5511:
5505:
5504:
5494:
5476:
5444:
5438:
5437:
5431:
5430:
5410:
5399:
5398:
5393:
5392:
5372:
5359:
5358:
5352:
5351:
5331:
5318:
5317:
5284:(6): 1974–1985.
5269:
5263:
5262:
5260:
5258:
5232:
5208:
5202:
5201:
5191:
5167:
5161:
5160:
5124:
5118:
5117:
5107:
5097:
5082:BMC Cell Biology
5073:
5067:
5066:
5030:
5024:
5023:
5013:
4981:
4960:
4959:
4949:
4938:10.1172/jci32169
4917:
4911:
4910:
4908:
4906:
4887:
4881:
4880:
4844:
4838:
4837:
4809:
4803:
4802:
4766:
4760:
4759:
4739:
4733:
4732:
4704:
4698:
4673:
4667:
4666:
4637:
4624:
4623:
4595:
4586:
4585:
4575:
4543:
4537:
4536:
4526:
4502:
4496:
4495:
4467:
4461:
4460:
4432:
4426:
4425:
4397:
4391:
4390:
4362:
4356:
4349:
4336:
4325:
4312:
4311:
4283:
4270:
4269:
4264:
4262:
4247:
4238:
4237:
4235:
4234:
4225:. Archived from
4202:
4196:
4195:
4187:
4166:
4165:
4146:
4137:
4136:
4119:(12): 1595–611.
4108:
4102:
4101:
4091:
4055:
4042:
4041:
4031:
3999:
3993:
3979:
3954:
3940:
3929:
3926:
3913:
3912:
3902:
3892:
3860:
3854:
3853:
3848:
3847:
3831:
3825:
3824:
3796:
3781:
3780:
3778:
3772:. Archived from
3741:
3732:
3709:
3708:
3698:
3673:(5940): 549–50.
3658:
3652:
3651:
3641:
3601:
3595:
3594:
3592:
3590:
3570:
3549:
3548:
3512:
3499:
3498:
3476:
3452:
3446:
3445:
3443:
3442:
3410:
3393:
3392:
3391:on 8 March 2008.
3390:
3375:
3367:
3358:
3357:
3329:
3308:
3307:
3279:
3273:
3272:
3244:
3238:
3237:
3209:
3188:
3174:
3153:
3152:
3132:
3126:
3119:
3106:
3105:
3069:
3063:
3049:
3034:
3033:
3023:
3013:
2989:
2983:
2982:
2977:
2975:
2970:on 25 April 2012
2960:
2951:
2950:
2945:
2943:
2927:
2921:
2920:
2892:
2886:
2879:
2873:
2866:
2860:
2859:
2849:
2839:
2815:
2806:
2805:
2777:
2756:
2755:
2719:
2713:
2712:
2710:
2686:
2680:
2664:
2658:
2657:
2629:
2600:
2599:
2589:
2578:10.1002/cbf.3086
2557:
2548:
2547:
2525:
2423:skin substitutes
2407:Marjolin's ulcer
2364:wound dehiscence
2347:
2197:Wound remodeling
2097:endothelial cell
1971:
1970:
1920:tooth extraction
1872:, healing after
1786:healing.
1784:venous leg ulcer
1780:saline solutions
1544:heparan sulfates
1529:glycoaminoglycan
1435:de-differentiate
1431:progenitor cells
1418:having cellular
1416:adult stem cells
1336:Systemic factors
1250:tensile strength
939:traumatic injury
909:Growth factors (
873:ground substance
600:, which secrete
534:vasoconstriction
388:Clotting cascade
374:clotting cascade
217:epithelial cells
54:
47:
40:
33:
19:
18:
7942:
7941:
7937:
7936:
7935:
7933:
7932:
7931:
7917:Skin physiology
7902:
7901:
7900:
7895:
7809:
7788:
7752:
7701:
7576:Pathophysiology
7567:
7551:
7499:
7478:
7438:
7397:
7392:
7362:
7357:
7346:Intussusception
7302:
7297:
7267:
7262:
7221:Immunopathology
7201:Hematopathology
7182:
7107:
6878:
6873:
6843:
6838:
6832:Wayback Machine
6822:
6818:
6773:
6769:
6762:
6747:
6743:
6712:(6): CD011278.
6702:
6698:
6667:(2): CD003554.
6653:
6649:
6618:(4): CD011712.
6604:
6600:
6569:(9): CD010259.
6555:
6551:
6538:(10): 496–501.
6528:
6521:
6476:
6465:
6420:
6416:
6377:
6373:
6333:
6329:
6282:
6278:
6233:
6229:
6198:(3): CD011675.
6184:
6177:
6138:
6131:
6123:
6119:
6074:
6070:
6017:
6013:
6004:
6002:
5989:
5988:
5981:
5972:
5970:
5957:
5956:
5949:
5940:
5938:
5925:
5924:
5917:
5872:
5868:
5837:
5830:
5793:
5789:
5784:
5780:
5749:(7380): 88–92.
5739:"Skin scarring"
5735:
5731:
5700:
5696:
5691:
5687:
5682:
5678:
5668:
5666:
5651:
5647:
5634:
5630:
5599:
5595:
5555:
5551:
5512:
5508:
5445:
5441:
5428:
5426:
5411:
5402:
5390:
5388:
5373:
5362:
5349:
5347:
5332:
5321:
5270:
5266:
5256:
5254:
5209:
5205:
5168:
5164:
5125:
5121:
5074:
5070:
5031:
5027:
4982:
4963:
4918:
4914:
4904:
4902:
4889:
4888:
4884:
4845:
4841:
4810:
4806:
4767:
4763:
4740:
4736:
4705:
4701:
4694:Wayback Machine
4683:Wayback Machine
4674:
4670:
4638:
4627:
4596:
4589:
4544:
4540:
4503:
4499:
4478:(12): 1486–94.
4468:
4464:
4433:
4429:
4398:
4394:
4363:
4359:
4350:
4339:
4326:
4315:
4284:
4273:
4260:
4258:
4257:on 3 March 2016
4251:"BURN INJURIES"
4249:
4248:
4241:
4232:
4230:
4203:
4199:
4188:
4169:
4162:
4147:
4140:
4109:
4105:
4056:
4045:
4000:
3996:
3990:Wayback Machine
3980:
3957:
3951:Wayback Machine
3941:
3932:
3927:
3916:
3861:
3857:
3845:
3843:
3832:
3828:
3807:(3–4): 175–81.
3797:
3784:
3776:
3762:
3739:
3733:
3712:
3659:
3655:
3616:(5940): 612–6.
3602:
3598:
3588:
3586:
3571:
3552:
3513:
3502:
3453:
3449:
3440:
3438:
3411:
3396:
3388:
3373:
3369:
3368:
3361:
3330:
3311:
3290:(11): 599–607.
3280:
3276:
3245:
3241:
3210:
3191:
3185:Wayback Machine
3175:
3156:
3133:
3129:
3120:
3109:
3070:
3066:
3060:Wayback Machine
3050:
3037:
2990:
2986:
2973:
2971:
2962:
2961:
2954:
2941:
2939:
2928:
2924:
2893:
2889:
2883:image main page
2880:
2876:
2867:
2863:
2816:
2809:
2778:
2759:
2720:
2716:
2687:
2683:
2677:Wayback Machine
2665:
2661:
2630:
2603:
2558:
2551:
2544:
2526:
2499:
2495:
2490:
2446:
2419:pathophysiology
2415:
2356:
2345:
2095:Epithelial and
2005:Salivary glands
1962:
1935:
1886:
1868:, well reduced
1850:
1842:
1830:
1813:
1809:
1805:
1792:
1760:
1758:Wound cleansing
1730:characteristics
1695:
1693:Wound dressings
1682:
1665:
1597:plastic surgery
1565:
1492:
1447:
1408:
1398:solved through
1388:unit of alcohol
1377:Passive smoking
1338:
1290:
1282:
1235:
1182:
1176:
966:
954:type I collagen
927:
856:
786:chemotactically
709:
703:
690:
661:
610:
566:
514:
396:
390:
370:
267:
258:
191:In this phase,
149:
59:Initial injury
17:
12:
11:
5:
7940:
7930:
7929:
7927:Trauma surgery
7924:
7919:
7914:
7897:
7896:
7894:
7893:
7888:
7883:
7878:
7877:
7876:
7871:
7861:
7860:
7859:
7857:Rhabdomyolysis
7852:Crush syndrome
7849:
7848:
7847:
7837:
7832:
7827:
7821:
7819:
7815:
7814:
7811:
7810:
7808:
7807:
7802:
7796:
7794:
7790:
7789:
7787:
7786:
7781:
7776:
7771:
7766:
7760:
7758:
7754:
7753:
7751:
7750:
7745:
7740:
7735:
7730:
7725:
7720:
7715:
7709:
7707:
7703:
7702:
7700:
7699:
7698:
7697:
7692:
7687:
7679:
7678:
7677:
7675:Splenic injury
7672:
7664:
7663:
7662:
7657:
7652:
7644:
7643:
7642:
7637:
7632:
7627:
7622:
7614:
7613:
7612:
7607:
7602:
7597:
7588:
7586:
7577:
7573:
7572:
7569:
7568:
7566:
7565:
7559:
7557:
7553:
7552:
7550:
7549:
7544:
7542:Trauma surgery
7539:
7534:
7529:
7524:
7518:
7516:
7509:
7505:
7504:
7501:
7500:
7498:
7497:
7492:
7486:
7484:
7483:Investigations
7480:
7479:
7477:
7476:
7471:
7466:
7461:
7455:
7453:
7444:
7440:
7439:
7437:
7436:
7431:
7426:
7421:
7416:
7411:
7405:
7403:
7399:
7398:
7391:
7390:
7383:
7376:
7368:
7359:
7358:
7356:
7355:
7353:Vasculogenesis
7350:
7349:
7348:
7338:
7333:
7328:
7323:
7318:
7316:Maggot therapy
7313:
7307:
7304:
7303:
7296:
7295:
7288:
7281:
7273:
7264:
7263:
7261:
7260:
7255:
7250:
7245:
7243:Flow cytometry
7240:
7238:Chromatography
7235:
7230:
7224:
7223:
7218:
7213:
7208:
7203:
7198:
7192:
7190:
7184:
7183:
7181:
7180:
7175:
7170:
7165:
7160:
7158:Histopathology
7155:
7149:
7148:
7143:
7138:
7133:
7128:
7123:
7117:
7115:
7109:
7108:
7106:
7105:
7100:
7099:
7098:
7093:
7084:
7072:
7066:
7065:
7060:
7055:
7050:
7049:
7048:
7038:
7037:
7036:
7031:
7026:
7021:
7016:
7011:
7006:
6996:
6994:
6988:
6987:
6986:
6985:
6980:
6970:
6965:
6960:
6955:
6950:
6948:
6942:
6941:
6936:
6931:
6926:
6925:
6924:
6914:
6913:
6912:
6907:
6902:
6897:
6886:
6884:
6880:
6879:
6872:
6871:
6864:
6857:
6849:
6842:
6841:External links
6839:
6837:
6836:
6816:
6767:
6760:
6748:Table 3-1 in:
6741:
6696:
6647:
6598:
6549:
6519:
6490:(5): 1528–42.
6463:
6414:
6387:(4): 187–203.
6371:
6327:
6276:
6227:
6175:
6148:(2): 217–232.
6129:
6117:
6088:(3): 254–270.
6068:
6011:
5979:
5947:
5915:
5866:
5828:
5787:
5778:
5729:
5710:(9): 1049–58.
5694:
5685:
5676:
5659:eurekalert.org
5645:
5628:
5593:
5549:
5506:
5439:
5400:
5360:
5319:
5264:
5223:(2): 283–288.
5203:
5182:(5): 1027–35.
5162:
5119:
5068:
5025:
4961:
4932:(5): 1219–22.
4912:
4891:"Nerve injury"
4882:
4839:
4804:
4761:
4750:(10): 523–34.
4734:
4699:
4668:
4625:
4587:
4538:
4497:
4462:
4427:
4392:
4357:
4337:
4313:
4271:
4239:
4197:
4167:
4160:
4138:
4103:
4043:
3994:
3955:
3944:Chemical Peels
3930:
3914:
3855:
3826:
3782:
3760:
3710:
3653:
3596:
3550:
3500:
3447:
3394:
3359:
3309:
3274:
3239:
3220:(9): 1019–30.
3189:
3154:
3143:(2): 110–122.
3127:
3107:
3064:
3035:
2984:
2952:
2922:
2887:
2874:
2861:
2807:
2757:
2714:
2681:
2659:
2601:
2549:
2542:
2496:
2494:
2491:
2489:
2488:
2483:
2478:
2473:
2468:
2463:
2458:
2453:
2447:
2445:
2442:
2414:
2411:
2403:
2402:
2392:
2389:
2382:
2367:
2355:
2352:
2349:
2348:
2342:
2341:
2340:
2339:
2334:
2333:
2332:
2327:
2324:
2318:
2317:
2316:
2315:
2312:
2309:
2306:
2303:
2297:
2292:
2291:
2290:
2287:
2284:
2281:
2278:
2275:
2272:
2267:
2264:
2258:
2257:
2256:
2255:
2252:
2249:
2246:
2243:
2240:
2235:
2234:
2233:
2230:
2227:
2224:
2219:
2214:
2211:
2204:
2203:
2202:
2201:
2198:
2195:
2192:
2178:
2175:
2172:
2161:
2160:
2159:
2156:
2153:
2150:
2147:
2142:
2139:
2133:
2132:
2131:
2130:
2127:
2122:
2121:
2120:
2115:
2112:
2106:
2105:
2104:
2103:
2100:
2091:
2090:
2089:
2082:
2079:
2073:
2072:
2071:
2070:
2067:
2064:
2056:
2055:
2054:
2051:
2048:
2043:
2040:
2034:
2033:
2032:
2031:
2025:
2022:
2014:
2013:
2012:
2007:
2002:
1994:
1991:
1985:
1984:
1981:
1978:
1975:
1966:growth factors
1961:
1958:
1953:
1952:
1945:
1942:
1934:
1931:
1930:
1929:
1926:
1923:
1908:
1905:
1902:
1899:
1896:
1893:
1890:
1885:
1882:
1881:
1880:
1877:
1870:bone fractures
1849:
1846:
1841:
1838:
1828:
1811:
1807:
1803:
1791:
1788:
1759:
1756:
1732:
1731:
1724:
1721:
1718:
1715:
1708:
1704:Remove excess
1702:
1694:
1691:
1681:
1678:
1664:
1661:
1625:placebo effect
1564:
1561:
1491:
1488:
1469:(MSC) and (2)
1459:hair follicles
1446:
1443:
1407:
1404:
1392:
1391:
1384:
1380:
1372:
1366:
1361:
1356:
1350:
1344:
1337:
1334:
1333:
1332:
1329:
1327:oxygen tension
1323:
1319:
1310:
1307:
1302:
1297:
1294:
1289:
1286:
1281:
1278:
1234:
1231:
1202:full thickness
1198:myofibroblasts
1175:
1172:
1164:hemidesmosomes
1106:stratum basale
1084:filaments and
1033:hemidesmosomes
1009:stratum basale
982:hair follicles
965:
962:
926:
923:
855:
852:
757:
756:
750:
744:
738:
732:
728:Latent period:
702:
699:
689:
686:
660:
657:
609:
606:
598:helper T cells
565:
562:
530:prostaglandins
522:cell membranes
513:
510:
462:prostaglandins
450:growth factors
437:replaced with
416:cell membranes
392:Main article:
389:
386:
369:
366:
365:
364:
361:
355:
352:myofibroblasts
345:
331:
309:cellular phase
266:
263:
257:
254:
249:chronic wounds
240:
239:
229:
221:myofibroblasts
186:
172:
148:
145:
126:chronic wounds
70:
69:
66:
63:
60:
56:
55:
48:
41:
34:
26:
25:
15:
9:
6:
4:
3:
2:
7939:
7928:
7925:
7923:
7920:
7918:
7915:
7913:
7910:
7909:
7907:
7892:
7891:Wound healing
7889:
7887:
7884:
7882:
7879:
7875:
7872:
7870:
7867:
7866:
7865:
7862:
7858:
7855:
7854:
7853:
7850:
7846:
7843:
7842:
7841:
7838:
7836:
7833:
7831:
7828:
7826:
7823:
7822:
7820:
7818:Complications
7816:
7806:
7803:
7801:
7798:
7797:
7795:
7791:
7785:
7782:
7780:
7777:
7775:
7774:Facial trauma
7772:
7770:
7767:
7765:
7762:
7761:
7759:
7755:
7749:
7746:
7744:
7741:
7739:
7738:Gunshot wound
7736:
7734:
7733:Electrocution
7731:
7729:
7726:
7724:
7721:
7719:
7716:
7714:
7711:
7710:
7708:
7704:
7696:
7693:
7691:
7688:
7686:
7683:
7682:
7680:
7676:
7673:
7671:
7668:
7667:
7665:
7661:
7658:
7656:
7653:
7651:
7648:
7647:
7645:
7641:
7638:
7636:
7633:
7631:
7628:
7626:
7623:
7621:
7618:
7617:
7615:
7611:
7608:
7606:
7603:
7601:
7598:
7596:
7595:Bone fracture
7593:
7592:
7590:
7589:
7587:
7585:
7581:
7578:
7574:
7564:
7561:
7560:
7558:
7554:
7548:
7545:
7543:
7540:
7538:
7537:Trauma center
7535:
7533:
7530:
7528:
7525:
7523:
7520:
7519:
7517:
7513:
7510:
7506:
7496:
7493:
7491:
7488:
7487:
7485:
7481:
7475:
7472:
7470:
7467:
7465:
7462:
7460:
7457:
7456:
7454:
7452:
7448:
7445:
7441:
7435:
7432:
7430:
7429:Resuscitation
7427:
7425:
7422:
7420:
7417:
7415:
7412:
7410:
7407:
7406:
7404:
7400:
7396:
7389:
7384:
7382:
7377:
7375:
7370:
7369:
7366:
7354:
7351:
7347:
7344:
7343:
7342:
7339:
7337:
7334:
7332:
7329:
7327:
7326:Growth factor
7324:
7322:
7319:
7317:
7314:
7312:
7309:
7308:
7305:
7301:
7300:Wound healing
7294:
7289:
7287:
7282:
7280:
7275:
7274:
7271:
7259:
7256:
7254:
7251:
7249:
7246:
7244:
7241:
7239:
7236:
7234:
7231:
7229:
7226:
7225:
7222:
7219:
7217:
7214:
7212:
7209:
7207:
7204:
7202:
7199:
7197:
7194:
7193:
7191:
7189:
7185:
7179:
7176:
7174:
7171:
7169:
7166:
7164:
7161:
7159:
7156:
7154:
7151:
7150:
7147:
7144:
7142:
7139:
7137:
7134:
7132:
7129:
7127:
7126:Cytopathology
7124:
7122:
7119:
7118:
7116:
7114:
7110:
7104:
7101:
7097:
7094:
7092:
7088:
7085:
7083:
7080:
7079:
7078:
7077:
7073:
7071:
7070:Accumulations
7068:
7067:
7064:
7061:
7059:
7056:
7054:
7051:
7047:
7044:
7043:
7042:
7039:
7035:
7032:
7030:
7027:
7025:
7022:
7020:
7017:
7015:
7012:
7010:
7007:
7005:
7002:
7001:
7000:
6997:
6995:
6993:
6990:
6989:
6984:
6981:
6979:
6976:
6975:
6974:
6971:
6969:
6966:
6964:
6961:
6959:
6956:
6954:
6951:
6949:
6947:
6944:
6943:
6940:
6939:Wound healing
6937:
6935:
6932:
6930:
6927:
6923:
6920:
6919:
6918:
6915:
6911:
6908:
6906:
6903:
6901:
6898:
6896:
6893:
6892:
6891:
6888:
6887:
6885:
6881:
6877:
6870:
6865:
6863:
6858:
6856:
6851:
6850:
6847:
6833:
6829:
6826:
6820:
6812:
6808:
6803:
6798:
6794:
6790:
6786:
6782:
6778:
6771:
6763:
6757:
6753:
6745:
6737:
6733:
6728:
6723:
6719:
6715:
6711:
6707:
6700:
6692:
6688:
6683:
6678:
6674:
6670:
6666:
6662:
6658:
6651:
6643:
6639:
6634:
6629:
6625:
6621:
6617:
6613:
6609:
6602:
6594:
6590:
6585:
6580:
6576:
6572:
6568:
6564:
6560:
6553:
6545:
6541:
6537:
6533:
6526:
6524:
6515:
6511:
6507:
6503:
6498:
6493:
6489:
6485:
6481:
6474:
6472:
6470:
6468:
6459:
6455:
6450:
6445:
6441:
6437:
6433:
6429:
6425:
6418:
6410:
6406:
6402:
6398:
6394:
6390:
6386:
6382:
6375:
6367:
6363:
6359:
6355:
6351:
6347:
6344:(2): 217–25.
6343:
6339:
6331:
6323:
6319:
6315:
6311:
6307:
6303:
6299:
6295:
6291:
6287:
6280:
6272:
6268:
6263:
6258:
6254:
6250:
6247:(42): 19–34.
6246:
6242:
6238:
6231:
6223:
6219:
6214:
6209:
6205:
6201:
6197:
6193:
6189:
6182:
6180:
6171:
6167:
6163:
6159:
6155:
6151:
6147:
6143:
6136:
6134:
6126:
6121:
6113:
6109:
6104:
6099:
6095:
6091:
6087:
6083:
6079:
6072:
6064:
6060:
6055:
6050:
6046:
6042:
6038:
6034:
6030:
6026:
6022:
6015:
6000:
5996:
5995:Reading Eagle
5992:
5986:
5984:
5968:
5964:
5960:
5954:
5952:
5936:
5932:
5928:
5922:
5920:
5911:
5907:
5902:
5897:
5893:
5889:
5885:
5881:
5877:
5870:
5862:
5858:
5854:
5850:
5847:(4): 854–60.
5846:
5842:
5835:
5833:
5824:
5820:
5815:
5810:
5806:
5802:
5798:
5791:
5782:
5774:
5770:
5765:
5760:
5756:
5752:
5748:
5744:
5740:
5733:
5725:
5721:
5717:
5713:
5709:
5705:
5698:
5689:
5680:
5664:
5660:
5656:
5649:
5642:
5638:
5632:
5624:
5620:
5616:
5612:
5609:(2): 135–44.
5608:
5605:(in French).
5604:
5597:
5589:
5585:
5581:
5577:
5573:
5569:
5566:(6): 840–52.
5565:
5561:
5553:
5545:
5541:
5537:
5533:
5529:
5525:
5521:
5517:
5510:
5502:
5498:
5493:
5488:
5484:
5480:
5475:
5470:
5466:
5462:
5458:
5454:
5450:
5443:
5436:
5425:on 2012-12-07
5424:
5420:
5416:
5409:
5407:
5405:
5397:
5387:on 2012-12-07
5386:
5382:
5378:
5371:
5369:
5367:
5365:
5357:
5346:on 2013-11-10
5345:
5341:
5337:
5330:
5328:
5326:
5324:
5315:
5311:
5307:
5303:
5299:
5295:
5291:
5287:
5283:
5279:
5275:
5268:
5252:
5248:
5244:
5240:
5236:
5231:
5226:
5222:
5218:
5214:
5207:
5199:
5195:
5190:
5185:
5181:
5177:
5173:
5166:
5158:
5154:
5150:
5146:
5142:
5138:
5134:
5130:
5123:
5115:
5111:
5106:
5101:
5096:
5091:
5087:
5083:
5079:
5072:
5064:
5060:
5056:
5052:
5048:
5044:
5040:
5036:
5029:
5021:
5017:
5012:
5007:
5003:
4999:
4996:(3): 219–29.
4995:
4991:
4987:
4980:
4978:
4976:
4974:
4972:
4970:
4968:
4966:
4957:
4953:
4948:
4943:
4939:
4935:
4931:
4927:
4923:
4916:
4900:
4896:
4892:
4886:
4878:
4874:
4870:
4866:
4862:
4858:
4854:
4850:
4843:
4835:
4831:
4827:
4823:
4820:(9): 586–90.
4819:
4815:
4808:
4800:
4796:
4792:
4788:
4784:
4780:
4776:
4772:
4765:
4757:
4753:
4749:
4745:
4738:
4730:
4726:
4722:
4718:
4714:
4710:
4703:
4695:
4691:
4688:
4684:
4680:
4677:
4672:
4664:
4660:
4656:
4652:
4649:(2): 465–75.
4648:
4644:
4636:
4634:
4632:
4630:
4621:
4617:
4613:
4609:
4606:(2): 97–108.
4605:
4601:
4594:
4592:
4583:
4579:
4574:
4569:
4565:
4561:
4557:
4553:
4549:
4542:
4534:
4530:
4525:
4520:
4517:(7): 988–96.
4516:
4512:
4508:
4501:
4493:
4489:
4485:
4481:
4477:
4473:
4466:
4458:
4454:
4450:
4446:
4442:
4438:
4431:
4423:
4419:
4415:
4411:
4408:(5): 468–71.
4407:
4403:
4396:
4388:
4384:
4380:
4376:
4373:(4): 406–12.
4372:
4368:
4361:
4354:
4353:Cell Invasion
4348:
4346:
4344:
4342:
4334:
4330:
4324:
4322:
4320:
4318:
4309:
4305:
4301:
4297:
4294:(2): 125–32.
4293:
4289:
4282:
4280:
4278:
4276:
4268:
4256:
4252:
4246:
4244:
4229:on 2018-06-20
4228:
4224:
4220:
4217:(3): 186–91.
4216:
4212:
4208:
4201:
4193:
4186:
4184:
4182:
4180:
4178:
4176:
4174:
4172:
4163:
4157:
4153:
4145:
4143:
4134:
4130:
4126:
4122:
4118:
4114:
4107:
4099:
4095:
4090:
4085:
4081:
4077:
4074:(4): 426–32.
4073:
4069:
4065:
4061:
4054:
4052:
4050:
4048:
4039:
4035:
4030:
4025:
4021:
4017:
4013:
4009:
4005:
3998:
3991:
3987:
3984:
3978:
3976:
3974:
3972:
3970:
3968:
3966:
3964:
3962:
3960:
3952:
3948:
3945:
3939:
3937:
3935:
3925:
3923:
3921:
3919:
3910:
3906:
3901:
3896:
3891:
3886:
3882:
3878:
3874:
3870:
3866:
3859:
3852:
3841:
3837:
3830:
3822:
3818:
3814:
3810:
3806:
3802:
3795:
3793:
3791:
3789:
3787:
3775:
3771:
3767:
3763:
3757:
3753:
3749:
3745:
3738:
3731:
3729:
3727:
3725:
3723:
3721:
3719:
3717:
3715:
3706:
3702:
3697:
3692:
3688:
3684:
3680:
3676:
3672:
3668:
3664:
3657:
3649:
3645:
3640:
3635:
3631:
3627:
3623:
3619:
3615:
3611:
3607:
3600:
3584:
3580:
3579:Emedicine.com
3576:
3569:
3567:
3565:
3563:
3561:
3559:
3557:
3555:
3546:
3542:
3538:
3534:
3530:
3526:
3523:(4): 207–14.
3522:
3518:
3511:
3509:
3507:
3505:
3497:
3496:regeneration.
3492:
3488:
3484:
3480:
3475:
3470:
3467:(9): 447–62.
3466:
3462:
3458:
3451:
3436:
3432:
3428:
3424:
3420:
3416:
3409:
3407:
3405:
3403:
3401:
3399:
3387:
3383:
3379:
3372:
3366:
3364:
3355:
3351:
3347:
3343:
3340:(1): 274–86.
3339:
3335:
3328:
3326:
3324:
3322:
3320:
3318:
3316:
3314:
3305:
3301:
3297:
3293:
3289:
3285:
3278:
3270:
3266:
3262:
3258:
3254:
3250:
3243:
3235:
3231:
3227:
3223:
3219:
3215:
3208:
3206:
3204:
3202:
3200:
3198:
3196:
3194:
3186:
3182:
3179:
3173:
3171:
3169:
3167:
3165:
3163:
3161:
3159:
3150:
3146:
3142:
3138:
3131:
3124:
3118:
3116:
3114:
3112:
3103:
3099:
3095:
3091:
3087:
3083:
3080:(3): 149–57.
3079:
3075:
3068:
3061:
3057:
3054:
3048:
3046:
3044:
3042:
3040:
3031:
3027:
3022:
3017:
3012:
3007:
3003:
2999:
2995:
2988:
2981:
2969:
2965:
2959:
2957:
2949:
2937:
2933:
2926:
2918:
2914:
2910:
2906:
2902:
2898:
2891:
2884:
2878:
2871:
2865:
2857:
2853:
2848:
2843:
2838:
2833:
2829:
2825:
2821:
2814:
2812:
2803:
2799:
2795:
2791:
2788:(6): 1031–7.
2787:
2783:
2776:
2774:
2772:
2770:
2768:
2766:
2764:
2762:
2753:
2749:
2745:
2741:
2737:
2733:
2730:(1): 327–58.
2729:
2725:
2718:
2709:
2704:
2700:
2696:
2692:
2685:
2678:
2674:
2671:
2670:
2663:
2655:
2651:
2647:
2643:
2639:
2635:
2628:
2626:
2624:
2622:
2620:
2618:
2616:
2614:
2612:
2610:
2608:
2606:
2597:
2593:
2588:
2583:
2579:
2575:
2571:
2567:
2563:
2556:
2554:
2545:
2539:
2535:
2531:
2524:
2522:
2520:
2518:
2516:
2514:
2512:
2510:
2508:
2506:
2504:
2502:
2497:
2487:
2486:Wound licking
2484:
2482:
2479:
2477:
2474:
2472:
2469:
2467:
2464:
2462:
2459:
2457:
2454:
2452:
2449:
2448:
2441:
2440:
2436:
2432:
2428:
2424:
2420:
2410:
2408:
2401:
2397:
2393:
2390:
2387:
2383:
2380:
2376:
2372:
2368:
2365:
2361:
2360:
2359:
2343:
2337:
2336:
2335:
2331:Keratinocytes
2330:
2329:
2328:
2325:
2323:
2320:
2319:
2313:
2310:
2307:
2304:
2301:
2298:
2295:
2294:
2293:
2288:
2285:
2283:Keratinocytes
2282:
2279:
2276:
2274:T-lymphocytes
2273:
2270:
2269:
2268:
2265:
2263:
2260:
2259:
2253:
2250:
2247:
2244:
2241:
2238:
2237:
2236:
2231:
2228:
2226:T-lymphocytes
2225:
2223:
2220:
2217:
2216:
2215:
2212:
2209:
2206:
2205:
2199:
2196:
2193:
2190:
2186:
2182:
2179:
2176:
2173:
2171:
2167:
2164:
2163:
2162:
2158:Keratinocytes
2157:
2154:
2151:
2148:
2145:
2144:
2143:
2140:
2138:
2135:
2134:
2128:
2125:
2124:
2123:
2118:
2117:
2116:
2113:
2111:
2108:
2107:
2101:
2099:proliferation
2098:
2094:
2093:
2092:
2088:
2085:
2084:
2083:
2080:
2078:
2075:
2074:
2068:
2065:
2062:
2059:
2058:
2057:
2053:Keratinocytes
2052:
2050:T-lymphocytes
2049:
2046:
2045:
2044:
2041:
2039:
2036:
2035:
2029:
2026:
2023:
2021:
2017:
2016:
2015:
2011:
2010:Keratinocytes
2008:
2006:
2003:
2001:
1997:
1996:
1995:
1992:
1990:
1987:
1986:
1982:
1979:
1976:
1974:Growth factor
1973:
1972:
1969:
1967:
1957:
1950:
1949:tissue grafts
1946:
1943:
1940:
1939:
1938:
1927:
1924:
1921:
1917:
1916:gingivoplasty
1913:
1909:
1906:
1903:
1900:
1897:
1894:
1891:
1888:
1887:
1878:
1875:
1871:
1867:
1863:
1862:
1861:
1857:
1854:
1845:
1837:
1835:
1831:
1824:
1820:
1815:
1810:= Div (R) + R
1800:
1796:
1787:
1785:
1781:
1777:
1776:sterile water
1773:
1770:
1766:
1755:
1753:
1749:
1748:nanocomposite
1746:
1742:
1738:
1729:
1725:
1722:
1719:
1716:
1713:
1712:antimicrobial
1709:
1707:
1703:
1700:
1699:
1698:
1690:
1687:
1677:
1675:
1671:
1660:
1656:
1653:
1649:
1648:invertebrates
1645:
1641:
1637:
1633:
1628:
1626:
1622:
1618:
1617:brachytherapy
1614:
1610:
1606:
1602:
1598:
1594:
1593:scarification
1589:
1587:
1583:
1581:
1576:
1573:
1569:
1560:
1557:
1552:
1550:
1545:
1540:
1538:
1537:myofibroblast
1534:
1530:
1526:
1521:
1519:
1515:
1514:
1509:
1505:
1501:
1496:
1487:
1485:
1482:(circulating
1481:
1476:
1472:
1468:
1462:
1460:
1456:
1451:
1442:
1440:
1436:
1432:
1429:
1428:hematopoietic
1425:
1424:differentiate
1421:
1417:
1413:
1403:
1401:
1397:
1389:
1385:
1381:
1378:
1373:
1370:
1367:
1365:
1362:
1360:
1357:
1354:
1351:
1348:
1345:
1343:
1340:
1339:
1330:
1328:
1324:
1320:
1318:
1314:
1311:
1308:
1306:
1303:
1301:
1298:
1295:
1292:
1291:
1288:Local factors
1285:
1277:
1275:
1271:
1267:
1266:chronic wound
1262:
1260:
1256:
1255:blood vessels
1251:
1246:
1244:
1243:tension lines
1240:
1230:
1226:
1224:
1220:
1214:
1212:
1211:smooth muscle
1206:
1203:
1199:
1194:
1192:
1188:
1181:
1171:
1169:
1165:
1161:
1156:
1151:
1147:
1143:
1141:
1137:
1133:
1129:
1119:
1115:
1113:
1109:
1107:
1103:
1098:
1096:
1091:
1087:
1083:
1079:
1074:
1072:
1068:
1064:
1060:
1059:glycoproteins
1056:
1052:
1049:
1046:
1045:Transmembrane
1042:
1038:
1034:
1030:
1026:
1022:
1017:
1015:
1010:
1006:
1001:
998:
997:Keratinocytes
994:
991:
987:
983:
979:
975:
974:keratinocytes
972:
961:
957:
955:
952:the stronger
950:
946:
942:
940:
934:
932:
922:
920:
916:
912:
907:
905:
901:
900:proteoglycans
897:
896:glycoproteins
893:
889:
885:
880:
876:
874:
868:
864:
861:
851:
849:
845:
840:
838:
834:
830:
826:
822:
817:
815:
811:
807:
806:transactivate
803:
799:
795:
791:
787:
783:
779:
775:
773:
769:
765:
761:
754:
751:
748:
745:
742:
739:
736:
733:
729:
726:
725:
724:
721:
719:
715:
708:
698:
695:
685:
683:
682:chronic wound
679:
674:
669:
667:
656:
654:
648:
645:
641:
636:
634:
630:
626:
621:
619:
615:
605:
603:
599:
594:
592:
587:
583:
579:
578:free radicals
575:
571:
561:
559:
555:
551:
547:
543:
539:
535:
531:
527:
523:
519:
509:
507:
503:
499:
495:
491:
487:
483:
479:
478:blood vessels
475:
471:
467:
466:prostacyclins
463:
459:
455:
451:
447:
442:
440:
435:
431:
427:
423:
421:
417:
413:
412:glycoproteins
409:
405:
401:
395:
385:
383:
379:
375:
362:
359:
356:
353:
349:
346:
343:
339:
335:
332:
329:
326:
325:
324:
320:
318:
312:
310:
306:
302:
298:
294:
286:
282:
281:
276:
271:
262:
250:
244:
237:
233:
230:
227:
222:
218:
214:
210:
206:
202:
198:
194:
190:
187:
184:
180:
176:
175:Inflammation:
173:
170:
166:
161:
157:
154:
151:
150:
144:
142:
138:
134:
129:
127:
118:
114:
112:
108:
104:
100:
95:
91:
87:
83:
78:
76:
75:Wound healing
67:
64:
61:
58:
57:
53:
49:
46:
42:
39:
35:
32:
28:
27:
24:
23:Hand abrasion
20:
7890:
7769:Chest injury
7728:Crush injury
7718:Blunt trauma
7713:Blast injury
7635:Pneumothorax
7419:Traumatology
7414:Major trauma
7341:Angiogenesis
7299:
7228:Enzyme assay
7074:
7069:
7058:Karyorrhexis
7034:Myocytolysis
7024:Fat necrosis
6938:
6929:Inflammation
6917:Hemodynamics
6910:Pathogenesis
6819:
6784:
6780:
6770:
6751:
6744:
6709:
6699:
6664:
6660:
6650:
6615:
6611:
6601:
6566:
6562:
6552:
6535:
6531:
6487:
6483:
6431:
6427:
6417:
6384:
6380:
6374:
6341:
6337:
6330:
6289:
6285:
6279:
6244:
6240:
6230:
6195:
6191:
6145:
6141:
6120:
6085:
6081:
6071:
6028:
6024:
6014:
6003:. Retrieved
5994:
5971:. Retrieved
5962:
5939:. Retrieved
5930:
5883:
5879:
5869:
5844:
5840:
5804:
5800:
5790:
5781:
5746:
5742:
5732:
5707:
5703:
5697:
5688:
5679:
5667:. Retrieved
5658:
5648:
5631:
5606:
5602:
5596:
5563:
5559:
5552:
5522:(3): 665–7.
5519:
5515:
5509:
5459:(3): 933–7.
5456:
5452:
5442:
5433:
5427:. Retrieved
5423:the original
5418:
5395:
5389:. Retrieved
5385:the original
5380:
5354:
5348:. Retrieved
5344:the original
5339:
5281:
5277:
5267:
5255:. Retrieved
5220:
5216:
5206:
5179:
5175:
5165:
5135:(3): 321–6.
5132:
5128:
5122:
5085:
5081:
5071:
5038:
5034:
5028:
4993:
4989:
4929:
4925:
4915:
4903:. Retrieved
4894:
4885:
4852:
4849:Microsurgery
4848:
4842:
4817:
4813:
4807:
4774:
4770:
4764:
4747:
4743:
4737:
4712:
4708:
4702:
4671:
4646:
4642:
4603:
4599:
4558:(4): 401–4.
4555:
4551:
4541:
4514:
4510:
4500:
4475:
4471:
4465:
4443:(1): 88–94.
4440:
4436:
4430:
4405:
4401:
4395:
4370:
4366:
4360:
4352:
4332:
4291:
4287:
4266:
4259:. Retrieved
4255:the original
4231:. Retrieved
4227:the original
4214:
4210:
4200:
4191:
4151:
4116:
4112:
4106:
4071:
4067:
4014:(1): 35–41.
4011:
4007:
3997:
3872:
3868:
3858:
3850:
3844:. Retrieved
3829:
3804:
3800:
3774:the original
3743:
3670:
3666:
3656:
3613:
3609:
3599:
3587:. Retrieved
3578:
3520:
3517:Inflammation
3516:
3494:
3464:
3460:
3450:
3439:. Retrieved
3422:
3418:
3386:the original
3381:
3377:
3337:
3333:
3287:
3283:
3277:
3255:(8): 834–6.
3252:
3248:
3242:
3217:
3213:
3140:
3136:
3130:
3122:
3077:
3073:
3067:
3001:
2998:PLOS Biology
2997:
2987:
2979:
2972:. Retrieved
2968:the original
2947:
2940:. Retrieved
2925:
2903:(8): 992–9.
2900:
2896:
2890:
2877:
2869:
2864:
2827:
2824:PLOS Biology
2823:
2785:
2781:
2727:
2723:
2717:
2698:
2694:
2684:
2668:
2662:
2637:
2633:
2569:
2565:
2533:
2438:
2434:
2430:
2427:biomembranes
2416:
2404:
2357:
2305:Angiogenesis
2248:Angiogenesis
2194:Angiogenesis
1980:Main origins
1977:Abbreviation
1963:
1954:
1936:
1912:gingivectomy
1874:flap surgery
1858:
1855:
1851:
1843:
1826:
1822:
1818:
1816:
1801:
1797:
1793:
1761:
1733:
1728:anaphylactic
1726:Possess non-
1696:
1683:
1670:Howard Chang
1666:
1657:
1640:regeneration
1629:
1613:silicone gel
1590:
1585:
1578:
1571:
1567:
1566:
1553:
1541:
1522:
1512:
1507:
1503:
1499:
1497:
1493:
1463:
1452:
1448:
1438:
1434:
1419:
1409:
1393:
1342:Inflammation
1283:
1270:venous ulcer
1263:
1247:
1236:
1227:
1215:
1207:
1195:
1183:
1152:
1148:
1144:
1124:
1110:
1099:
1078:lamellipodia
1075:
1063:cytoskeleton
1041:cytoskeleton
1025:nitric oxide
1018:
1002:
995:
986:sweat glands
967:
958:
943:
935:
928:
908:
877:
869:
865:
857:
841:
821:collagenases
818:
776:
758:
752:
746:
740:
734:
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714:erythematous
710:
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701:Angiogenesis
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637:
629:angiogenesis
622:
611:
595:
567:
538:vasodilation
526:thromboxanes
518:blood vessel
515:
506:inflammatory
443:
424:
397:
371:
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313:
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304:
290:
278:
277:of cells in
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231:
199:deposition,
193:angiogenesis
188:
179:phagocytosis
174:
155:
152:
130:
123:
103:inflammation
79:
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73:
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7840:Contracture
7793:Demographic
7779:Head injury
7625:Flail chest
7547:Trauma team
7082:Hemosiderin
6963:Hyperplasia
6958:Hypertrophy
6934:Cell damage
5807:(1): 40–6.
4855:(2): 91–6.
4777:(1): 7–12.
3425:(2): 52–6.
3004:(8): E239.
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2386:proud flesh
2308:Fibroplasia
2289:Fibroblasts
2277:Macrophages
2232:Fibroblasts
2218:Macrophages
2185:fibronectin
2166:Granulocyte
2149:Macrophages
2000:macrophages
1866:lacerations
1644:salamanders
1518:endometrium
1475:endothelial
1455:rete ridges
1274:keloid scar
1174:Contraction
1168:Basal cells
1132:plasminogen
1086:pseudopodia
1071:pseudopodia
949:fibronectin
860:fibroblasts
831:-dependent
812:(VEGF) and
794:lactic acid
768:pseudopodia
718:capillaries
694:fibroblasts
614:macrophages
608:Macrophages
591:macrophages
558:bloodstream
498:eicosanoids
492:exposed to
486:macrophages
470:thromboxane
430:fibronectin
394:Coagulation
382:phagocytise
348:Fibroblasts
338:mesenchymal
328:Macrophages
305:early phase
213:fibronectin
205:fibroblasts
141:burn center
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7922:Physiology
7906:Categories
7748:Stab wound
7630:Hemothorax
7556:Procedures
7515:Principles
7508:Management
7469:NACA score
7443:Assessment
7409:Polytrauma
7402:Principles
7248:Blood bank
7091:Lipofuscin
7087:Lipochrome
7063:Karyolysis
6992:Cell death
6973:Metaplasia
6005:2013-07-02
5973:2013-07-02
5941:2013-07-02
5429:2013-11-10
5391:2012-12-07
5350:2012-12-07
5257:August 29,
5247:8469127433
4233:2014-06-18
3846:2017-09-18
3589:20 January
3441:2005-10-27
2942:31 January
2222:Mast cells
2213:FGF-1, −2
2191:production
2189:hyaluronan
2170:chemotaxis
2061:Hepatocyte
1998:Activated
1910:Examples:
1714:properties
1611:, topical
1484:fibrocytes
1480:leukocytes
1420:plasticity
1412:stem cells
1268:such as a
1223:fibronexus
1219:desmosomes
1178:See also:
1160:desmosomes
1029:desmosomes
904:hyaluronan
760:Stem cells
653:salamander
618:phagocytes
554:leukocytes
490:mast cells
458:bradykinin
378:hemostasis
334:Epithelial
293:hemostasis
280:Drosophila
153:Hemostasis
99:hemostasis
94:connective
86:epithelial
84:(surface,
7706:Mechanism
7600:Degloving
7336:Stem cell
7103:Steatosis
7046:Apoptosis
6983:Glandular
6968:Dysplasia
6900:Neoplasia
6895:Infection
6876:Pathology
6322:205213660
5419:Pathology
5381:Pathology
5340:Pathology
5314:248402820
5298:2629-3277
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2146:Platelets
2030:formation
1371:disorders
1353:Nutrients
1331:Perfusion
1259:apoptosis
1209:found in
1104:form the
1095:filopodia
1090:integrins
1055:integrins
1039:in their
848:apoptosis
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644:monocytes
602:cytokines
586:proteases
546:edematous
542:histamine
508:process.
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446:cytokines
420:aggregate
414:on their
408:platelets
342:phenotype
236:apoptosis
226:apoptosis
160:platelets
133:first aid
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7864:Embolism
7311:Fibrosis
7258:Serology
7053:Pyknosis
6999:Necrosis
6978:Squamous
6922:Ischemia
6828:Archived
6811:28692083
6736:26042534
6727:10960640
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3840:Archived
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2974:16 March
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2752:10367343
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2444:See also
2394:Others:
2210:1 and 2
1983:Effects
1752:efficacy
1737:chitosan
1710:Possess
1652:collagen
1605:invasive
1525:collagen
1347:Diabetes
1317:necrosis
1313:Ischemia
1051:proteins
1048:receptor
980:such as
931:collagen
919:scarring
844:perfused
550:porosity
434:proteins
404:collagen
307:and the
285:syncytia
197:collagen
68:30 days
65:17 days
7912:Healing
7646:Cardio
7131:Autopsy
7096:Melanin
7076:pigment
6953:Atrophy
6890:Disease
6802:5576529
6682:8407283
6633:6599835
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3545:9612298
3461:Genesis
3234:9785465
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2020:mitogen
1769:aqueous
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1193:model.
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1136:plasmin
1053:called
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