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Current Approaches to Wound Repair in Burns: How far we Have Come From Cover to Close? A Narrative Review
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SYSNO ASEP 0583345 Document Type J - Journal Article R&D Document Type Journal Article Subsidiary J Článek ve WOS Title Current Approaches to Wound Repair in Burns: How far we Have Come From Cover to Close? A Narrative Review Author(s) Šuca, H. (CZ)
Čoma, M. (SK)
Tomšů, Júlia (FGU-C)
Sabová, J. (SK)
Zajíček, R. (CZ)
Brož, Antonín (FGU-C) RID, ORCID, SAI
Doubková, Martina (FGU-C) ORCID, RID
Novotný, T. (CZ)
Bačáková, Lucie (FGU-C) RID, ORCID
Jenčová, V. (CZ)
Kuželová Košťáková, E. (CZ)
Lukačín, Š. (SK)
Rejman, Dominik (UOCHB-X) RID, ORCID
Gál, P. (CZ)Source Title Journal of Surgical Research. - : Elsevier - ISSN 0022-4804
Roč. 296, April (2024), s. 383-403Number of pages 21 s. Language eng - English Country NL - Netherlands Keywords regeneration ; scar ; skin ; wound dressing ; wound healing OECD category Cell biology R&D Projects NU22-06-00016 GA MZd - Ministry of Health (MZ) LX22NPO5103 GA MŠMT - Ministry of Education, Youth and Sports (MEYS) GA22-08857S GA ČR - Czech Science Foundation (CSF) Institutional support FGU-C - RVO:67985823 ; UOCHB-X - RVO:61388963 UT WOS 001182164100001 EID SCOPUS 85185179580 DOI 10.1016/j.jss.2023.12.043 Annotation Burn injuries are a significant global health concern, with more than 11 million people requiring medical intervention each year and approximately 180,000 deaths annually. Despite progress in health and social care, burn injuries continue to result in socioeconomic burdens for victims and their families. The management of severe burn injuries involves preventing and treating burn shock and promoting skin repair through a two-step procedure of covering and closing the wound. Currently, split-thickness/full-thickness skin autografts are the gold standard for permanent skin substitution. However, deep burns treated with split-thickness skin autografts may contract, leading to functional and appearance issues. Conversely, defects treated with full-thickness skin autografts often result in more satisfactory function and appearance. The development of tissue-engineered dermal templates has further expanded the scope of wound repair, providing scar reductive and regenerative properties that have extended their use to reconstructive surgical interventions. Although their interactions with the wound microenvironment are not fully understood, these templates have shown potential in local infection control. This narrative review discusses the current state of wound repair in burn injuries, focusing on the progress made from wound cover to wound closure and local infection control. Advancements in technology and therapies hold promise for improving the outcomes for burn injury patients. Understanding the underlying mechanisms of wound repair and tissue regeneration may provide new insights for developing more effective treatments in the future. Workplace Institute of Physiology Contact Lucie Trajhanová, lucie.trajhanova@fgu.cas.cz, Tel.: 241 062 400 Year of Publishing 2025 Electronic address https://doi.org/10.1016/j.jss.2023.12.043
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