Development of a Chronic Skin Wound Defect: A Swine Model

돼지를 이용한 만성피부결손상처의 모델

  • Sohn, Hyung Bin (Department of Plastic and Reconstructive Surgery, Keimyung University, Dongsan Medical Center) ;
  • Son, Dae Gu (Department of Plastic and Reconstructive Surgery, Keimyung University, Dongsan Medical Center) ;
  • Kim, Jun Hyung (Department of Plastic and Reconstructive Surgery, Keimyung University, Dongsan Medical Center) ;
  • Han, Ki Hwan (Department of Plastic and Reconstructive Surgery, Keimyung University, Dongsan Medical Center) ;
  • Ryoo, Nam Hee (Department of Laboratory Medicine, Keimyung University, Dongsan Medical Center) ;
  • Kwon, Sun Young (Departments of Pathology, Keimyung University, Dongsan Medical Center)
  • 손형빈 (계명대학교 의과대학 성형외과학교실) ;
  • 손대구 (계명대학교 의과대학 성형외과학교실) ;
  • 김준형 (계명대학교 의과대학 성형외과학교실) ;
  • 한기환 (계명대학교 의과대학 성형외과학교실) ;
  • 류남희 (계명대학교 의과대학 진단검사의학교실) ;
  • 권선영 (계명대학교 의과대학 병리학교실)
  • Received : 2006.04.27
  • Published : 2006.09.10

Abstract

Purpose: Animal models of a chronic wound are yet to be fully developed, and animal studies on this subject has yet to take place. The purpose of this study is to create the foundation for research on chronic wound healing based on a swine model, the most similar to that of a human. Methods: Three female 2-3 month old 'yolkshires' were used. Total of eight full thickness skin defects, $6{\times}3cm$ sized, were created on the back of each pigs. Three groups were created for comparison; Group I (n=4) was left as they were after full skin thickness excision, while the excised tissues of Group II (n=3) were turned inside out and sutured so that the epidermis would come in contact with the fascia. Group III (n=3) were excised full skin thickness in depth and silicone blocks were implanted in them. Dressing was not practised so that the wounds would be vulnerable to infection. Results: In Group III, the skin contraction rate was the least among the three groups for each three weeks of observation respectively. Also during the three weeks, bacteral colonization was at the highest among the comparison. On the third week, inflammatory cells were still active, but the generations of epidermis and collagen synthesis were detected minimally. Conclusion: The Group III was relatively the most similar model of chronic wounds. and modification of the silicone blocks, could provide us with a very effective chronic skin wound model similar to human.

Keywords

References

  1. Izadi K Ganchi P: Chronic wounds. Clin Plast Surg 32: 209, 2005 https://doi.org/10.1016/j.cps.2004.11.011
  2. Schultz GS, Sibbald RG, Falanga V, Ayello EA, Dowsett C. Harding K Romanelli M, Stacey Me, Teot L, Vanscheidt W: Wound bed preparation: a systemic approach to wound management. Wound Repair Regen 11: Sl, 2003 https://doi.org/10.1046/j.1524-475X.11.s2.1.x
  3. Nwomeh Be, Yager DR, Cohen IK: Physiology of the chronic wound. Clin Plast Surg 25: 341, 1998
  4. Zhou LJ, Matsui R, Ono I: Development of a chronic type skin defect model and a study of cytokine secretion using the model. Wound Repair Regen 8: 304, 2000
  5. Bematchez SF, Parks PI, Grussing DM, Matalas SL, Nelson GS: Histological characterization of a delayed wound healing model in pig. Wound Repair Regen 6: 223, 1998
  6. Lavker RM, Dong G, Zheng PS, Murphy GF: Hairless micropig skin. Am J Pathol 138: 687, 1991
  7. Park SC; Son DC, Park KG, Han KH: A standardized model of partial thickness bum in domestic pig. J Korean Soc Plast Reconstr Surg 31: 707, 2004
  8. Middelkoop E, van den Bogaerdt AJ, Lamme EN, Hoekstra MJ, Brandsma K, Ulrich MM: Porcine wound models for skin substitution and bum treatment. Biomaterials 25: 1559, 2004 https://doi.org/10.1016/S0142-9612(03)00502-7
  9. Lorenz HP, Longaker MT: Wound healing: repair biology and wound and scar treatment. In Mathes SJ(ed): Plastic Surgery. 2nd ed, Philadelphia, Saunders, 2006, p 219
  10. Goldman R: Growth factors and chronic wound healing: past, present, and future. Adv Skin Wound Care 17: 24, 2004 https://doi.org/10.1097/00129334-200401000-00012