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Skin Wound Healing
Week 1 Skin Wound Healing Lectures
19
Veterinary Medicine
Graduate
07/06/2015

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Term
Repair (definition)
Definition
restoration of tissue structure and function after and injury
usually both regen and healing contribute
Term
Regeneration (definition)
Definition
replacement of normal tissue components and return to a normal state
minimal trauma or short term
Term
Healing (definition)
Definition
results in scar (fibrous tissue) formation if:
tissues are incapable of complete reconstruction
OR
the supporting structures are severely damaged
large trauma or long term
Term
Requirements of Repair
Definition
cellular proliferation
cellular interaction
cellular and ECM interactions
Term
Labile Tissue
Definition
capacity for continuous dividing
(ie. gut lining)
Term
Stable Tissue
Definition
limited capacity to regenerate
(ie, kidney, liver, pancreas)
Term
Stem Cells in repair
Definition
slow cycling,
following wounding make an increased and sustained contribution
Term
Transit Amplifying/Progenitor Cells in repair
Definition
rapidly dividing - take care of daily maintenance
Term
Extra Cellular Matrix
Definition
network surrounding cells
synthesised locally by mesenchymal cells
in DERMAL layer
Term
Connective Tissue
Definition
tissue that supports, binds, or separates other tissues or organs
composed of ECM and MESENCHYMAL CELLS
Term
Erosion
Definition
skin wound to just epidermis - no scar
Term
Ulcer
Definition
skin wound to epidermis and dermis
Term
3 overlapping phases of wound healing
Definition
inflammation
formation of granulation tissue in dermis
fibroblasts deposit ECM
Term
Angiogenesis
Definition
formation of new blood vessels
Endothelial progenitor cells (EPC) mobilize from bone marrow to for new vessels
OR
new vessels form from pre-existing vessels
Term
Granulation Tissue
Definition
tissue repair begins within 24 hours
Granulation tissue forms within 3-5 days
pink, soft, granular gross appearance
Term
Healing by 1st intention
Definition
a clean, uninfected surgical incision closed by sutures
only focal disruption of epithelial basement membrane
epithelial regen predominates fibrosis
Term
Healing by 2nd intention
Definition
tissue loss more extensive: abscess, ulceration, large wounds
intense inflammation and abundant granulation tissue
Term
What prevents/delays healing
Definition
infection, malnutrition, mechanical factors, anaemia, age/physical status, dehydration, wound fluid, inapropriate dressing, foreign bodies, neoplasia
Term
Wound healing in reptiles
Definition
SLOW
sutures 4-6 weeks
ecdysis promotes healing
maintenance at upper level of temperature range promotes healing
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