Emerging treatment strategies in wound care

医学 伤口愈合 重症监护医学 再生(生物学) 临床试验 伤口护理 慢性伤口 人口 伤口敷料 外科 病理 生物 复合材料 环境卫生 细胞生物学 材料科学
作者
Marjan Mirhaj,Sheyda Labbaf,Mohamadreza Tavakoli,Alexander M. Seifalian
出处
期刊:International Wound Journal [Wiley]
卷期号:19 (7): 1934-1954 被引量:174
标识
DOI:10.1111/iwj.13786
摘要

Abstract Wound healing is a complex process in tissue regeneration through which the body responds to the dissipated cells as a result of any kind of severe injury. Diabetic and non‐healing wounds are considered an unmet clinical need. Currently, different strategic approaches are widely used in the treatment of acute and chronic wounds which include, but are not limited to, tissue transplantation, cell therapy and wound dressings, and the use of an instrument. A large number of literatures have been published on this topic; however, the most effective clinical treatment remains a challenge. The wound dressing involves the use of a scaffold, usually using biomaterials for the delivery of medication, autologous stem cells, or growth factors from the blood. Antibacterial and anti‐inflammatory drugs are also used to stop the infection as well as accelerate wound healing. With an increase in the ageing population leading to diabetes and associated cutaneous wounds, there is a great need to improve the current treatment strategies. This research critically reviews the current advancement in the therapeutic and clinical approaches for wound healing and tissue regeneration. The results of recent clinical trials suggest that the use of modern dressings and skin substitutes is the easiest, most accessible, and most cost‐effective way to treat chronic wounds with advances in materials science such as graphene as 3D scaffold and biomolecules hold significant promise. The annual market value for successful wound treatment exceeds over $50 billion US dollars, and this will encourage industries as well as academics to investigate the application of emerging smart materials for modern dressings and skin substitutes for wound therapy.

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