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Clin Colon Rectal Surg 2014; 27(04): 125-133
DOI: 10.1055/s-0034-1394086
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Primer on Wound Healing in Colorectal Surgery in the Age of Bioprosthetic Materials

Jonathan B. Lundy
1   United States Army Institute of Surgical Research, Fort Sam Houston, Texas
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Publication History

Publication Date:
10 November 2014 (online)

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Abstract

Wound healing is a complex, dynamic process that is vital for closure of cutaneous injuries, restoration of abdominal wall integrity after laparotomy closure, and to prevent anastomotic dehiscence after bowel surgery. Derangements in healing have been described in multiple processes including diabetes mellitus, corticosteroid use, irradiation for malignancy, and inflammatory bowel disease. A thorough understanding of the process of healing is necessary for clinical decision making and knowledge of the current state of the science may lead future researchers in developing methods to enable our ability to modulate healing, ultimately improving outcomes. An exciting example of this ability is the use of bioprosthetic materials used for abdominal wall surgery (hernia repair/reconstruction). These bioprosthetic meshes are able to regenerate and remodel from an allograft or xenograft collagen matrix into site-specific tissue; ultimately being degraded and minimizing the risk of long-term complications seen with synthetic materials. The purpose of this article is to review healing as it relates to cutaneous and intestinal trauma and surgery, factors that impact wound healing, and wound healing as it pertains to bioprosthetic materials.

Keywords

wound healing - gastrointestinal - anastomosis - bioprosthetic mesh
 

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