Wound infection prevention and morphological aspects of aseptic wound healing


Cite item

Full Text

Abstract

By means of morphological researches executed within an experimental framework it is identified that a considerable
increase in endothelial monolayer covering the wound surface is immunohistochemically observed after NO-management of
the wound. In turn, cryofractographic identification of small pits on splits of endotheliocytes indicates an increase in density
of plasmalemmal vesicules in capillary endothelium of dermal and muscule tissue of the wound surface. Activation of the
specified reactions promotes an intensification of neoangiogenesis as convincingly confirmed by a considerable increase in
length of microvasculature in 1 mm3 of forming granulations, verified at scanning electronic microscopy. At the same time,
the immunohistochemical research results indicate a considerable increase in proliferative activity of stab cells of epidermis
of vulnar surfaces. The set of the listed changes reflects brightly pathogenetic positivity of the influence of exogenetic nitrogen
monoxide on the course of wound process, mainly, on its reparative component.

About the authors

Ярославская государственная медицинская академия

Author for correspondence.
Email: author@vestnik-surgery.com
Ларичев Андрей Борисович – д.м.н., проф., зав. кафедрой общей хирургии Ярославской государ- ственной медицинской академии; e-mail: larichab@mail.ru

Российская медицинская академия последипломного образования

Email: author@vestnik-surgery.com
Шишло Владимир Константинович – к.м.н., до- цент, ст. науч. сотр. научного отдела оперативной хирургии и клинической лимфологии Российской медицинской академии последипломного образо- вания; e-mail: larich-ab@mail.ru

Ярославская государственная медицинская академия

Email: author@vestnik-surgery.com
Лисовский Александр Валерьевич – аспирант кафе- дры общей хирургии Ярославской государственной медицинской академии; e-mail: larich-ab@mail.ru

Ярославская государственная медицинская академия

Email: author@vestnik-surgery.com
Чистяков Андрей Леонидович – кандидат медицин- ских наук, врач-хирург Ярославского областного клинического онкологического диспансера; e-mail: larich-ab@mail.ru

Ярославская государственная медицинская академия

Email: author@vestnik-surgery.com
Васильев Андрей Андреевич – аспирант кафедры общей хирургии Ярославской государственной ме- дицинской академии; e-mail: larich-ab@mail.ru

References

  1. Arkhipova K.A., Rybko V.A., Zemliakova V.V. i dr. Ekspressiia kaveolina v opukholiakh miagkikh tkanei [Expression of a kaveolin in tumors of soft fabrics]. Vestnik RONTs im. N.N.Blokhina RAMN 2009; 20: 1: 4-9.
  2. Banin V.V. Mekhanizmy obmena vnutrennei sredy [Mechanisms of exchange of the internal environment]. M.: Izd-vo RGMU. 2000; 278.
  3. Vyrenkov Iu.E., Moskalenko V.I., Shishlo V.K. Eksperimental'noe obosnovanie vozmozhnosti primeneniia kompleksnogo lecheniia ognestrel'nykh ran s ispol'zovaniem monooksida azota i limfogennoi terapii [Experimental justification of a possibility of application of complex treatment of bullet wounds with use of monoxide of nitrogen and limfogenny therapy]. Khirurg 2009; 9: 5-12.
  4. Gostishchev V.K. Infektsii v khirurgii: Rukovodstvo dlia vrachei [Infections in surgery: The management for doctors]. M.: GEOTAR-Media 2007; 761.
  5. Davydov Iu.A., Larichev A.B. Vakuum-terapiia ran i ranevoi protsess [Vacuum therapy of wounds and wound process]. M.: Meditsina 1999; 160.
  6. Efimenko N.A., Khrupkin V.I., Marakhonich L.A. i dr. Vozdushno-plazmennye potoki i NO-terapiia – novaia tekhnologiia v klinicheskoi praktike voennykh vrachebno-profilakticheskikh uchrezhdenii [Air and plasma streams and NO therapy – new technology in clinical practice of military medical and preventive institutions]. Voenno-meditsinskii zhurnal 2005; 5: 51-54.
  7. Kabisov R.K., Sokolov V.V., Shekhter A.B. i dr. Pervyi opyt primeneniia ekzogennoi NO-terapii dlia lecheniia posleoperatsionnykh ran i luchevykh reaktsii u onkologicheskikh bol'nykh [The first experience of application of exogenous NO therapy for treatment of postoperative wounds and beam reactions at oncological patients]. Rossiiskii onkologicheskii zhurnal 2000; 1: 24-29.
  8. Kuzin M.I., Kostiuchenok B.M. Rany i ranevaia infektsiia [Wounds and wound infection]. M.: Meditsina 1990; 592.
  9. Kupriianov V.V., Borodin Iu.I., Karaganov Ia.L. i dr. Mikrolimfologiia [Mikrolimfologiya]. M.: Meditsina 1983; 288.
  10. Larichev A.B., Lisovskii A.V., Shishlo V.K. NO-terapiia i limfotropnaia antibiotikoprofilaktika v preduprezhdenii ranevoi infektsii [NO therapy and lymphotropic antibiotikoprofilaktika in the prevention of a wound fever]. Iaroslavl' 2010; 35.
  11. Larichev A.B. Vacuum therapy in wounds and wound
  12. infection: negative pressure wound therapy. Carlsbad, CA,
  13. USA: BlueSky Pub. 2005; 248.
  14. Lipatov K.V., Sopromadze M.A., Emel'ianov A.Iu. i dr. Ispol'zovanie fizicheskikh metodov v lechenii gnoinykh ran [Use of physical methods in treatment of purulent wounds]. Khirurgiia 2001; 10: 56-61.
  15. Marakhonich L.A., Efimenko N.A., Khrupkin V.I. Vozdushno-plazmennye potoki i NO-terapiia – novaia tekhnologiia v klinicheskoi praktike voennykh lechebno-profilakticheskikh uchrezhdenii [Air and plasma streams and NO therapy – new technology in clinical practice of military treatment and prevention facilities]. Voenno-meditsinskii zhurnal. 2005; 326: 5: 51-54.
  16. Moskalenko V.I. Kompleksnoe lechenie ognestrel'nykh ranenii s ispol'zovaniem oksida azota i limfogennykh metodov [Complex treatment of gunshot wounds with use of nitrogen oxide and the limfogennykh of methods]. Avtoref. dis. … dokt. med. nauk. Moskva. 2006; 32.
  17. Reshetov I.V., Kabisov R.K., Shekhter A.B. i dr. Primenenie vozdushno-plazmennogo apparata «Plazon» v rezhime koaguliatsii i NO-terapii pri rekonstruktivnoplasticheskikh operatsiiakh u onkologicheskikh bol'nykh [Use of the air and plasma device "Plazon" in the mode of coagulation and NO therapy at the rekonstruktivnoplasticheskikh operations at oncological patients]. Annaly plasticheskoi, rekonstruktivnoi i esteticheskoi khirurgii. 2000; 4: 24-39.
  18. Chmunevich A.A. Lechenie ognestrel'nykh ran miagkikh tkanei s ispol'zovaniem mikrokapsulirovannoi formy serotonin adipinata i NO-terapii (eksperimental'noe issledovanie) [Treatment of bullet wounds of soft fabrics with use of the microencapsulated form serotonin of an adipinat and NO therapies (pilot study)]. Avtoref. dis. … kand. med. nauk. Moskva. 2009; 106.
  19. Chumasov E.I., Riazhkin G.A., Kashkov G.A. Elektronno-mikroskopicheskoe izuchenie ranevogo protsessa ognestrel'noi rany v eksperimente [Electron and microscopical studying of a wound process of a bullet wound in an experiment]. Ognestrel'naia rana cheloveka: Tez. dokl. L. 1981; 48-49.
  20. Shal'nev A.N. Lechenie ognestrel'nykh i gnoino-oslozhnennykh ran s pomoshch'iu antioksidantov i uglerodnykh tkanevykh sorbentov [Treatment of fire is also purulent - the complicated wounds by means of antioxidants and carbon fabric sorbents]. Dis. … dokt. med. nauk. M. 1996; 239.
  21. Shekhter A.B., Grachev S.V., Milovanova Z.P. i dr. Primenenie ekzogennogo monooksida azota v meditsine: mediko-biologicheskie osnovy, kliniko-morfologicheskie aspekty, mekhanizmy, problemy i perspektivy. NO-terapiia: teoreticheskie aspekty, klinicheskii opyt i problemy primeneniia ekzogennogo oksida azota v meditsine [Use of exogenous monoxide of nitrogen in medicine: medicobiological bases, kliniko-morphological aspects, mechanisms, problems and prospects. NO-therapy: theoretical aspects, clinical experience and problems of use of exogenous nitrogen oxide in medicine]. M. 2001; 3-16.
  22. Lisanti M.P., Scherer P.E., Tang Z., Sargiacomo M. Caveolae, caveolin and caveolin-rich membrane domains: a signalling hypothesis. Trends Cell. Biol. 1994; 4: 7: 231-235.
  23. Quest A.F., Leyton L., Parraga M. Caveolins, caveolae, and lipid rafts in cellular transport, signaling, and disease. Biochem. Cell. Biol. 2004; 82: 1: 129-144.
  24. Razani B., Woodman S.E., Lisanti M.P. Caveolae: from cell biology to animal physiology. Pharmacol. Rev. 2002; 54: 3: 431-467.
  25. Simionescu N., Simionescu M. Endothelial Cell Disfunctions. New York: Plenum Press. 1992; 570.
  26. Shekhter A.B., Serezhenkov V.A., Rudenko T.G. еt al. Beneficial effect of deseous nitric oxide on the healing of skin wounds. Nitric oxide: biology and chemistry. 2005; 12: 210-219.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2011 ., ., ., ., .

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies