Regional disturbances in blood flow and metabolism in equine limb wound healing with formation of exuberant granulation tissue.

As in other fibroproliferative disorders, hypoxia has been suggested to play a key role in the pathogenesis of exuberant granulation tissue ( EGT). The purpose of this study was to investigate metabolism and blood flow locally in full-thickness wounds healing with (limb wounds) and without (body wou...

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Publicado en:Wound Repair & Regeneration Vol. 22; no. 5; pp. 647 - 654
Autores principales: Sørensen, Mette A., Petersen, Lars J., Bundgaard, Louise, Toft, Nils, Jacobsen, Stine
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep/Oct2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep/Oct2014
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      pub: Wiley-Blackwell
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        atl: Regional disturbances in blood flow and metabolism in equine limb wound healing with formation of exuberant granulation tissue.
      aug:
        au:
          Sørensen, Mette A.
          Petersen, Lars J.
          Bundgaard, Louise
          Toft, Nils
          Jacobsen, Stine
        affil: Department of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen
      sug:
        subj:
          Wound Healing Physiology
          Blood Circulation
          Metabolism
          Granulation Tissue
          Animal Studies
          Horses
          Models, Biological
          Anoxia
          Linear Regression
          Repeated Measures
          Data Analysis Software
          Post Hoc Analysis
          Funding Source
      ab: As in other fibroproliferative disorders, hypoxia has been suggested to play a key role in the pathogenesis of exuberant granulation tissue ( EGT). The purpose of this study was to investigate metabolism and blood flow locally in full-thickness wounds healing with (limb wounds) and without (body wounds) formation of EGT. Microdialysis was used to recover endogenous metabolites from the wounds, and laser Doppler flowmetry was used to measure blood flow. Measurements were performed before wounding and 1-28 days after wounding. Blood flow was consistently lower in limb wounds than in body wounds throughout the study period with no change over time. After wounding and throughout the study period, the glucose concentration was significantly lower in limb wounds than in body wounds, whereas the lactate level showed a significantly higher concentration in limb wounds. The lactate/glucose ratio displayed a significant difference between body and limb wounds. In conclusion, the metabolic disturbances may suggest an inadequate oxygen supply during the wound healing process in equine limb wounds healing with EGT. This may be related to the inherently decreased perfusion in the wound bed of limb wounds.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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