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Yeh DD, Nazarian RM, Demetri L, Mesar T, Dijkink S, Larentzakis A, Velmahos G, Sadik KW, et al.
Journal of cutaneous pathology. Date of publication 2017 Jun 1;volume 44(6):523-529.
1. J Cutan Pathol. 2017 Jun;44(6):523-529. doi: 10.1111/cup.12925. Epub 2017 Mar 23. Histopathological assessment of OASIS Ultra on critical-sized wound healing: a pilot study. Yeh DD(1)(2), Nazarian RM(2)(3), Demetri L(2), Mesar T(1)(2), Dijkink S(1), Larentzakis A(1)(2), Velmahos G(1)(2), Sadik KW(1)(2). Author information: (1)Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts. (2)Harvard Medical School, Boston, Massachusetts. (3)Department of Pathology, Dermatopathology Unit, Massachusetts General Hospital, Boston, Massachusetts. BACKGROUND: Dermatopathologists assess wounds secondary to trauma, infection, or oncologic resection that can be challenging to reconstruct. OASIS Ultra, an extracellular matrix, has been described for use in chronic and burn wounds. The aim of this pilot study is to assess wound healing in post-traumatic and infective wounds treated with OASIS using histological markers of repair. MATERIALS AND METHODS: Adults with traumatic, infective or iatrogenic wound defects with size precluding primary closure were eligible. Half the wound was randomly assigned to receive OASIS plus standard therapy; the other half received standard of care (SOC) therapy. During dressing changes, standardized-scale photographs were taken and biopsies obtained. Histologic sections were reviewed for degree of acute inflammation and extent of tissue repair. Neutrophils, edema, hemorrhage, necrosis, fibroblasts, collagen density and neovascularization were semi-quantitatively assessed. RESULTS: Forty-four skin biopsies from 7 patients with 10 acute wounds met eligibility criteria. Histologically, OASIS samples demonstrated improved acute inflammation scores compared to SOC. No patients experienced OASIS-related complications. OASIS-treated wound halves trended toward more wound contraction and improved tissue repair. CONCLUSION: Our scoring system aids histopathological wound assessment. Treatment of critical-sized, post-traumatic, acute wounds with OASIS resulted in decreased inflammation, and potentially more advanced wound healing, compared to SOC. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. DOI: 10.1111/cup.12925 PMID: 28256051 [Indexed for MEDLINE]
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