Journal ArticleDOI
Corticosteroids and wound healing: clinical considerations in the perioperative period
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TLDR
Acute, high-dose systemic corticosteroid use likely has no clinically significant effect on wound healing, whereas chronic systemic steroids may impair wound healing in susceptible individuals.Abstract:
BACKGROUND: Determining whether systemic corticosteroids impair wound healing is a clinically relevant topic that has important management implications. METHODS: We reviewed literature on the effects of corticosteroids on wound healing from animal and human studies searching MEDLINE from 1949 to 2011. RESULTS: Some animal studies show a 30% reduction in wound tensile strength with perioperative corticosteroids at 15 to 40 mg/kg/day. The preponderance of human literature found that high-dose corticosteroid administration for ,10 days has no clinically important effect on wound healing. In patients taking chronic corticosteroids for at least 30 days before surgery, their rates of wound complications may be increased 2 to 5 times compared with those not taking corticosteroids. Complication rates may vary depending on dose and duration of steroid use, comorbidities, and types of surgery. CONCLUSIONS: Acute, high-dose systemic corticosteroid use likely has no clinically significant effect on wound healing, whereas chronic systemic steroids may impair wound healing in susceptible individuals.read more
Citations
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Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part I
Gregg Nelson,Alon D. Altman,Alpa M. Nick,Larissa A. Meyer,Pedro T. Ramirez,Chahin Achtari,J. Antrobus,Jeffrey Huang,Michael J. Scott,Lena Wijk,N. Acheson,Olle Ljungqvist,Sean C. Dowdy +12 more
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Wound Healing Problems in the Mouth
TL;DR: The present review provides a basic overview of the wound healing process and with a discussion of the local and general factors that play roles in achieving efficient would healing.
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Randomized, controlled trial of TNF-α antagonist in CTL-mediated severe cutaneous adverse reactions
Chuang-Wei Wang,Lan-Yan Yang,Chun-Bing Chen,Hsin-Chun Ho,Hsin-Chun Ho,Shuen-Iu Hung,Chih-Hsun Yang,Chih-Hsun Yang,Chee-Jen Chang,Shih-Chi Su,Rosaline Chung-Yee Hui,Rosaline Chung-Yee Hui,See-Wen Chin,Li-Fang Huang,Yang Yu-Wei Lin,Wei-Yang Chang,Wen-Lang Fan,Chin-Yi Yang,Ji-Chen Ho,Ya-Ching Chang,Ya-Ching Chang,Chun-Wei Lu,Chun-Wei Lu,Wen-Hung Chung +23 more
TL;DR: The anti–TNF-&agr; biologic agent etanercept serves as an effective alternative for the treatment of CTL-mediated SCARs and reduces the skin-healing time in moderate-to-severe SJS-TEN patients.
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Brain-Skin Connection: Stress, Inflammation and Skin Aging
Ying Chen,John W. Lyga +1 more
TL;DR: The authors will discuss the recent discoveries in the field of “Brain-Skin Connection”, summarizing findings from the overlapping fields of psychology, endocrinology, skin neurobiology, skin inflammation, immunology, and pharmacology.
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From Inflammation to Current and Alternative Therapies Involved in Wound Healing
Mariana Barreto Serra,Wermerson Assunção Barroso,Wermerson Assunção Barroso,Neemias Neves da Silva,Selma do Nascimento Silva,Antonio Carlos Romão Borges,Iracelle Carvalho Abreu,Marilene Oliveira da Rocha Borges +7 more
TL;DR: The pathway in the skin healing cascade is reviewed, relating the major chemical inflammatory mediators, cellular and molecular, as well as demonstrating the local and systemic factors that interfere in healing and disorders associated with tissue repair deficiency.
References
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Journal ArticleDOI
Wound Healing--Aiming for Perfect Skin Regeneration
TL;DR: Details of how these signals control wound cell activities are beginning to emerge, and studies of healing in embryos have begun to show how the normal adult repair process might be readjusted to make it less like patching up and more like regeneration.
Journal ArticleDOI
Regulation of Wound Healing by Growth Factors and Cytokines
Sabine Werner,Richard Grose +1 more
TL;DR: This review summarizes the results of expression studies that have been performed in rodents, pigs, and humans to localize growth factors and their receptors in skin wounds and reports on genetic studies addressing the functions of endogenous growth factors in the wound repair process.
Journal ArticleDOI
Transforming growth factor-beta 1 induces alpha-smooth muscle actin expression in granulation tissue myofibroblasts and in quiescent and growing cultured fibroblasts.
TL;DR: It is shown that the subcutaneous administration of transforming growth factor- beta 1 to rats results in the formation of a granulation tissue in which alpha-SM actin expressing myofibroblasts are particularly abundant, suggesting that TGF beta 1 plays an important role in my ofibroblast differentiation during wound healing and fibrocontractive diseases by regulating the expression of alpha- SM actin in these cells.
Journal ArticleDOI
Mechanisms involved in the side effects of glucocorticoids
TL;DR: This review summarizes the current knowledge of the most important GC-mediated side effects from a clinical to a molecular perspective and should be helpful in predicting the potential advantages of selective GR agonists in comparison to classical GCs.
Journal Article
The role of the macrophage in wound repair. A study with hydrocortisone and antimacrophage serum.
Samuel Leibovich,R. Ross +1 more
TL;DR: The role of the macrophage in wound repair has been investigated by studying the healing process in wounds depleted of this cell and/or its phagocytic activity as discussed by the authors, where hydrocortisone acetate administered as a subcutaneous depot was used to induce a prolonged monocytopenia in guinea pigs, and antimacrophage serum (AMS) was used for local elimination of tissue macrophages.
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