Oxygen Penetration Through Full-Thickness Skin by Oxygen-Releasing Sutures for Skin Graft Transplantation

Wenjing Zai , Yunong Yuan , Lin Kang , Jialong Xu , Yiqiao Hu , Lifeng Kang , Jinhui Wu

Engineering ›› 2023, Vol. 29 ›› Issue (10) : 83 -94.

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Engineering ›› 2023, Vol. 29 ›› Issue (10) : 83 -94. DOI: 10.1016/j.eng.2023.05.006
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Oxygen Penetration Through Full-Thickness Skin by Oxygen-Releasing Sutures for Skin Graft Transplantation

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Abstract

The transplantation of full-thickness skin grafts (FTSGs) is important for reconstructing skin barrier and promoting wound healing. Sufficient oxygen supply is closely related to the success of skin grafting. However, full-thickness oxygen delivery is limited by the poor oxygen permeability of skin. Oxygen-releasing sutures (O2 sutures) were developed to facilitate oxygen penetration through full-thickness skin. The O2 sutures delivered 100 times more oxygen than topical gaseous oxygen therapy at a 15 mm depth in the skin model. Under extreme hypoxia (< 0.5% O2, v/v), O2 sutures could also promote endothelial cell proliferation. After the transplantation of FTSGs in mice, O2 sutures accelerated blood re-perfusion and increased the survival area of the skin graft. It is expected that O2 sutures will be adopted in clinical applications to increase the success rate of full-thickness skin transplantation.

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Wound / Skin graft transplantation / Oxygen-releasing sutures / Full-thickness oxygen delivery

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Wenjing Zai, Yunong Yuan, Lin Kang, Jialong Xu, Yiqiao Hu, Lifeng Kang, Jinhui Wu. Oxygen Penetration Through Full-Thickness Skin by Oxygen-Releasing Sutures for Skin Graft Transplantation. Engineering, 2023, 29(10): 83-94 DOI:10.1016/j.eng.2023.05.006

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Funding

the National Key Research and Development Program of China(2022YFC3401600)

the National Natural Science Foundation of China(32171372)

the Program A for Outstanding PhD Candidate of Nanjing University(202102A004)

the Logistics Research Projects(BWS20J017)

the University of Sydney-China Scholarship Council (USYD-CSC) scholarship(202008320366)

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