Hyaluronic acid in incision wound fluid: A clinical study with the Cellstick® device in children

When inserted into a human incision wound, the Cellstick® device harvests inflammatory cells and collects wound fluid, reflecting time‐related changes in cell populations and in wound fluid composition. Hyaluronic acid has been postulated to be an important factor in scar reduction in wound healing...

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Veröffentlicht in:Wound repair and regeneration 2001-05, Vol.9 (3), p.200-204
Hauptverfasser: Pajulo, Olli T., Pulkki, Kari J., Lertola, Kaarlo K., Alanen, Markku S., Reunanen, Mikko S., Virtanen, Riitta V., Mattila-Vuori, Armi I., Viljanto, Jouko A.
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container_issue 3
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container_title Wound repair and regeneration
container_volume 9
creator Pajulo, Olli T.
Pulkki, Kari J.
Lertola, Kaarlo K.
Alanen, Markku S.
Reunanen, Mikko S.
Virtanen, Riitta V.
Mattila-Vuori, Armi I.
Viljanto, Jouko A.
description When inserted into a human incision wound, the Cellstick® device harvests inflammatory cells and collects wound fluid, reflecting time‐related changes in cell populations and in wound fluid composition. Hyaluronic acid has been postulated to be an important factor in scar reduction in wound healing and in scarless fetal wound healing. The aim of this work was to determine the concentration and variation of hyaluronic acid and proportions of wound cells in closed surgical wounds in children at two time points. The Cellstick® device was inserted subcutaneously into the wound at the end of an elective inguinal hernia operation on 37 healthy boys, and the devices were removed 3±1 or 24±3 hours after surgery. Haluronic acid concentration was measured from the wound fluid and a differential count of the wound cells was performed. There was a significant decrease in hyaluronic acid concentration from 3±1 to 24±3 hours after surgery (p
doi_str_mv 10.1046/j.1524-475x.2001.00200.x
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Hyaluronic acid has been postulated to be an important factor in scar reduction in wound healing and in scarless fetal wound healing. The aim of this work was to determine the concentration and variation of hyaluronic acid and proportions of wound cells in closed surgical wounds in children at two time points. The Cellstick® device was inserted subcutaneously into the wound at the end of an elective inguinal hernia operation on 37 healthy boys, and the devices were removed 3±1 or 24±3 hours after surgery. Haluronic acid concentration was measured from the wound fluid and a differential count of the wound cells was performed. There was a significant decrease in hyaluronic acid concentration from 3±1 to 24±3 hours after surgery (p&lt;0.001, Kruskal‐Wallis anova). The variance of hyaluronic acid concentration in wound fluid differed between the wounds at the two time points (p&lt;0.01, Levene test for homogeneity of variance). A positive correlation between hyaluronic acid concentration and patient age (r=0.91, p&lt;0.05, Spearman) at 3±1 hours post surgery and between HA and wound lymphocytes (r=0.38, p&lt;0.05, Spearman) was also found. 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Hyaluronic acid has been postulated to be an important factor in scar reduction in wound healing and in scarless fetal wound healing. The aim of this work was to determine the concentration and variation of hyaluronic acid and proportions of wound cells in closed surgical wounds in children at two time points. The Cellstick® device was inserted subcutaneously into the wound at the end of an elective inguinal hernia operation on 37 healthy boys, and the devices were removed 3±1 or 24±3 hours after surgery. Haluronic acid concentration was measured from the wound fluid and a differential count of the wound cells was performed. There was a significant decrease in hyaluronic acid concentration from 3±1 to 24±3 hours after surgery (p&lt;0.001, Kruskal‐Wallis anova). The variance of hyaluronic acid concentration in wound fluid differed between the wounds at the two time points (p&lt;0.01, Levene test for homogeneity of variance). A positive correlation between hyaluronic acid concentration and patient age (r=0.91, p&lt;0.05, Spearman) at 3±1 hours post surgery and between HA and wound lymphocytes (r=0.38, p&lt;0.05, Spearman) was also found. We conclude that the hyaluronic acid concentration in wound fluid peaks early in children and decreases significantly by 3 to 24 hours after surgery, and the concentrations in the wound fluid of healthy boys are more variable 3 hours than at 24 hours after surgery.</description><subject>Analysis of Variance</subject><subject>Cell Count</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Exudates and Transudates - chemistry</subject><subject>Exudates and Transudates - immunology</subject><subject>Hernia, Inguinal - surgery</subject><subject>Humans</subject><subject>Hyaluronic Acid - analysis</subject><subject>Hyaluronic Acid - physiology</subject><subject>Infant</subject><subject>Leukocyte Count</subject><subject>Lymphocyte Count</subject><subject>Male</subject><subject>Neutrophils</subject><subject>Specimen Handling - instrumentation</subject><subject>Statistics, Nonparametric</subject><subject>Time Factors</subject><subject>Wound Healing</subject><subject>Wounds and Injuries - etiology</subject><subject>Wounds and Injuries - immunology</subject><subject>Wounds and Injuries - pathology</subject><issn>1067-1927</issn><issn>1524-475X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkN1OGzEQhS1Exf8rIF_1bhf_24u4QVEbkCiVUFG4sxzbURycXVjvNslL9SF4MrwkpbeVRpqRfM7xzAcAxKjEiImLRYk5YQWTfF0ShHCJUG7leg8c_X142s8zErLAFZGH4DilBUKI80odgEOMmSQCiyNgbjYm9m1TBwuNDQ6GOpcNKTQ1XDV97eAs9sFdwmtoY8gyE2HqereBq9DNYTf3cORjTF2wz29_oPO_g_VDip2H6Fpfn4IvMxOTP9v1E_D4_duv0U1x93N8O7q-KyzLyxeES86cwgQpyzwlTkhiicOE0XzajFgsCBMVlYKaSklqp45PZYW5FIooU9ET8HWb-9I2r71PnV6GZPNqpvZNn7TEiPKKiCxUW6Ftm5RaP9MvbViadqMx0gNevdADRT3g1QNe_YFXr7P1fPdHP11698-445kFV1vBKkS_-e9gPXl4yEO2F1t7SJ1ff9pN-6yFpJLryf1YozG9VxOk9A_6Dtd3l14</recordid><startdate>200105</startdate><enddate>200105</enddate><creator>Pajulo, Olli T.</creator><creator>Pulkki, Kari J.</creator><creator>Lertola, Kaarlo K.</creator><creator>Alanen, Markku S.</creator><creator>Reunanen, Mikko S.</creator><creator>Virtanen, Riitta V.</creator><creator>Mattila-Vuori, Armi I.</creator><creator>Viljanto, Jouko A.</creator><general>Blackwell Science Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200105</creationdate><title>Hyaluronic acid in incision wound fluid: A clinical study with the Cellstick® device in children</title><author>Pajulo, Olli T. ; Pulkki, Kari J. ; Lertola, Kaarlo K. ; Alanen, Markku S. ; Reunanen, Mikko S. ; Virtanen, Riitta V. ; Mattila-Vuori, Armi I. ; Viljanto, Jouko A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4020-25754d81208c4e32d672c2d1243200f2c1624693763a9873cbd5b791576828a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Analysis of Variance</topic><topic>Cell Count</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Exudates and Transudates - chemistry</topic><topic>Exudates and Transudates - immunology</topic><topic>Hernia, Inguinal - surgery</topic><topic>Humans</topic><topic>Hyaluronic Acid - analysis</topic><topic>Hyaluronic Acid - physiology</topic><topic>Infant</topic><topic>Leukocyte Count</topic><topic>Lymphocyte Count</topic><topic>Male</topic><topic>Neutrophils</topic><topic>Specimen Handling - instrumentation</topic><topic>Statistics, Nonparametric</topic><topic>Time Factors</topic><topic>Wound Healing</topic><topic>Wounds and Injuries - etiology</topic><topic>Wounds and Injuries - immunology</topic><topic>Wounds and Injuries - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pajulo, Olli T.</creatorcontrib><creatorcontrib>Pulkki, Kari J.</creatorcontrib><creatorcontrib>Lertola, Kaarlo K.</creatorcontrib><creatorcontrib>Alanen, Markku S.</creatorcontrib><creatorcontrib>Reunanen, Mikko S.</creatorcontrib><creatorcontrib>Virtanen, Riitta V.</creatorcontrib><creatorcontrib>Mattila-Vuori, Armi I.</creatorcontrib><creatorcontrib>Viljanto, Jouko A.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wound repair and regeneration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pajulo, Olli T.</au><au>Pulkki, Kari J.</au><au>Lertola, Kaarlo K.</au><au>Alanen, Markku S.</au><au>Reunanen, Mikko S.</au><au>Virtanen, Riitta V.</au><au>Mattila-Vuori, Armi I.</au><au>Viljanto, Jouko A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyaluronic acid in incision wound fluid: A clinical study with the Cellstick® device in children</atitle><jtitle>Wound repair and regeneration</jtitle><addtitle>Wound Repair Regen</addtitle><date>2001-05</date><risdate>2001</risdate><volume>9</volume><issue>3</issue><spage>200</spage><epage>204</epage><pages>200-204</pages><issn>1067-1927</issn><eissn>1524-475X</eissn><abstract>When inserted into a human incision wound, the Cellstick® device harvests inflammatory cells and collects wound fluid, reflecting time‐related changes in cell populations and in wound fluid composition. Hyaluronic acid has been postulated to be an important factor in scar reduction in wound healing and in scarless fetal wound healing. The aim of this work was to determine the concentration and variation of hyaluronic acid and proportions of wound cells in closed surgical wounds in children at two time points. The Cellstick® device was inserted subcutaneously into the wound at the end of an elective inguinal hernia operation on 37 healthy boys, and the devices were removed 3±1 or 24±3 hours after surgery. Haluronic acid concentration was measured from the wound fluid and a differential count of the wound cells was performed. There was a significant decrease in hyaluronic acid concentration from 3±1 to 24±3 hours after surgery (p&lt;0.001, Kruskal‐Wallis anova). The variance of hyaluronic acid concentration in wound fluid differed between the wounds at the two time points (p&lt;0.01, Levene test for homogeneity of variance). A positive correlation between hyaluronic acid concentration and patient age (r=0.91, p&lt;0.05, Spearman) at 3±1 hours post surgery and between HA and wound lymphocytes (r=0.38, p&lt;0.05, Spearman) was also found. We conclude that the hyaluronic acid concentration in wound fluid peaks early in children and decreases significantly by 3 to 24 hours after surgery, and the concentrations in the wound fluid of healthy boys are more variable 3 hours than at 24 hours after surgery.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>11472616</pmid><doi>10.1046/j.1524-475x.2001.00200.x</doi><tpages>5</tpages></addata></record>
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subjects Analysis of Variance
Cell Count
Child
Child, Preschool
Exudates and Transudates - chemistry
Exudates and Transudates - immunology
Hernia, Inguinal - surgery
Humans
Hyaluronic Acid - analysis
Hyaluronic Acid - physiology
Infant
Leukocyte Count
Lymphocyte Count
Male
Neutrophils
Specimen Handling - instrumentation
Statistics, Nonparametric
Time Factors
Wound Healing
Wounds and Injuries - etiology
Wounds and Injuries - immunology
Wounds and Injuries - pathology
title Hyaluronic acid in incision wound fluid: A clinical study with the Cellstick® device in children
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