Clinical
Application of Regenerative Repair of Burn Wounds in Situ
According to the mechanism of in situ regenerative
repair of wounds, burn regenerative therapy can be described as 8 technical procedures.
These 8 procedures should be followed in strict
and standardized sequence and application.
This is the foundation that BRT &
MEBT/MEBO can achieve best clinical results.
burn regeneration therapy, under the control of
the 8
procedures can achieve surviving residual skin tissue repair and skin
regeneration. The previoces figure not only explains the mechanism of
the treatment of deep burn wounds of various causes, but also is
applicable to the regenerative repair of various skin mucous membrane
lesions and tissue organ injuries.
1. First of all, the PRCs in the deep layer of
the injured skin tissue are activated to form stem cells:
This is the start period of BRT The effect has a
close
collection with the treatment method. Early application of the drug to
protect the wound surface and "Ploughing method" to reduce the tension
of deep wounds can help to activate PRCs and skin organ regeneration in
situ.
2. In situ cultivation of stem cells:
The key point for this procedure is to maintain a
physiologically moist environment created by MEBO and also protect the
fibrous isolation membrane formed on the wound surface. This
semi-permeable membrane allows the exchange of materials between both
sides, from wound to MEBO.
3. Necrotic tissue should be liquefied and
removed
without any further damage, to create a condition for stem cell
regeneration and repair in situ.
4. Nutrition supply:
Stem cells proliferate veiy quickly and consume a
lot of
energy. Although there are enough nutritive materials for stem cells'
growth in the body, when stem cells regenerate in an embryo development
model, nutritive materials become veiy insufficient.
Exogenous and endogenous supply of the nutritive
materials and physiological regulation are necessary.
MEBO
is a bionic nutritional preparation,
its pH value and osmotic pressure are similar to that in the human
body, it can provide all the necessary regenerative substances and
nutrition for wound healing and regeneration and can bind stem cells,
so continuous supply of MEBO will satisfy the nutrition supply of stem
cell proliferation process.
5. Using physiological controlling technique to
control
bacterial and toxic infectious injuries is a non-bactericidal
controlling technique:
In the in situ stem cell cultivation technique,
the
treatment principle and method for microorganism in regenerative
tissues is different with normal conception of sterility and technique
of anti-bacteria.
Stem cell and tissue regeneration is inhibited by
antibiotics which are used in large doses in dry therapy. Thus, in
order to prevent the damage of microorganism infection to regenerative
cells, a non bactericidal controlling technique must be taken.
MEBO can control bacterial infection and at the
same
time promote immunity of human body, so it has a comprehensive
anti-infection effect.
6. To maintain a physiologically moist
environment:
All the wounds regardless of the location, a local
wound
or wounds all over the body, or wound in the gastrointestinal tract,
need a physiologically moist environment.
Only in such an environment could skin
regenerative
repair be realized. This also includes the regulation and repair of
dysfunction of the organs all over the body.
7. Micro-isolation of burn wound and
endogenous nutrition supply technique:
The micro-isolation technique for skin tissue
organ regeneration is realized by the "fibrous isolation membrane"
together with "MEBO drug
layer".
Only after' setting up the micro-ecosystem, could
the skin regeneration from stem cell in situ be fulfilled.
8. Tissue combination to form organs:
After liquefaction and removal of necrotic tissue,
wounds should be kept in a physiologically moist environment.
Tissues are combined without causing any damage,
to
form a capillary tree core and a fibrocyte trestle, so that skin stem
cells can combine according to the normal physiological structure of
the skin, to form primitive skin blastema and skin island.
MEBO should be supplied continuously to achieve
full-thickness, physiological and regenerative repair of the skin
tissue organs.
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