Comparison between conducted healing and the use of skin grafts for the treatment of skin wounds in rabbits.
BACKGROUND
Improvement of the healing process to provide better aesthetical and functional results continues to be a surgical challenge. This study compared the treatment of skin wounds by means of conducted healing (an original method of treatment by secondary healing) and by the use of autogenous skin grafts.


METHODS
Two skin segments, one on each side of the dorsum, were removed from 17 rabbits. The side that served as a graft donor site was left open as to undergo conducted healing (A) and was submitted only to débridement and local care with dressings. The skin removed from the side mentioned above was implanted as a graft (B) to cover the wound on the other side. Thus, each animal received the two types of treatment on its dorsum (A and B). The rabbits were divided into two groups according to the size of the wounds: Group 1--A and B (4cm2) and Group 2--A and B (25cm2). The healing time was 19 days for Group 1 and 35 days for Group 2. The final macro- and microscopic aspects of the healing process were analyzed comparatively among all subgroups. The presence of inflammatory cells, epidermal cysts and of giant cells was evaluated.


RESULTS
No macroscopic or microscopic differences were observed while comparing the wounds that underwent conducted healing and those in which grafting was employed, although the wounds submitted to conducted healing healed more rapidly.


CONCLUSIONS
Conducted wound healing was effective for the treatment of skin wounds.
Salgado
Mauro Ivan
MI
Department of Surgery, Medical School of the Federal University of Minas Gerais, Brazil.
Petroianu
Andy
A
Burgarelli
Giselle Lelis
GL
Barbosa
Alfredo José Afonso
AJ
Alberti
Luiz Ronaldo
LR
D000818:Animals; D001458:Bandages; D003646:Debridement; D004195:Disease Models, Animal; D011817:Rabbits; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors; D014945:Wound Healing; D014947:Wounds and Injuries / Q000601:surgery*