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      Emerging treatment strategies in wound care

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          Abstract

          Wound healing is a complex process in tissue regeneration through which the body responds to the dissipated cells as a result of any kind of severe injury. Diabetic and non‐healing wounds are considered an unmet clinical need. Currently, different strategic approaches are widely used in the treatment of acute and chronic wounds which include, but are not limited to, tissue transplantation, cell therapy and wound dressings, and the use of an instrument. A large number of literatures have been published on this topic; however, the most effective clinical treatment remains a challenge. The wound dressing involves the use of a scaffold, usually using biomaterials for the delivery of medication, autologous stem cells, or growth factors from the blood. Antibacterial and anti‐inflammatory drugs are also used to stop the infection as well as accelerate wound healing. With an increase in the ageing population leading to diabetes and associated cutaneous wounds, there is a great need to improve the current treatment strategies. This research critically reviews the current advancement in the therapeutic and clinical approaches for wound healing and tissue regeneration. The results of recent clinical trials suggest that the use of modern dressings and skin substitutes is the easiest, most accessible, and most cost‐effective way to treat chronic wounds with advances in materials science such as graphene as 3D scaffold and biomolecules hold significant promise. The annual market value for successful wound treatment exceeds over $50 billion US dollars, and this will encourage industries as well as academics to investigate the application of emerging smart materials for modern dressings and skin substitutes for wound therapy.

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          Most cited references148

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          Skin Wound Healing Process and New Emerging Technologies for Skin Wound Care and Regeneration

          Skin wound healing shows an extraordinary cellular function mechanism, unique in nature and involving the interaction of several cells, growth factors and cytokines. Physiological wound healing restores tissue integrity, but in many cases the process is limited to wound repair. Ongoing studies aim to obtain more effective wound therapies with the intention of reducing inpatient costs, providing long-term relief and effective scar healing. The main goal of this comprehensive review is to focus on the progress in wound medication and how it has evolved over the years. The main complications related to the healing process and the clinical management of chronic wounds are described in the review. Moreover, advanced treatment strategies for skin regeneration and experimental techniques for cellular engineering and skin tissue engineering are addressed. Emerging skin regeneration techniques involving scaffolds activated with growth factors, bioactive molecules and genetically modified cells are exploited to overcome wound healing technology limitations and to implement personalized therapy design.
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            Advances in Skin Regeneration Using Tissue Engineering

            Tissue engineered skin substitutes for wound healing have evolved tremendously over the last couple of years. New advances have been made toward developing skin substitutes made up of artificial and natural materials. Engineered skin substitutes are developed from acellular materials or can be synthesized from autologous, allograft, xenogenic, or synthetic sources. Each of these engineered skin substitutes has their advantages and disadvantages. However, to this date, a complete functional skin substitute is not available, and research is continuing to develop a competent full thickness skin substitute product that can vascularize rapidly. There is also a need to redesign the currently available substitutes to make them user friendly, commercially affordable, and viable with longer shelf life. The present review focuses on providing an overview of advances in the field of tissue engineered skin substitute development, the availability of various types, and their application.
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              Conductive Polymers: Opportunities and Challenges in Biomedical Applications

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                Author and article information

                Contributors
                slabbaf85@gmail.com
                a.seifalian@gmail.com
                Journal
                Int Wound J
                Int Wound J
                10.1111/(ISSN)1742-481X
                IWJ
                International Wound Journal
                Blackwell Publishing Ltd (Oxford, UK )
                1742-4801
                1742-481X
                17 March 2022
                November 2022
                : 19
                : 7 ( doiID: 10.1111/iwj.v19.7 )
                : 1934-1954
                Affiliations
                [ 1 ] Department of Materials Engineering Isfahan University of Technology Isfahan Iran
                [ 2 ] Nanotechnology & Regenerative Medicine Commercialization Centre (NanoRegMed Ltd) London BioScience Innovation Centre London UK
                Author notes
                [*] [* ] Correspondence

                Alexander Marcus Seifalian, PhD, Director/Professor of Nanotechnology and Regenerative Medicine, London BioScience Innovation Centre, London, UK.

                Email: a.seifalian@ 123456gmail.com

                Sheyda Labbaf, PhD, Associated Professor, Department of Materials Engineering, Isfahan University of Technology, Isfahan, Iran.

                Email: slabbaf85@ 123456gmail.com

                Author information
                https://orcid.org/0000-0003-1555-3874
                https://orcid.org/0000-0002-8334-9376
                Article
                IWJ13786
                10.1111/iwj.13786
                9615294
                35297170
                ce0afeec-8270-4cca-b28b-d5af709f8579
                © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 05 March 2022
                : 24 January 2022
                : 05 March 2022
                Page count
                Figures: 5, Tables: 4, Pages: 21, Words: 13852
                Categories
                Review Article
                Review Articles
                Custom metadata
                2.0
                November 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.0 mode:remove_FC converted:28.10.2022

                Emergency medicine & Trauma
                cells therapy,platelet therapy,skin tissue engineering,wound dressing,wound healing

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