Laser technologies for joining biological tissue

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Objective. Improving the effectiveness of surgical treatment for dental patients through the experimental development of a laser seam for soft tissues in the maxillofacial area using laser radiation and biopolymer.

Materials and methods. The experimental research model was created on 8 laboratory rabbits of the Chinchilla breed. Linear wounds on the skin were made with a surgical scalpel No. 15C and sutured. All rabbits were divided into 3 research groups: group 1, wounds were sutured with Prolen 5.0 thread; group 2, the edges of the wounds were joined using laser tissue welding with a laser device with a wavelength of 970 nm and Bioadhesive No. 1 based on bovine serum albumin and indocyanine green; group 3, the edges of the wounds were joined using laser tissue welding with a laser device with a wavelength of 970 nm and Bioadhesive No. 2 based on bovine serum albumin, indocyanine green, and single-walled carbon nanotubes. In the postoperative period, the severity of edema, intensity of hyperemia, and the time of wound epithelialization were assessed on days 1, 3, 5, and 10 in points.

Results. Experimental studies on rabbits in vivo showed that the best regeneration occurred when the edges of wounds were joined using laser skin welding with laser radiation and Biopreparation No. 2. In the postoperative period, there was minimal swelling and hyperemia, no suture dehiscence or tissue necrosis was observed, and earlier epithelialization and an aesthetic scar were noted.

Conclusion. The use of laser radiation and biopreparations is a promising method for joining the edges of wounds on the skin, as it accelerates regeneration and forms an aesthetic scar.

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作者简介

E. Sorokina

Sechenov First Moscow State Medical University

编辑信件的主要联系方式.
Email: sorokina_e_a@staff.sechenov.ru
ORCID iD: 0009-0002-7968-8524
SPIN 代码: 1390-8967
俄罗斯联邦, Moscow

M. Soykher

Sechenov First Moscow State Medical University; Moscow Regional Research and Clinical Institute

Email: sorokina_e_a@staff.sechenov.ru
ORCID iD: 0000-0002-5775-698X
SPIN 代码: 8101-7708

Candidate of Medical Sciences

俄罗斯联邦, Moscow; Moscow

N. Morozova

Sechenov First Moscow State Medical University

Email: sorokina_e_a@staff.sechenov.ru
ORCID iD: 0000-0002-6453-1615
SPIN 代码: 4654-9842

MD

俄罗斯联邦, Moscow

A. Gerasimenko

Sechenov First Moscow State Medical University; MIET National Research University of Electronic Technology

Email: sorokina_e_a@staff.sechenov.ru
ORCID iD: 0000-0001-6514-2411
SPIN 代码: 2010-1600

MD, Associate Professor

俄罗斯联邦, Moscow; Zelenograd

S. Tarasenko

Sechenov First Moscow State Medical University

Email: sorokina_e_a@staff.sechenov.ru
ORCID iD: 0000-0001-8595-8864
SPIN 代码: 3320-0052

MD, Professor

俄罗斯联邦, Moscow

E. Morozova

Patrice Lumumba Peoples' Friendship University of Russia

Email: sorokina_e_a@staff.sechenov.ru
ORCID iD: 0000-0002-5312-9516
SPIN 代码: 5490-3554

MD, Associate Professor

俄罗斯联邦, Moscow

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2. Fig. 1. Photo of a laboratory rabbit: a – marking of experimental incisions; б – formed linear incisions 1 cm long on the skin of the rabbit's withers

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3. Fig. 2. Photo of a laboratory rabbit: a – taking biosolder into a sterile insulin syringe; б – introducing biosolder using an insulin syringe into a linear wound on the withers of the rabbit's back; в – laser radiation exposure on a linear wound on the skin of the withers of the rabbit's back

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4. Fig. 3. Photo of a laboratory rabbit after suturing: a – day 1; б – days 3; в – day 5; г – day 10

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5. Fig. 4. Dynamics of postoperative edema severity after suturing the skin of the rabbit's withers

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6. Fig. 5. Dynamics of hyperemia severity when suturing the skin of rabbit withers

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