Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website http://www.jcgo.org

Review

Volume 4, Number 2, June 2015, pages 197-202

Native Tissue Repair and Principles of Wound Healing: Introducing the Concept of Regenerative Surgery in Vaginal Prolapse Repair

Figures

Figure 1.
Figure 1. Wound healing phases against a timeline. 1 and 2 represent the hemostatic phase and 4, 5 and 6 represent the proliferation phase. Gregory S. Schultz, Glenn Ladwig and Annette Wysocki - adapted from Asmussen PD, Sollner B [6].
Figure 2.
Figure 2. Surgical principles and influence on wound healing. The inflammatory reaction to a surgical insult can be limited by adherence to surgical principles to protect the extracellular matrix and therefore influence wound healing.
Figure 3.
Figure 3. Timeline of wound healing. Six months after injury native tissue healing has only achieved 50% of normal tissue strength. Haggstrom [16].
Figure 4.
Figure 4. Tension free suturing. An example of how tissue tension can be controlled by suture techniques: in non-layered suturing the xenograft acts as a super suture taking the tension away from the underlying native tissue by sliding it into place laterally, rather than pulling the fascial sheet sideways, resulting in tissue tension.