Nano-based ceramic surgical blade accelerates wound healing

Fatih Ada; Erkan Gümüş; Ferit Kasımzade

doi:10.28982/josam.857885

Authors

Fatih Ada https://orcid.org/0000-0002-6953-5906
Erkan Gümüş https://orcid.org/0000-0001-6432-7457
Ferit Kasımzade Ankara Şehir Hastanesi https://orcid.org/0000-0003-3646-3181

DOI:

https://doi.org/10.28982/josam.857885

Keywords:

Ceramic, Healing, Histological, Nano-based, Scalpel, Steel, Surgical blade, Wound

Abstract

Background/Aim: Many factors affect the results of a surgical operation, one of which is the harmony of the materials used during surgery with the tissue. Zirconia is a material with antimicrobial properties, high surface sensitivity and robustness. This study was conducted to observe the acute and subacute effects of the nano-based zirconia surgical blade on living tissue. Methods: The study was conducted after approval was granted by the Sivas Cumhuriyet University Animal Experiments Local Ethics Committee with the decision number 65202830-050.04.04-33. A total of 16 rats were used in the study. Eight were incised with classic steel surgical blade and eight, with nano-based zirconia surgical blade. A total of 4 incisions were performed to each rat and the incisions were closed with 3.0 polypropylene suture. Tissue samples were obtained from the incisions on day 0, 3, 7 and 21, and examined histologically. Results: The epidermis layer thickness on days 7 and 21 (P=0.030, P=0.025), the dermis layer thickness on days 3 and 7 (P=0.035, P=0.030), muscle layer thickness on days 7 and 21 (P=0.030, P=0.025) were significantly increased and inflammatory cells were significantly less on days 3, 7 and 21 (P=0.030, P=0.020, P=0.025) in the nano-ceramic surgical blade compared to the other group. Collagen tissue density was significantly higher in favor of the nano-ceramic blade on the 3rd and 7th days (P=0.025, P=0.020). Conclusion: Nano-based zirconia surgical blade has been shown to have positive effects on wound healing. The use of nano-based zirconia surgical blade should be kept in mind in patient groups with wound healing problems.

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