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Scars as atavisms of the wound process

https://doi.org/10.17238/2072-3180-2021-4-72-79

Abstract

Introduction. Throughout the entire period of development of medicine, scars after surgical interventions were either not paid or very little attention was paid, and only in the last few decades have scientists been actively studying the processes involved in the formation of scars and scarless wound healing. This interest is due to the fact that scars have become a factor in a person's psycho-emotional maladjustment, reducing the quality of his life, and often they themselves are a disease that causes physical discomfort and leads to functional disorders.
The main part. Most superficial wounds do not leave significant scars, but with deep injuries, hypertrophic scars and keloids always appear, and scars that form as a result of burns require complex reconstructive multi-stage operations in order to facilitate the patient's life, but even in this case, we are not talking about aesthetics. According to the WHO, about 11 million burn patients require urgent medical attention every year.
Based on a review of domestic and foreign articles devoted to the problems of healing and scar formation, as well as points of influence on the wound process in order to minimize them, we have prepared this literature review, which summarizes, in our opinion, significant discoveries on the way to solving such a global medical social problem.

About the Authors

E. N. Prazdnikov
Federal State Budgetary Educational Institution of the Higher Education “A.I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian Federation
Russian Federation

 Doctor of Medical Sciences, Professor, Head of Department operative Surgery and Topographic Anatomy 

Russia, 127473, Moscow, st. Delegatskaya, 20, building 1

tel.: +7 985 793-60-08 



Z. A. Evsyukova
Federal State Budgetary Educational Institution of the Higher Education “A.I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian Federation
Russian Federation

 graduate student of the department operative Surgery and Topographic Anatomy 

Russia, 127473, Moscow, st. Delegatskaya, 20, building 1

Tel. +7 926-375-70-00 



S. E. Ovcharov
Federal State Budgetary Educational Institution of the Higher Education “A.I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian Federation
Russian Federation

 Candidate of Medical Sciences, Associate Professor, Head of the Academic Section of the Department operative Surgery and Topographic Anatomy 

Russia,127473, Moscow, st. Delegatskaya, 20, building 1

Tel. +7 903 759-50-23 



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Review

For citations:


Prazdnikov E.N., Evsyukova Z.A., Ovcharov S.E. Scars as atavisms of the wound process. Moscow Surgical Journal. 2021;(4):72-79. (In Russ.) https://doi.org/10.17238/2072-3180-2021-4-72-79

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ISSN 2072-3180 (Print)