Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring

As a consequence of trauma or surgical interventions on peripheral nerves, scar tissue can form, interfering with the capacity of the nerve to regenerate properly. Scar tissue may also lead to traction neuropathies, with functional dysfunction and pain for the patient. The search for effective antia...

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Main Authors: Alessandro Crosio, Giulia Ronchi, Benedetta Elena Fornasari, Simonetta Odella, Stefania Raimondo, Pierluigi Tos
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/8/1613
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author Alessandro Crosio
Giulia Ronchi
Benedetta Elena Fornasari
Simonetta Odella
Stefania Raimondo
Pierluigi Tos
author_facet Alessandro Crosio
Giulia Ronchi
Benedetta Elena Fornasari
Simonetta Odella
Stefania Raimondo
Pierluigi Tos
author_sort Alessandro Crosio
collection DOAJ
description As a consequence of trauma or surgical interventions on peripheral nerves, scar tissue can form, interfering with the capacity of the nerve to regenerate properly. Scar tissue may also lead to traction neuropathies, with functional dysfunction and pain for the patient. The search for effective antiadhesion products to prevent scar tissue formation has, therefore, become an important clinical challenge. In this review, we perform extensive research on the PubMed database, retrieving experimental papers on the prevention of peripheral nerve scarring. Different parameters have been considered and discussed, including the animal and nerve models used and the experimental methods employed to simulate and evaluate scar formation. An overview of the different types of antiadhesion devices and strategies investigated in experimental models is also provided. To successfully evaluate the efficacy of new antiscarring agents, it is necessary to have reliable animal models mimicking the complications of peripheral nerve scarring and also standard and quantitative parameters to evaluate perineural scars. So far, there are no standardized methods used in experimental research, and it is, therefore, difficult to compare the results of the different antiadhesion devices.
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spelling doaj.art-9492f1a3e15e426d99d118d9e2b632c12023-11-21T15:00:01ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01108161310.3390/jcm10081613Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve ScarringAlessandro Crosio0Giulia Ronchi1Benedetta Elena Fornasari2Simonetta Odella3Stefania Raimondo4Pierluigi Tos5UO Microchirurgia e Chirurgia della Mano, Ospedale Gaetano Pini, Piazza Andrea Ferrari 1, 20122 Milano, ItalyDepartment of Clinical and Biological Sciences, Neuroscience Institute of the “Cavalieri Ottolenghi” Foundation (NICO), University of Turin, Regione Gonzole 10, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, Neuroscience Institute of the “Cavalieri Ottolenghi” Foundation (NICO), University of Turin, Regione Gonzole 10, 10043 Orbassano, ItalyUO Microchirurgia e Chirurgia della Mano, Ospedale Gaetano Pini, Piazza Andrea Ferrari 1, 20122 Milano, ItalyDepartment of Clinical and Biological Sciences, Neuroscience Institute of the “Cavalieri Ottolenghi” Foundation (NICO), University of Turin, Regione Gonzole 10, 10043 Orbassano, ItalyUO Microchirurgia e Chirurgia della Mano, Ospedale Gaetano Pini, Piazza Andrea Ferrari 1, 20122 Milano, ItalyAs a consequence of trauma or surgical interventions on peripheral nerves, scar tissue can form, interfering with the capacity of the nerve to regenerate properly. Scar tissue may also lead to traction neuropathies, with functional dysfunction and pain for the patient. The search for effective antiadhesion products to prevent scar tissue formation has, therefore, become an important clinical challenge. In this review, we perform extensive research on the PubMed database, retrieving experimental papers on the prevention of peripheral nerve scarring. Different parameters have been considered and discussed, including the animal and nerve models used and the experimental methods employed to simulate and evaluate scar formation. An overview of the different types of antiadhesion devices and strategies investigated in experimental models is also provided. To successfully evaluate the efficacy of new antiscarring agents, it is necessary to have reliable animal models mimicking the complications of peripheral nerve scarring and also standard and quantitative parameters to evaluate perineural scars. So far, there are no standardized methods used in experimental research, and it is, therefore, difficult to compare the results of the different antiadhesion devices.https://www.mdpi.com/2077-0383/10/8/1613scar tissueperipheral nerve regenerationantiadhesion devicesanimal models
spellingShingle Alessandro Crosio
Giulia Ronchi
Benedetta Elena Fornasari
Simonetta Odella
Stefania Raimondo
Pierluigi Tos
Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring
Journal of Clinical Medicine
scar tissue
peripheral nerve regeneration
antiadhesion devices
animal models
title Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring
title_full Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring
title_fullStr Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring
title_full_unstemmed Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring
title_short Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring
title_sort experimental methods to simulate and evaluate postsurgical peripheral nerve scarring
topic scar tissue
peripheral nerve regeneration
antiadhesion devices
animal models
url https://www.mdpi.com/2077-0383/10/8/1613
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