Bensal HP Treatment for Burn and Excision Wounds: An In-Vivo Assessment of Wound Healing Efficacy and Immunological Impact

November 2015 | Volume 14 | Issue 11 | Original Article | 1322 | Copyright © November 2015


Jamie Rosen BA,a* Angelo Landriscina BA,a* Anjana Ray PhD,b Lydia Tesfa PhD,b Joshua D. Nosanchuk MD,b and Adam J. Friedman MDc,d

aDepartment of Medicine (Division of Dermatology), Montefiore Medical Center, Bronx, NY
bDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY
cDepartment of Physiology and Biophysics, Albert Einstein College of Medicine, Bronx, NY
dDepartment of Dermatology, George Washington School of Medicine and Health Sciences, Washington, DC
*These authors contributed equally to the production of this work.

overlying the panniculus. On day 17 (figure 2b) following the initial injury, Bensal treated burns demonstrated a more organized and less inflammatory dermis in the wound bed as compared to both control and SSD treated burns. Quantitative analysis of Masson’s trichrome staining on day 17 (Figure 2c ) showed a statistically significant increase in collagen deposition in the Bensal HP-treated group compared to both untreated control and SSD-treated wounds (242.9 vs 232.2 vs 208.6, respectively), which correlates with the visible and parallel arranged collagen bundles.
In excisional wounds, H&E staining on day 7 (Figure 3a) demonstrated apparent scale crust, and a thin reepithelialized epidermis overlying a moderately infiltrated granulation tissue with engorged vessels in the control group. This contrasted with findings in the petrolatum-treated group which exhibited a well formed epidermis with a compact, orthokeratotic stratum corneum, and a mild to moderate inflammatory infiltrate in the dermis with signs of parallel deposition of collagen bundles. Bensal HP-treated wounds exhibited a well formed epidermis, compacted stratum corneum, with a mixture of maturing dermis and inflammatory granulation tissue. On day 11 (Figure 3b), control tissue revealed a mildly contracted wound with overlying crust and persistent inflammatory infiltrate in the dermis. Petrolatum-treated wounds exhibited a contracted mildly inflammatory wound bed with a mature overlying epidermis and parallel arrangement of collagen bundles. Bensal HP treated tissue was notable for a completely contracted scar, visualized by the patchy homogenized collagen seen in high power fields and incomplete muscle healing beneath the panniculus. Masson’s trichrome stain revealed a significant difference in intensity of staining between Bensal HP-treated and control wounds on days 7 and 11 (Figures 3c and 3d, respectively), though no difference was seen between Bensal HP and petrolatum treatment on either day.
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