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Porcine intact and wounded skin responses to atmospheric nonthermal plasma
Journal article   Peer reviewed

Porcine intact and wounded skin responses to atmospheric nonthermal plasma

Andrew S Wu, Sameer Kalghatgi, Danil Dobrynin, Rachel Sensenig, Ekaternia Cerchar, Erica Podolsky, Essel Dulaimi, Michelle Paff, Kimberly Wasko, Krishna Priya Arjunan, …
The Journal of surgical research, v 179(1), pp e1-e12
Jan 2013
PMID: 22480830

Abstract

Nonthermal plasma Blood coagulation Wound healing Toxicity Sterilization Dermis Epidermis Burn injury FE-DBD plasma
Thermal plasma is a valued tool in surgery for its coagulative and ablative properties. We suggested through in vitro studies that nonthermal plasma can sterilize tissues, inactive pathogens, promote coagulation, and potentiate wound healing. The present research was undertaken to study acute toxicity in porcine skin tissues. We demonstrate that floating electrode-discharge barrier discharge (FE-DBD) nonthermal plasma is electrically safe to apply to living organisms for short periods. We investigated the effects of FE-DBD plasma on Yorkshire pigs on intact and wounded skin immediately after treatment or 24h posttreatment. Macroscopic or microscopic histological changes were identified using histological and immunohistochemical techniques. The changes were classified into four groups for intact skin: normal features, minimal changes or congestive changes, epidermal layer damage, and full burn and into three groups for wounded skin: normal, clot or scab, and full burn-like features. Immunohistochemical staining for laminin layer integrity showed compromise over time. A marker for double-stranded DNA breaks, γ-H2AX, increased over plasma-exposure time. These findings identified a threshold for plasma exposure of up to 900s at low power and <120s at high power. Nonthermal FE-DBD plasma can be considered safe for future studies of external use under these threshold conditions for evaluation of sterilization, coagulation, and wound healing.

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