Scar tissue formation is a result of excess healing reactions after wounding. Hypertrophic scars scarcely develop in a mouse. In the present study, we established a novel experimental model of a scar-forming wound by resecting a small portion of the abdominal wall on the lower center of the abdomen, which exposed contractive forces by the surrounding muscle tissue. As a tension-less control, a back-skin excision model was used with a splint fixed onto the excised skin edge, and granulation tissue formed on the muscle facia supported by the back skeleton. One week after the resection, initial healing reactions such as fibroblast proliferation took place in both models. However, after 21 days, lesions with collagen-rich granulation tissues forming multiple nodular/spherical-like structures developed only in the abdominal-wall model. The lesions are analogous to scar lesions in humans. Such lesions, however, did not develop in the back-skin excision model. Therefore, this animal model is unique in that fibrous scar tissues form under a physiological condition without using any artificial factors and is valuable for studying the pathogenesis and preclinical treatment of scar lesions.
Commentary: Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair
