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International Journal of Bioprinting                                Bioprinting in wound dressing and healing



            printed  directly  onto  the  wound,  which  is  then  left  to   epithelial  re-formation  process  and  shows  extraordinary
            allow the material to fuse repeatedly. During the printing   potential for treating diabetic wounds.
            process, no part of the printer directly interacted with   3.12. Film. This cluster contains two articles. A pectin-
            the animal. The results showed that after 8 weeks of in   based bioprinting ink was proposed by Andriotis  et al.
                                                                                                           [93]
            situ printing, a fully differentiated epidermis could   This ink forms a transparent film after drying and can
            be seen, keratinocytes fully proliferated and covered   rapidly decompose after contact with water. Rees  et al.
                                                                                                           [94]
            the wound, and the dermis grew to the wound edge.   prepared a transparent nanocellulose-based film that can
            Handheld instruments were also developed with the hope   provide a moist wound healing environment and form an
            of translating biofabrication into the field of surgery.   elastic gel with bioresponsive properties.
            O’Connell  et al.  described a handheld bioproduction
                         [81]
            tool called “biopen.” Cheng   et al.  also described a   3.13. Nanocomposite This cluster contains only one
                                          [82]
            handheld instrument to deliver fibronectin-containing   review. Traditional hydrogels are less likely to be used
            mesenchymal stem/stromal cells directly to the trauma   directly in wound dressings and healing because of their
            surface, improving re-epithelialization, dermal cell   poor physical properties, and work to improve hydrogels
            regeneration, and neovascularization.              with nanoparticles is summarized by Barrett-Catton
                                                               et al.  The composite hydrogels tend to exhibit superior
                                                                   [95]
               3.8. Biomaterial. The papers of this cluster mainly
            emphasize the properties of different biomaterials.   physical and biochemical properties.
            For example, the paper  by Ma   et al.  highlights the   Figure 9 shows the frequency of occurrence between
                                            [83]
            vascularization-inducing function of strontium silicate   keywords. The results in Figure 9 can verify the clustering
            microcylinders. Ulusu   et al.  emphasize the thermal   analysis results in the above. Since the application of
                                    [84]
            stability and fluidic properties of a polymeric biomaterial   bioprinting in wound dressing and healing is a topic in tissue
            called Caf1. Pitton  et al.  also highlighted the hydrofluidic   engineering, both “tissue engineering” and “bioprinting/
                              [85]
            properties of pectin-cellulose nanofibers.         wound healing” have a high frequency of co-occurrence.
                                                               The assembly of scaffolds is also a very important direction
               3.9. Scaffold. This cluster contains four different
            scaffolds for tissue engineering. A thermosensitive   in this topic, so “scaffolds” and “fabrication” also have a
                                                               high frequency of co-occurrence. Meanwhile, hydrogels
            hydrogel was prepared by Boffito   et al.  Xia   et al.    are the most commonly used option in bioprinted wound
                                             [86]
                                                        [87]
            prepared a curcumin-incorporated gelatin methacryloyl   dressings. Among them, chitosan is one of the most
            hydrogel. A bioactive microgel was synthesized by de Rutte    commonly used raw materials for making hydrogel.
            et al.  A biomaterial sheet was prepared by Cheng  et al. [82]
               [88]
               3.10. Bioink. The silhouette value of this cluster is only   4. Conclusion and perspectives
            0.764, which is the lowest among all clusters. It contains
            four reviews and one research paper. Masri   et al.    Bioprinting is an important new technology in wound
                                                        [89]
            presented a strategy for printability quality improvement   dressing and healing. This bibliometric-based investigation
            of bioprinting for skin regeneration and wound healing.   provides a statistical summary of how the topic has evolved
            Nie    et  al.   provided  a summary and  outlook  on the   between 2011 and 2022. Bioprinting is a cost-effective and
                     [90]
            bioassembly by microfluidics. Serban  et al.  presented   efficient production method that helps address challenges
                                                [91]
            hyaluronic acid for 3D structural assembly. Wang  et al.    like high production costs and slowing profits in the
                                                        [27]
            specifically presented extrusion-based bioprinting for   skin repair material industry and develop products with
            wound dressing and healing.                        better performance. Compared with traditional skin
                                                               tissue engineering technology, bioprinting technology can
               3.11. Diabetic wound. The treatment of diabetic
            wounds is also important for bioprinted skin dressings and   locate cell precise and produce complex and controllable
                                                               structure. Based on the above analysis, the following
            healing. The most frequently occurring keyword in this   conclusions can be drawn:
            cluster is diabetic wound. Wan  et al.  prepared a bilayer
                                         [92]
            skin scaffold using gelatin as the matrix material using 3D   (i)  Bioprinting for wound dressing and healing has
            printing technology. The upper layer of the scaffold consisted   been published since 2011 but has not attracted
            of gelatin cryogel loaded with silver nanoparticles, and the   much attention for a short period of time. This topic
            lower layer consisted of printed gelatin scaffold loaded with   gained traction in 2018 and has continued to grow
            platelet-derived growth factor. The bilayer skin scaffold was   in  the  following  years.  Based  on  the  bibliometric
            shown to promote granulation tissue formation, collagen   analysis, this trend does not show signs of stagnation.
            deposition, and neointima formation in a diabetic mouse   Therefore, this topic will continue to be dynamic for
            wound model. This bilayer skin scaffold accelerates the   some time.


            Volume 9 Issue 2 (2023)                         60                       http://doi.org/10.18063/ijb.v9i2.653
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