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To overcome one of the worst labour markets in the country, the smallest American state needs to start helping itself.

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After surgery you have a number of changes that take place, all part of normal reactive, reparative process. These types of changes take place with most any trauma or injury, whether it be to skin surfaces or deeper. These changes are induced by a variety of factors that act kind of in a cascade formation, in a cascade manner.

After injury there are a number of different types of cells. Some of them inflammatory cells, some of them cells such as fibroblasts, macrophages, lymphocytes that are drawn to the area of injury simply by the processes of injury to blood vessels. The blood vessels have cells in them that release products when they are injured, that draw these cells to the area, that institute then reactive or reparative processes.

These involve normal clotting mechanisms, inflammatory processes to guard against infections, and processes to repair the damage that's been done. A lot of this is done by fibroblasts. Fibroblasts lay down collagen and thereby repair some of the damage that was done by an injury or more specifically, in this case, by surgery. Now, this is a good thing. You have to be able to repair the injury.

However, the tissue repaired isn't the same as the natural tissue. It's predominantly collagen. It is more cellular than the normal tissue because you now have all these other cells there that weren't there in the past. In the pre-injured tissue, you have fibers other than collagen, particularly elastin, is elastic. It allows movement a lot better than collagen.

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