Hong Yi, Fujimoto Kazuro, Hashizume Ryotaro, Guan Jianjun, Stankus John J, Tobita Kimimasa, Wagner William R
McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15219, USA.
Biomacromolecules. 2008 Apr;9(4):1200-7. doi: 10.1021/bm701201w. Epub 2008 Mar 5.
Damage control laparotomy is commonly applied to prevent compartment syndrome following trauma but is associated with new risks to the tissue, including infection. To address the need for biomaterials to improve abdominal laparotomy management, we fabricated an elastic, fibrous composite sheet with two distinct submicrometer fiber populations: biodegradable poly(ester urethane) urea (PEUU) and poly(lactide-co-glycolide) (PLGA), where the PLGA was loaded with the antibiotic tetracycline hydrochloride (PLGA-tet). A two-stream electrospinning setup was developed to create a uniform blend of PEUU and PLGA-tet fibers. Composite sheets were flexible with breaking strains exceeding 200%, tensile strengths of 5-7 MPa, and high suture retention capacity. The blending of PEUU fibers markedly reduced the shrinkage ratio observed for PLGA-tet sheets in buffer from 50% to 15%, while imparting elastomeric properties to the composites. Antibacterial activity was maintained for composite sheets following incubation in buffer for 7 days at 37 degrees C. In vivo studies demonstrated prevention of abscess formation in a contaminated rat abdominal wall model with the implanted material. These results demonstrate the benefits derivable from a two-stream electrospinning approach wherein mechanical and controlled-release properties are contributed by independent fiber populations and the applicability of this composite material to abdominal wall closure.
损伤控制剖腹术常用于预防创伤后发生的骨筋膜室综合征,但会给组织带来新的风险,包括感染。为满足改善腹部剖腹术管理对生物材料的需求,我们制备了一种弹性纤维复合片材,其具有两种不同的亚微米级纤维群体:可生物降解的聚(酯脲)脲(PEUU)和聚(丙交酯 - 乙交酯)(PLGA),其中PLGA负载有抗生素盐酸四环素(PLGA - tet)。开发了一种双流静电纺丝装置以制备PEUU和PLGA - tet纤维的均匀混合物。复合片材具有柔韧性,断裂应变超过200%,拉伸强度为5 - 7 MPa,并且具有高缝合保持能力。PEUU纤维的混合显著降低了PLGA - tet片材在缓冲液中观察到的收缩率,从50%降至15%,同时赋予复合材料弹性体性能。在37℃下于缓冲液中孵育7天后,复合片材仍保持抗菌活性。体内研究表明,在植入材料的污染大鼠腹壁模型中可预防脓肿形成。这些结果证明了双流静电纺丝方法的益处,其中机械性能和控释性能由独立的纤维群体提供,以及这种复合材料在腹壁闭合中的适用性。