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聚己内酯-明胶膜作为一种密封生物材料,可有效预防术后吻合口漏,并促进组织修复。

Polycaprolactone-gelatin membrane as a sealant biomaterial efficiently prevents postoperative anastomotic leakage with promoting tissue repair.

机构信息

Department of Regenerative Medicine, College of Medicine, Soonchunhyang University, Cheonan, Republic of Korea.

Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Republic of Korea.

出版信息

J Biomater Sci Polym Ed. 2021 Aug;32(12):1530-1547. doi: 10.1080/09205063.2021.1917107. Epub 2021 Aug 1.

DOI:10.1080/09205063.2021.1917107
PMID:33849401
Abstract

Anastomotic leakage due to post-surgical suture line disruption is one of the crucial factors affecting patient's survival and quality of life. To resolve the poor healing of surgical anastomosis and protect suture sites leakage, fibrous membrane sealing patch was developed using a synthetic polymer (polycaprolactone (PCL)) and biopolymer (gelatin). Electrospinning was used to develop fibrous architecture of membranes fabricated in different ratios (15% (w/v) PCL: 15% (w/v) gelatin mixing ratio of 1:1, 1:2, 1:3 and 1:4). Experimental findings suggested that, higher gelatin content in the membranes reduced the fiber diameter and contact angle, leading to a more hydrophilic scaffold facilitating attachment to the defect site. The degradation rate of various PCL-gelatin membranes (P1G1, P1G2, P1G3 and P1G4) was proportional to the gelatin content. Cytocompatibility was assessed using L929 cells while the P1G4 (PCL: gelatin 1:4 ratio) scaffold exhibited optimum outcome. From study, the wound site healed significantly without any leakage when the sutured area of rat caecum was covered with P1G4 membrane whereas rats in the control group (suture only) showed leakage after two weeks of surgery. In summary, the P1G4 membrane has potential to be applied as a post-surgical leakage-preventing tissue repair biomaterial.

摘要

术后缝线破裂导致的吻合口漏是影响患者生存和生活质量的关键因素之一。为了解决手术吻合口愈合不良和保护缝线部位漏的问题,开发了一种使用合成聚合物(聚己内酯(PCL))和生物聚合物(明胶)的纤维膜密封贴片。通过静电纺丝开发了不同比例(15%(w/v)PCL:15%(w/v)明胶混合比为 1:1、1:2、1:3 和 1:4)制备的膜的纤维结构。实验结果表明,膜中明胶含量越高,纤维直径和接触角越小,导致更亲水的支架更有利于附着在缺陷部位。各种 PCL-明胶膜(P1G1、P1G2、P1G3 和 P1G4)的降解速率与明胶含量成正比。使用 L929 细胞评估细胞相容性,而 P1G4(PCL:明胶 1:4 比例)支架表现出最佳结果。研究表明,当用 P1G4 膜覆盖大鼠盲肠缝合区域时,伤口部位愈合良好,没有任何渗漏,而对照组(仅缝合)的大鼠在手术后两周出现渗漏。总之,P1G4 膜具有作为术后防漏组织修复生物材料的应用潜力。

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