Hu Jie, Chen Guopu, Wang Gefei
Department of General Surgery, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China.
Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China.
Nanomaterials (Basel). 2022 Aug 15;12(16):2802. doi: 10.3390/nano12162802.
Due to abdominal infection, excessive wound exudation, and intestinal fistula formation, the treatment of full-thickness abdominal wall defects has become a difficult challenge for clinic doctors. This clinical problem cannot be resolved with existing biomaterials. To facilitate the repair of the abdominal wall, we developed a novel wound dressing with directional biofluid transport. We used electrospinning to spin a trilayer dressing consisting of hydrolyzed poly-acrylonitrile (HPAN)/Curcumin (CUR), polyurethane (PU), and polycaprolactone (PCL). In vitro results show that the three-layer wound dressing is biocompatible, capable of directional transport of excessive wound exudation, preventing reverse penetration, and monitoring the pH of the wound. Furthermore, in vivo results show the trilayer wound dressing improves the wound microenvironment, reduces inflammatory factors, promotes angiogenesis, and accelerates abdominal wall repair. Thus, we believe that the novel trilayer electrospinning dressing could facilitate abdominal wall defect repair.
由于腹部感染、伤口渗出过多以及肠瘘形成,全层腹壁缺损的治疗已成为临床医生面临的一项艰巨挑战。这一临床问题无法用现有的生物材料解决。为了促进腹壁修复,我们开发了一种具有定向生物流体传输功能的新型伤口敷料。我们采用静电纺丝技术制备了一种由水解聚丙烯腈(HPAN)/姜黄素(CUR)、聚氨酯(PU)和聚己内酯(PCL)组成的三层敷料。体外实验结果表明,这种三层伤口敷料具有生物相容性,能够定向传输过多的伤口渗出液,防止液体逆流,并监测伤口的pH值。此外,体内实验结果表明,这种三层伤口敷料可改善伤口微环境,减少炎症因子,促进血管生成,并加速腹壁修复。因此,我们认为这种新型三层静电纺丝敷料有助于腹壁缺损的修复。