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双层纳米纤维聚己内酯/明胶膜作为一种密封屏障以防止术后胰漏。

Dual-layer nanofibrous PCL/gelatin membrane as a sealant barrier to prevent postoperative pancreatic leakage.

作者信息

Shanto Prayas Chakma, Tae Heyjin, Ali Md Yousuf, Jahan Nusrat, Jung Hae Il, Lee Byong-Taek

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. 2025 Feb;36(3):333-350. doi: 10.1080/09205063.2024.2402135. Epub 2024 Sep 18.

DOI:10.1080/09205063.2024.2402135
PMID:39292636
Abstract

Post-operative pancreatic leakage is a severe surgical complication that can cause internal bleeding, infections, multiple organ damage, and even death. To prevent pancreatic leakage and enhance the protection of the suture lining and tissue regeneration, a dual-layer nanofibrous membrane composed of synthetic polymer polycaprolactone (PCL) and biopolymer gelatin was developed. The fabrication of this dual-layer (PGI-PGO) membrane was achieved through the electrospinning technique, with the inner layer (PGI) containing 2% PCL (w/v) and 10% gelatin (w/v), and the outer layer (PGO) containing 10% PCL (w/v) and 10% gelatin (w/v) in mixing ratios of 2:1 and 1:1, respectively. Experimental results indicated that a higher gelatin content reduced fiber diameter enhanced the hydrophilicity of the PGI layer compared to the PGO layer, improved the membrane's biodegradability, and increased its adhesive properties. biocompatibility assessments with L929 fibroblast cells showed enhanced cell proliferation in the PGI-PGO membrane. studies confirmed that the PGI-PGO membrane effectively protected the suture line without any instances of leakage and promoted wound healing within four weeks post-surgery. In conclusion, the nanofibrous PGI-PGO membrane demonstrates a promising therapeutic potential to prevent postoperative pancreatic leakage.

摘要

术后胰漏是一种严重的手术并发症,可导致内出血、感染、多器官损伤,甚至死亡。为了预防胰漏并加强对缝合线内衬的保护及组织再生,研发了一种由合成聚合物聚己内酯(PCL)和生物聚合物明胶组成的双层纳米纤维膜。这种双层(PGI-PGO)膜是通过静电纺丝技术制备的,内层(PGI)含有2%(w/v)的PCL和10%(w/v)的明胶,外层(PGO)含有10%(w/v)的PCL和10%(w/v)的明胶,混合比例分别为2:1和1:1。实验结果表明,较高的明胶含量可减小纤维直径,与PGO层相比增强了PGI层的亲水性,改善了膜的生物降解性,并提高了其粘附性能。对L929成纤维细胞的生物相容性评估显示,PGI-PGO膜中的细胞增殖增强。研究证实,PGI-PGO膜有效地保护了缝合线,没有出现任何渗漏情况,并在术后四周内促进了伤口愈合。总之,纳米纤维PGI-PGO膜在预防术后胰漏方面显示出有前景的治疗潜力。

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