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一种解决术后腹部粘连的新策略:双面水凝胶。

A novel strategy for addressing post-surgical abdominal adhesions: Janus hydrogel.

作者信息

Zhu Xinhui, Zhang Lipeng, Qi Yingcheng, Zhang Jingyu, Tang Fuxin, Zong Zhen

机构信息

Department of Gastrointestinal Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.

Department of General Surgery (Hernia and Abdominal Wall Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

出版信息

Colloids Surf B Biointerfaces. 2025 May;249:114511. doi: 10.1016/j.colsurfb.2025.114511. Epub 2025 Jan 14.

DOI:10.1016/j.colsurfb.2025.114511
PMID:39837049
Abstract

Abdominal adhesions are a frequent complication after abdominal surgery, which can cause significant pain and burden to patients. Despite various treatment options, including surgical intervention and pharmacotherapy, these often fail to consistently and effectively prevent postoperative abdominal adhesions. Janus hydrogel is famous for its asymmetric characteristics, which shows great prospects in the prevention and treatment of abdominal adhesion. This review outlines the preparation methods, mechanisms of action, and key applications of Janus hydrogel in the prevention of postoperative abdominal adhesions. Furthermore, we examine the current limitations of the Janus hydrogel anti-adhesion barrier and explore potential future directions for its development.

摘要

腹部粘连是腹部手术后常见的并发症,会给患者带来巨大疼痛和负担。尽管有多种治疗选择,包括手术干预和药物治疗,但这些方法往往无法持续有效地预防术后腹部粘连。双面水凝胶因其不对称特性而闻名,在预防和治疗腹部粘连方面显示出巨大前景。本文综述了双面水凝胶在预防术后腹部粘连方面的制备方法、作用机制和关键应用。此外,我们还研究了双面水凝胶抗粘连屏障目前的局限性,并探索其未来潜在的发展方向。

相似文献

1
A novel strategy for addressing post-surgical abdominal adhesions: Janus hydrogel.一种解决术后腹部粘连的新策略:双面水凝胶。
Colloids Surf B Biointerfaces. 2025 May;249:114511. doi: 10.1016/j.colsurfb.2025.114511. Epub 2025 Jan 14.
2
Biodegradable and thermosensitive monomethoxy poly(ethylene glycol)-poly(lactic acid) hydrogel as a barrier for prevention of post-operative abdominal adhesion.可生物降解和温度敏感的单甲氧基聚乙二醇-聚乳酸水凝胶作为预防术后腹部粘连的屏障。
J Biomed Nanotechnol. 2014 Mar;10(3):427-35. doi: 10.1166/jbn.2014.1726.
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A "Janus" Zwitterionic Hydrogel Patch for Tissue Repair and Prevention of Post-Operative Adhesions.一种用于组织修复和预防术后粘连的“Janus”两性离子水凝胶贴片。
Adv Healthc Mater. 2025 Jan;14(3):e2404082. doi: 10.1002/adhm.202404082. Epub 2024 Dec 6.
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ROS-responsive sprayable hydrogel as ROS scavenger and GATA6 macrophages trap for the prevention of postoperative abdominal adhesions.作为活性氧清除剂和GATA6巨噬细胞捕获剂的活性氧响应性可喷涂水凝胶用于预防术后腹腔粘连。
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A Dual-Layer Hydrogel Barrier Integrating Bio-Adhesive and Anti-Adhesive Properties Prevents Postoperative Abdominal Adhesions.一种兼具生物粘附和抗粘附特性的双层水凝胶屏障可预防术后腹腔粘连。
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Prevention of post-surgical abdominal adhesions by a novel biodegradable thermosensitive PECE hydrogel.新型可生物降解温敏性聚己内酯水凝胶预防术后腹部粘连。
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Prevention of abdominal adhesions--present state and what's beyond the horizon?腹部粘连的预防——现状与未来展望?
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Salt sensitive purely zwitterionic physical hydrogel for prevention of postoperative tissue adhesion.用于预防术后组织粘连的盐敏感纯两性离子物理水凝胶。
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Hemoadhican-based self-leveling Janus patch for comprehensive prevention of postoperative adhesions.基于血液吸附剂的自平整双面贴片用于术后粘连的综合预防。
Mater Today Bio. 2025 Jun 24;33:102021. doi: 10.1016/j.mtbio.2025.102021. eCollection 2025 Aug.