A novel two-component, expandable bioadhesive for exposed defect coverage: Applicability to prenatal procedures.

A novel two-component, expandable bioadhesive for exposed defect coverage: Applicability to prenatal procedures.
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DOI:
10.1016/j.jpedsurg.2020.09.030
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发表时间:
2021-01
影响因子:
2.4
通讯作者:
Fauza DO
Fauza DO
中科院分区:
医学3区
文献类型:
--
作者:
Lazow SP;Labuz DF;Freedman BR;Rock A;Zurakowski D;Mooney DJ;Fauza DO

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We sought to test select properties of a novel, expandable bioadhesive composite that allows for enhanced adhesion control in liquid environments. Rabbit fetuses (n=23) underwent surgical creation of spina bifida on gestational day 22–25 (term 32–33 days). Defects were immediately covered with a two-component tough adhesive consisting of a hydrogel made of a double network of ionically crosslinked alginate and covalently crosslinked polyacrylamide linked to a bridging chitosan polymer adhesive. Animals were euthanized prior to term for different analyses, including hydraulic pressure testing. Hydrogels remained adherent in 70% (16/23) of the recovered fetuses and in all of the last 14 fetuses as the procedure was optimized. Adherent hydrogels showed a median two-fold (IQR:1.7–2.4) increase in area at euthanasia, with defect coverage confirmed by ultrasound and histology. The median maximum pressure to repair failure was 15mmHg (IQR:7.8–55.3), exceeding reported neonatal cerebrospinal fluid pressures. This novel bioadhesive composite allows for selective, stable attachment of an alginate-polyacrylamide hydrogel to specific areas of the spina bifida defect in a fetal rabbit model, while the hydrogel expands with the defect over time. It could become a valuable alternative for the prenatal repair of spina bifida and possibly other congenital anomalies.
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