Prevention of surgical adhesions with barriers of carboxymethylcellulose and poly(ethylene glycol) hydrogels synthesized by irradiation

Prevention of surgical adhesions with barriers of carboxymethylcellulose and poly(ethylene glycol) hydrogels synthesized by irradiation
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DOI:
10.1002/app.21558
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发表时间:
2005-05-15
影响因子:
3
通讯作者:
Son, TI
Son, TI
中科院分区:
化学3区
文献类型:
--
作者:
Lee, JH;Nho, YC;Son, TI

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制备了基于羧甲基纤维素(CMC)和聚乙二醇(PEG)的生物相容性和可生物降解的水凝胶,作为预防手术粘连的物理屏障。这些互聚物水凝胶的γ-辐照交联技术合成。用骨钻研磨盲肠浆膜和邻近腹壁的切片(1.5 cm X 1.5 cm),直至浆膜表面破裂并出血但未穿孔,然后将盲肠浆膜缝合到距受伤部位5 mm处的腹壁上。用CMC/PEG水凝胶或来自CMC/PEG水凝胶的溶液覆盖裸露的盲肠。未覆盖对照大鼠浆膜。两周后,处死大鼠,并以0-5分制对粘连进行评分。没有治疗显示出比CMC/PEG水凝胶或来自CMC/PEG水凝胶的溶液显著更高的粘连发生率。该研究表明,CMC/ PEG水凝胶可以防止大鼠模型中的腹腔内粘连。(c)2005 Wiley Periodicals,Inc.
Biocompatible and biodegradable hydrogels based on carboxymethylcellulose (CMC) and poly(ethylene glycol) (PEG) were prepared as physical barriers for preventing surgical adhesions. These interpolymeric hydrogels were synthesized by a gamma-irradiation crosslinking technique. Sections (1.5 cm X 1.5 cm) of the cecal serosa and an adjacent abdominal wall were abraded with a bone burr until the serosal surface was disrupted and hemorrhagic but not perforated, and the serosa of the cecum was sutured to the abdominal wall 5 mm away from the injured site. The denuded cecum was covered with either CMC/PEG hydrogels or a solution from a CMC/PEG hydrogel. A control rat serosa was not covered. Two weeks later, the rats were killed, and the adhesions were scored on a 0-5 scale. No treatment showed a significantly higher incidence of adhesions than the CMC/PEG hydrogels or solutions from the CMC/PEG hydrogels. This study demonstrated that CMC/ PEG hydrogels could prevent intra-abdominal adhesion in a rat model. (c) 2005 Wiley Periodicals, Inc.