anti-adhesion

防粘连
  • 文章类型: Journal Article
    牙釉质侵蚀后,牙本质超敏反应(DH)表现为由于牙本质小管(DTs)暴露而引起的剧烈和不舒服的疼痛。临床实践中常用的脱敏剂具有局限性,例如渗透深度有限,缓慢的再矿化和没有抗菌性能。为了缓解这些挑战,我们的研究设计了一种源自乳铁蛋白的淀粉样蛋白纳米膜(PTLF纳米膜),其灵感来自唾液获得性膜(SAP).纳米膜利用Tris(2-羧乙基)膦(TCEP)在生理条件下破坏乳铁蛋白(LF)的二硫键。PTLF纳米膜在各种基材上修饰表面,有效防止致龋细菌的早期和稳定粘附,如变形链球菌和嗜酸乳杆菌。同时,它迅速和安全地粘附在去矿化的牙本质表面,通过简单的浸泡过程促进HAP的原位再矿化。这导致形成类似于天然牙本质的再矿化层,三天后,牙本质小管的闭塞深度超过80µm。体内和体外结果证实PTLF纳米膜具有良好的生物相容性和同时发挥抗菌作用和牙本质再矿化的能力。因此,这种创新的双功能PTLF淀粉样蛋白涂层为DH相关疾病的管理提供了有希望的前景。重要声明:我们设计了一个简单的,快,便宜,和易于加工的PTLF纳米膜几乎任何材料表面或形状。PTLF纳米膜在各种基材上修饰表面,并有效防止致龋细菌的粘附,如变形链球菌和嗜酸乳杆菌。PTLF纳米膜表面上丰富的官能团促进生物活性羟基磷灰石(HAP)的形成并维持HAP再矿化界面的稳定性。
    Dentin hypersensitivity (DH) manifests as sharp and uncomfortable pain due to the exposure of dentinal tubules (DTs) following the erosion of tooth enamel. Desensitizing agents commonly used in clinical practice have limitations such as limited depth of penetration, slow remineralization and no antimicrobial properties. To alleviate these challenges, our study designed a lactoferrin-derived amyloid nanofilm (PTLF nanofilm) inspired by the saliva-acquired membrane (SAP). The nanofilm utilises Tris(2-carboxyethyl)phosphine (TCEP) to disrupt the disulfide bonds of lactoferrin (LF) under physiological conditions. The PTLF nanofilm modifies surfaces across various substrates and effectively prevents the early and stable adhesion of cariogenic bacteria, such as Streptococcus mutans and Lactobacillus acidophilus. Simultaneously, it adheres rapidly and securely to demineralized dentin surfaces, facilitating in-situ remineralization of HAP through a simple immersion process. This leads to the formation of a remineralized layer resembling natural dentin, with an occlusion depth of dentinal tubules exceeding 80 µm after three days. The in vivo and vitro results confirm that the PTLF nanofilm possesses good biocompatibility and its ability to exert simultaneous antimicrobial effects and dentin remineralization. Accordingly, this innovative bifunctional PTLF amyloid coating offers promising prospects for the management of DH-related conditions. STATEMENT OF SIGNIFICANCE: We design a simple, fast, inexpensive, and easy-to-process PTLF nanofilm for nearly any material surface or shape. The PTLF nanofilm modifies surfaces across various substrates and effectively prevents the adhesion of cariogenic bacteria, such as Streptococcus mutans and Lactobacillus acidophilus. The abundant functional groups on the surface of PTLF nanofilm facilitate bioactive hydroxyapatite (HAP) formation and maintain stability at the HAP remineralization interface.
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  • 文章类型: Journal Article
    目前,经常用于疝修补的不可生物降解的聚丙烯(PP)贴片可引起纤维组织生长和粘连。这项研究创建了具有抗粘连和抗菌性能的Janus贴片,以改善疝修复,同时促进组织修复。生物活性的4臂-PLGA-BLPD最初是通过用赖氨酸修饰4臂-PLGA合成的,然后使用逐层静电纺丝技术制造Janus贴片。该补片由三层组成:由4arm-PLGA-BLPD/PCL纤维膜组成的修复层,4arm-PLGA/PCL纤维膜的机械层,和负载大黄素(EMO)的EMO-4臂-PLGA/PCL纤维膜的抗菌层。结果表明,Janus贴片具有显著的拉伸强度和断裂伸长率,使其能够为腹壁缺陷提供增强的机械加固。此外,它缓慢释放赖氨酸进行修复,并通过EMO抑制细菌生长。体内实验证明该贴剂能有效诱导新生血管,胶原蛋白累积减少,并通过上调MMP1和MMP9稳定相关蛋白的表达。这促进了腹壁缺损模型的成功修复并防止了粘连。总之,Janus补片为疝气修复提供了实际应用和理论见解。
    Presently, the non-biodegradable polypropylene (PP) patches frequently used for hernia repair can cause fibrous tissue growth and adhesions. This study created a Janus Patch with anti-adhesion and antimicrobial properties to improve hernia repair while promoting tissue repair. The biologically active 4arm-PLGA-BLPD was initially synthesized through the modification of 4arm-PLGA with lysine, followed by the fabrication of a Janus patch using a layer-by-layer electrostatic spinning technique. This patch consisted of three layers: a repair layer composed of 4arm-PLGA-BLPD/PCL fiber membrane, a mechanical layer of 4arm-PLGA/PCL fiber membrane, and an antimicrobial layer of EMO-4arm-PLGA/PCL fiber membrane loaded with Emodin (EMO). The results showed that Janus patch exhibited notable tensile strength and elongation at break, enabling it to offer enhanced mechanical reinforcement for abdominal wall defects. In addition, it slowly releases lysine for repair and inhibits bacterial growth with EMO. In vivo experiments demonstrated that the patch effectively induced neovascularization, reduced collagen ac-cumulation, and stabilized the expression of relevant proteins through the up-regulation of MMP1 and MMP9. This facilitated successful repair of the abdominal wall defect model and prevented adhesions. In summary, the Janus patch offers both practical application and theoretical insight for hernia repair.
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  • 文章类型: Journal Article
    聚丙烯(PP)网因其能够降低器官损伤的风险而常用于腹壁修复,感染和其他并发症。然而,PP网片通常导致粘连形成并且不促进功能性组织修复。在这项研究中,基于席夫碱反应合成了一种乙醛白及多糖(BSPA)改性壳聚糖(CS)水凝胶。水凝胶表现出多孔网络结构,一个高度亲水的表面和良好的生物相容性。我们将PP网包裹在水凝胶内,并在大鼠双侧1×1.5cm腹壁缺损模型中评估所得复合材料的性能。粗略观察的结果,组织学染色和免疫组织化学染色表明CS水凝胶对抗粘连和伤口愈合效果的积极影响。值得注意的是,在CS水凝胶中加入BSPA进一步提高了复合材料的体内性能,通过增强胶原沉积和毛细血管重排促进伤口愈合。这项研究表明,BSPA修饰的CS水凝胶显着促进了抗粘连,PP网在愈合过程中的抗炎和促血管生成特性。总的来说,这项工作为设计腹壁修复补片提供了一种新颖的方法。
    Polypropylene (PP) mesh is commonly used in abdominal wall repair due to its ability to reduce the risk of organ damage, infections and other complications. However, the PP mesh often leads to adhesion formation and does not promote functional tissue repair. In this study, we synthesized one kind of aldehyde Bletilla striata polysaccharide (BSPA) modified chitosan (CS) hydrogel based on Schiff base reaction. The hydrogel exhibited a porous network structure, a highly hydrophilic surface and good biocompatibility. We wrapped the PP mesh inside the hydrogel and evaluated the performance of the resulting composites in a bilateral 1 × 1.5 cm abdominal wall defect model in rats. The results of gross observation, histological staining and immunohistochemical staining demonstrated the positive impact of the CS hydrogel on anti-adhesion and wound healing effects. Notably, the addition of BSPA to the CS hydrogel further improved the performance of the composites in vivo, promoting wound healing by enhancing collagen deposition and capillary rearrangement. This study suggested that the BSPA-modified CS hydrogel significantly promoted the anti-adhesion, anti-inflammatory and pro-angiogenesis properties of PP meshes during the healing process. Overall, this work offers a novel approach to the design of abdominal wall repair patches.
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  • 文章类型: Journal Article
    土壤接合组分在农业生产和工程建设中起着至关重要的作用。然而,直接与土壤相互作用的土壤接合组分经常遭受高阻力的问题,附着力,和穿,这大大降低了土壤操作的效率和质量。在广泛运用仿生学原理的同时,对土壤接合构件的设计进行了大量的特色研究,取得了显著的研究成果。这篇综述对仿生在土壤接合组件设计中的应用进行了全面的文献调查。重点是在以下三个方面的性能优化:减少吃水,防粘连,和耐磨性。系统地解释了各种仿生土壤接合成分的机理。在文献分析和仿生研究的基础上,从机理和应用角度讨论了仿生土壤参与成分的未来发展趋势。这项研究有望为解决相关的科学和工程挑战提供新的见解和灵感。
    Soil-engaging components play a critical role in agricultural production and engineering construction. However, the soil-engaging components directly interacting with the soil often suffer from the problems of high resistance, adhesion, and wear, which significantly reduce the efficiency and quality of soil operations. A large number of featured studies on the design of soil-engaging components have been carried out while applying the principles of bionics extensively, and significant research results have been achieved. This review conducts a comprehensive literature survey on the application of biomimetics in the design of soil-engaging components. The focus is on performance optimization in regard to the following three aspects: draught reduction, anti-adhesion, and wear resistance. The mechanisms of various biomimetic soil-engaging components are systematically explained. Based on the literature analysis and biomimetic research, future trends in the development of biomimetic soil-engaging components are discussed from both the mechanism and application perspectives. This research is expected to provide new insights and inspiration for addressing related scientific and engineering challenges.
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  • 文章类型: Journal Article
    腹疝补片是一种常用的预防腹壁粘连和修复腹壁缺损的产品。目前,设计和制备具有防止粘连的新型生物网状材料,促进修复和良好的生物相容性同时仍然是一个很大的瓶颈。在这项研究中,通过化学气相沉积硅烷化设计和制备了一种新型的硅氧烷改性细菌纤维素(BC),探讨了不同烷基链长度的硅氧烷对其表面性质和细胞行为的影响。评估了硅氧烷修饰的BC预防腹部粘连和修复大鼠腹壁缺损的效果。随着接枝的烷基链变长,硅氧烷改性BC的表面可以从超亲水性转变为疏水性。体内实验结果表明,BC-C16具有良好的长期抗粘连作用,良好的组织适应性和组织相容性,该材料有望作为一种新型的抗粘连疝修复材料应用于临床。
    Abdominal hernia mesh is a common product which is used for prevention of abdominal adhesion and repairing abdominal wall defect. Currently, designing and preparing a novel bio-mesh material with prevention of adhesion, promoting repair and good biocompatibility simultaneously remain a great bottleneck. In this study, a novel siloxane-modified bacterial cellulose (BC) was designed and fabricated by chemical vapor deposition silylation, then the effects of different alkyl chains length of siloxane on surface properties and cell behaviors were explored. The effect of preventing of abdominal adhesion and repairing abdominal wall defect in rats with the siloxane-modified BC was evaluated. As the grafted alkyl chains become longer, the surface of the siloxane-modified BC can be transformed from super hydrophilic to hydrophobic. In vivo results showed that BC-C16 had good long-term anti-adhesion effect, good tissue adaptability and histocompatibility, which is expected to be used as a new anti-adhesion hernia repair material in clinic.
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  • 文章类型: Journal Article
    周围神经吻合后,吻合部位容易与周围组织粘连,从而影响神经修复的有效性。这项研究探讨了去细胞外膜作为外周神经修复中抗粘附生物膜的发展和功效。首先,整个神经外膜是从新鲜的猪坐骨神经中提取的,随后是去细胞化过程。然后彻底评估去细胞化效率。随后,对脱细胞神经外膜进行蛋白质组学分析,以确定剩余的生物活性成分.为了确保生物安全,脱细胞神经外膜进行了细胞毒性试验,溶血试验,细胞亲和力测定,和评估皮下植入后的免疫反应。最后,使用大鼠坐骨神经横断和吻合模型确定生物膜的功能。结果表明,脱细胞过程有效地从神经外膜去除细胞成分,同时保留了许多生物活性分子,这种脱细胞神经外膜能有效防止粘连,同时促进神经修复和功能恢复。总之,脱细胞神经外膜代表了一种新颖且有前景的抗粘连生物膜,可增强周围神经修复的手术效果。
    Following peripheral nerve anastomosis, the anastomotic site is prone to adhesions with surrounding tissues, consequently impacting the effectiveness of nerve repair. This study explores the development and efficacy of a decellularized epineurium as an anti-adhesive biofilm in peripheral nerve repair. Firstly, the entire epineurium was extracted from fresh porcine sciatic nerves, followed by a decellularization process. The decellularization efficiency was then thoroughly assessed. Subsequently, the decellularized epineurium underwent proteomic analysis to determine the remaining bioactive components. To ensure biosafety, the decellularized epineurium underwent cytotoxicity assays, hemolysis tests, cell affinity assays, and assessments of the immune response following subcutaneous implantation. Finally, the functionality of the biofilm was determined using a sciatic nerve transection and anastomosis model in rats. The result indicated that the decellularization process effectively removed cellular components from the epineurium while preserving a number of bioactive molecules, and this decellularized epineurium was effective in preventing adhesion while promoting nerve repairment and functional recovery. In conclusion, the decellularized epineurium represents a novel and promising anti-adhesion biofilm for enhancing surgical outcomes of peripheral nerve repair.
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  • 文章类型: Journal Article
    高性能导管对于介入手术至关重要,需要可靠的防粘和润滑表面。本文开发了一种在导管表面构建高密度磺基甜菜碱两性离子聚合物刷的策略,利用多巴胺和海藻酸钠作为主要的中间层,其中多巴胺提供贻贝-蛋白质样粘附以将聚合物刷锚定到导管表面。富含羟基的海藻酸钠可增加接枝位点的数量,并使接枝质量提高4倍以上。开发的高密度两性离子聚合物刷实现了持久和有效的润滑性(μ<0.0078),并在不存在肝素等抗凝剂的情况下植入兔子4小时,没有生物粘附和血栓形成。实验和分子动力学模拟表明,接枝质量对聚合物刷的润滑性和抗粘连性起决定性作用,并建议通过其润滑性来预测聚合物刷的抗粘附性,以避免在两性聚合物刷的开发过程中进行昂贵且耗时的生物测定。还揭示了水合作用对两亲性聚合物刷的抗粘附性能的定量影响。因此,这项研究提供了一种新的方法来安全,用于与血液接触的医疗器械的持久润滑和抗凝血表面改性。重要性声明:医疗器械表面的高摩擦和生物粘附可能对患者构成重大风险。作为回应,我们开发了一种更安全的,更简单,以及更多特定应用的表面改性策略,可满足医疗器械表面的润滑和抗生物粘附需求。我们使用多巴胺和藻酸钠作为中间层,以大大提高两性离子刷的接枝密度,并使改性表面具有极低的摩擦系数(μ=0.0078),并在体内保持4小时的非生物粘附性。此外,我们使用分子动力学模拟来深入了解高密度聚合物刷的优异抗粘连性能背后的机制。我们的工作有助于表面改性涂料的开发和应用。
    High-performance catheters are essential for interventional surgeries, requiring reliable anti-adhesive and lubricated surfaces. This article develops a strategy for constructing high-density sulfobetaine zwitterionic polymer brushes on the surface of catheters, utilizing dopamine and sodium alginate as the primary intermediate layers, where dopamine provides mussel-protein-like adhesion to anchor the polymer brushes to the catheter surface. Hydroxyl-rich sodium alginate increases the number of grafting sites and improves the grafting mass by more than 4 times. The developed high-density zwitterionic polymer brushes achieve long-lasting and effective lubricity (μ<0.0078) and are implanted in rabbits for four hours without bio-adhesion and thrombosis in the absence of anticoagulants such as heparin. Experiments and molecular dynamics simulations demonstrate that graft mass plays a decisive role in the lubricity and anti-adhesion of polymer brushes, and it is proposed to predict the anti-adhesion of polymer brushes by their lubricity to avoid costly and time-consuming bioassays during the development of amphoteric polymer brushes. A quantitative influence of hydration in the anti-adhesion properties of amphiphilic polymer brushes is also revealed. Thus, this study provides a new approach to safe, long-lasting lubrication and anticoagulant surface modification for medical devices in contact with blood. STATEMENT OF SIGNIFICANCE: High friction and bioadhesion on medical device surfaces can pose a significant risk to patients. In response, we have developed a safer, simpler, and more application-specific surface modification strategy that addresses both the lubrication and anti-bioadhesion needs of medical device surfaces. We used dopamine and sodium alginate as intermediate layers to drastically increase the grafting density of the zwitterionic brushes and enabled the modified surfaces to have an extremely low coefficient of friction (μ = 0.0078) and to remain non-bioadhesive for 4 hours in vivo. Furthermore, we used molecular dynamics simulations to gain insight into the mechanisms behind the superior anti-adhesion properties of the high-density polymer brushes. Our work contributes to the development and application of surface-modified coatings.
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  • 文章类型: Journal Article
    龋齿是人类中最常见且与生物膜相关的口腔疾病之一。变形链球菌,通过粘附在坚硬的表面上形成生物膜的能力很强,已被确定为龋齿的重要病因。因此,找到防止龋齿生物膜形成的方法至关重要。这里,我们报道了一种能抑制变形链球菌粘附和生物膜形成的电纺纤维膜。此外,聚苯乙烯(PS)/聚乙烯吡咯烷酮(PVP)电纺纤维膜改变了3D生物膜结构,并减少了水不溶性胞外多糖的产生。值得注意的是,通过zeta电位检测带负电荷的PS/PVP电纺纤维膜与变形链球菌之间存在库仑排斥的抗粘附机制。此外,宏基因组学测序分析和CCK-8分析表明,PS/PVP电纺纤维膜对微生物组友好,对人牙龈上皮细胞和人口腔角质形成细胞的活力没有影响。此外,体外模拟实验表明,PS/PVP电纺纤维膜能有效降低变异链球菌的集落形成单位数,负载氟化钙的PS/PVP电纺纤维膜比单独的PS/PVP电纺纤维膜表现出更好的抗粘附能力。总的来说,这项研究表明,PS/PVP电纺纤维膜在控制和预防龋齿方面具有潜在的应用价值。
    Dental caries is one of the most prevalent and biofilm-associated oral diseases in humans. Streptococcus mutans, with a high ability to form biofilms by adhering to hard surfaces, has been established as an important etiological agent for dental caries. Therefore, it is crucial to find a way to prevent the formation of cariogenic biofilm. Here, we report an electrospun fibrous membrane that could inhibit the adhesion and biofilm formation of S. mutans. Also, the polystyrene (PS)/polyvinyl pyrrolidone (PVP) electrospun fibrous membrane altered the 3D biofilm architecture and decreased water-insoluble extracellular polysaccharide production. Notably, the anti-adhesion mechanism which laid in Coulomb repulsion between the negatively charged PS/PVP electrospun fibrous membrane and S. mutans was detected by zeta potential. Furthermore, metagenomics sequencing analysis and CCK-8 assay indicated that PS/PVP electrospun fibrous membrane was microbiome-friendly and displayed no influence on the cell viability of human gingival epithelial cells and human oral keratinocytes. Moreover, an in vitro simulation experiment demonstrated that PS/PVP electrospun fibrous membrane could decrease colony-forming unit counts of S. mutans effectively, and PS/PVP electrospun fibrous membrane carrying calcium fluoride displayed better anti-adhesion ability than that of PS/PVP electrospun fibrous membrane alone. Collectively, this research showed that the PS/PVP electrospun fibrous membrane has potential applications in controlling and preventing dental caries.
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  • 文章类型: Journal Article
    渗出物处理对于急性伤口的治疗具有重要的临床价值。已经开发了各种伤口敷料来恢复受伤组织的功能并促进伤口愈合,但是,适当利用渗出物内的愈合因素并实现抗粘连伤口护理仍然是一个挑战。在这里,我们提出了一种新型的多功能复合敷料(MCD),通过将间充质干细胞上清液冻干粉末(MSC-SLP)与三明治结构的伤口敷料(SWD)偶联。开发的MCD展示了独特的单向排水能力,稳定的抗粘连特性,改善伤口愈合性能。设计的SWD具有超疏水内表面和中间层的液体吸收能力,使敷料对新生肉芽组织具有所需的抗粘连性能,对外源细菌有良好的屏蔽作用,以及适当的渗出物保持能力和单向渗出物吸收性能。在SWD中引入MSC-SLP被证明进一步改善了伤口愈合质量。与医用纱布相比,SWD和MSC-SLP的协同作用显着加速伤口愈合率超过30%,在更换敷料时避免组织撕脱,并产生平坦光滑的闭合表面。更重要的是,与其他组相比,用MCD治疗的伤口在再生组织中呈现更多的皮肤附属器官和血管。体内/体外生物相容性评估表明毒性很小,证明了开发的敷料的生物安全性。所提出的方法在临床应用中提供了巨大的潜力,特别是对于慢性伤口治疗。
    Exudate management is of significant clinical value for the treatment of acute wound. Various wound dressings have been developed to restore the function of injured tissues and promote wound healing, but proper exploiting the healing factors inside exudate and achieving anti-adhesion wound care remains a challenge. Herein, we present a novel multi-functional composite dressing (MCD) by coupling supernatant lyophilized powder of mesenchymal stem cells (MSC-SLP) with a sandwich-structured wound dressing (SWD). The developed MCDs demonstrated unique unidirectional drainage capability, stable anti-adhesion characteristics, and improved wound healing performance. The designed SWD with both superhydrophobic inner surface and liquid-absorption ability of mid layer enables the dressings exhibit desired anti-adhesion property to neoformative granulation tissues, favorable shielding effect to exogenous bacteria, as well as appropriate exudate-retaining capability and unidirectional exudate-absorption property. The introduction of MSC-SLP in SWD was demonstrated to further improve wound healing quality. Compared to medical gauze, the synergic effect of SWD and MSC-SLP significantly accelerates wound healing rate by over 30%, avoids tissue avulsion when changing dressings, and produces a flat-smooth closure surface. More importantly, the wound treated with MCDs presents more skin accessory organs and blood vessels in regenerated tissues than other groups. In vivo/vitro biocompatibility evaluations indicated little toxicity, demonstrating the biosecurity of the developed dressings. The proposed method offers great potential in clinical applications particularly for chronic wound treatments.
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  • 文章类型: Journal Article
    腹部粘连是一个常见的临床问题,腹部手术后发病率和后果很高。尽管许多防粘连材料已用于外科手术中,仍需要额外的研究来确定哪些具有最强大的湿组织粘连,最好的防术后粘连,和最好的抗炎特性。我们研制了一种优良的组织粘附性和抗溶胀性的聚乙烯醇-壳聚糖水凝胶(AS水凝胶)。根据体外细胞检测,AS水凝胶可显着降低细胞周围的炎症,并表现出良好的生物相容性。Further,我们使用盲肠和腹壁损伤的兔模型评估AS水凝胶预防腹腔粘连的效果.根据数据,与对照组相比,AS水凝胶具有优异的抗炎和生物降解性能。它还可以防止在手术期间发生肠和腹壁损伤。基于这些结果,水凝胶似乎是防止术后腹壁粘连的完美新材料。
    Abdominal adhesion is a frequent clinical issue with a high incidence rate and consequences following intra-abdominal surgery. Although many anti-adhesion materials have been used in surgical procedures, additional research is still needed to determine which ones have the most robust wet tissue adhesion, the best anti-postoperative adhesion, and the best anti-inflammatory properties. We have developed an excellent tissue adhesion and anti-swelling polyvinyl alcohol-chitosan hydrogel (AS hydrogel). According to in vitro cell testing, AS hydrogel significantly decreased inflammation around cells and exhibited good biocompatibility. Further, we assessed how well AS hydrogel prevented intraperitoneal adhesion using a rabbit model with cecum and abdominal wall injuries. According to the data, AS hydrogel has excellent anti-inflammatory and biodegradability properties compared to the control group. It can also prevent intestinal and abdominal wall injuries from occurring during surgery. Based on these results, hydrogel appears to be a perfect new material to prevent postoperative abdominal wall adhesion.
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