Evaluation of chitosan-gelatin films for use as postoperative adhesion barrier in rat cecum model.

BACKGROUND: Postoperative adhesions remain a significant complication of abdominal surgery and can result in pain, infertility and potentially lethal bowel obstruction. Pharmacotherapy and barrier devices have reduced adhesion formation to varying degrees in preclinical studies or clinical trials. MATERIALS AND METHODS: In this study, we produced blends between chitosan (Ch) and gelatin (G) with various compositions (Ch/G 100/0, 75/25, 50/50, 25/75 w/w) as candidate materials for prevention of postoperative abdominal adhesion. For in vivo analysis, 30 female rats weighing 200-250 g were divided into 5 groups (One control and 4 treatment groups). Under general anesthesia, the anterior surface of serous membrane in rat was scraped slightly with sterile gauze until obvious congestion and small bleeding drops appeared, then sample films set on the cecum in treatment groups and the intestine was put back into the abdominal cavity, which were then closed. After 4 weeks, the abdominal cavity was reopened and the grades of peritoneal adhesion were studied by macroscopic and pathologic assessments. RESULTS: Our results showed Ch1/G3 films had an insignificant reduction effect on postoperative adhesion, but surprisingly, the sample with more than 25% by weight of chitosan did not have any effect on reducing adhesion formation but also increased inflammation near the cecum. CONCLUSION: Administration of chitosan-gelatin films with higher than 25% weight of chitosan had no effect on reduction of adhesion formation in the rat cecum model.

The influence of bioglass nanoparticles on the biodegradation and biocompatibility of poly (3-hydroxybutyrate) scaffolds.

Nanocomposite scaffolds have been developed in order to achieve better mechanical and physiological properties in bone tissue engineering applications. In this study, reinforced poly (3-hydroxybutyrate) (PHB) composite scaffolds made with different weight ratios of nanobioglass (0, 2.5, 5, 7.5, and 10 wt%) and various porosities (70, 80 and 90 wt% of NaCl) were prepared by the salt leaching process. The scaffolds were placed in a PBS solution and their weight loss was measured. The biocompatibility of samples was examined in vitro using the MG63 cell line by indirect test, cell proliferation, and alkaline phosphatase (ALP) assays. Cell attachment on the surface of the scaffolds was observed by scanning electron microscopy (SEM). The biodegradation results showed that increasing the volume fraction of porosity and concentration of bioglass nanoparticles enhanced the weight loss of the scaffolds. The cell study demonstrated that a certain concentration of nanobioglass (7.5 wt%) in the scaffolds can significantly improve cell proliferation, inducing better osteoconductivity, compared to that of the pure PHB scaffolds and controls. In addition, the SEM results showed high cell attachment on these samples. All these factors indicate that samples with 7.5 wt% nanobioglass are a promising scaffold for bone tissue engineering.

Macroscopic and pathological assessment of methylene blue and normal saline on postoperative adhesion formation in a rat cecum model.

BACKGROUND: Adhesion formation after abdominal surgery is a major cause of postoperative bowel obstruction, infertility, and chronic abdominal pain. In this study, we evaluated the effect of normal saline and methylene blue (MB) on postoperative adhesion formation in a rat cecum model. METHODS: A total of 30 Wistar female rats in 2 treatment and 1 control groups underwent midline laparotomy and standardized abrasion of the visceral peritoneum. Normal saline and methylene blue were administrated intraperitoneally at the end of the surgical procedure in 2 treatment groups. Fourteen days after surgery, a re-laparotomy was performed for macroscopic and pathological assessment. RESULTS: The adhesion grade and extent of the normal saline group was lower than control and MB groups in macroscopic assessment (P<0.05 for both). A comparison of adhesion stages in pathological assessment showed increment in abdominal adhesion by usage methylene blue 1% and demonstrated significant difference between MB and 2 other groups (P<0.05). CONCLUSIONS: Administrated normal saline individually reduce the adhesion grade near cecum. Conversely, usage of methylene blue 1% may unpredictably increase risk of adhesion formation.

Preparation of a novel biodegradable nanocomposite scaffold based on poly (3-hydroxybutyrate)/bioglass nanoparticles for bone tissue engineering.

One of the most important challenges in composite scaffolds is pore architecture. In this study, poly (3-hydroxybutyrate) with 10% bioglass nanoparticles was prepared by the salt leaching processing technique, as a nanocomposite scaffold. The scaffolds were characterized by SEM, FTIR and DTA. The SEM images demonstrated uniformed porosities of appropriate sizes (about 250-300 microm) which are interconnected. Furthermore, higher magnification SEM images showed that the scaffold possesses less agglomeration and has rough surfaces that may improve cell attachment. In addition, the FTIR and DTA results showed favorable interaction between polymer and bioglass nanoparticles which improved interfaces in the samples. Moreover, the porosity of the scaffold was assessed, and the results demonstrated that the scaffold has uniform and high porosity in its structure (about 84%). Finally it can be concluded that this scaffold has acceptable porosity and morphologic character paving the way for further studies to be conducted from the perspective of bone tissue engineering.

Investigation of mechanical properties of experimental Bis-GMA/TEGDMA dental composite resins containing various mass fractions of silica nanoparticles.

PURPOSE: Mechanical properties of dental composite resins need to be improved in order to enhance their performance for applications in direct restorations. Application of nanoparticles in this field is a recent development. The aim of this study was to investigate the mechanical properties of experimental composites containing various mass fractions of silica nanoparticles. MATERIALS AND METHODS: Experimental composites were composed of a visible-light-curing monomer mixture (70 wt% Bis-GMA and 30 wt% TEGDMA) and silica nanoparticles of a size ranging from 20 nm to 50 nm modified with gamma-methacryloxy propyl trimethoxy silane (gamma-MPS) as reinforcing filler. The composites were classified into four groups according to their filler mass fractions ranging from 20% to 50%. Following the same preparation procedure, a conventional composite was also fabricated consisting of a mass percentage of 60% silica fillers having particle sizes ranging from 10 microm to 40 microm in the same organic matrix, which served as control. Ten specimens were prepared of each experimental group and also of the control. Fracture toughness was measured using single-edge notched bend (SENB) specimens. Specimen fracture surfaces were mounted on aluminum stubs with carbon cement, sputter-coated with gold and examined under scanning electron microscopy (SEM). Flexural strength was evaluated through a standard three-point bending test and Vickers microhardness test was performed to investigate the hardness of the samples. RESULTS: Filler mass fraction had a significant effect on composite properties. Fracture toughness, flexural strength, and hardness of composites at filler mass fraction of 40% of silica nanoparticles were (mean +/- SD) 1.43 +/- 0.08 MPa.m(1/2), 149.74 +/- 8.14 MPa, and 62.12 +/- 3.07 VHN, respectively; relevant values for composites at 50% mass fraction of silica nanoparticles were 1.38 +/- 0.07 MPa.m(1/2), 122.83 +/- 6.13 MPa, and 70.69 +/- 3.67 VHN, respectively, all of which were significantly higher than 1.07 +/- 0.06 MPa.m(1/2), 104.61 +/- 8.73 MPa, and 52.14 +/- 4.02 VHN of the control, respectively (Tukey's multiple comparison test; family confidence coefficient = 0.95). Measured values for composites at 20% mass fraction of silica nanoparticles were 0.94 +/- 0.06 MPa.m(1/2), 103.41 +/- 7.62 MPa, and 42.87 +/- 2.61 VHN, respectively; relevant values for composites at 30% mass fraction of silica nanoparticles were 1.16 +/- 0.07 MPa.m(1/2), 127.91 +/- 7.05 MPa, and 51.78 +/- 3.41 VHN, respectively. CONCLUSIONS: Reinforcement of dental composite resins with silica nanoparticles resulted in a significant increase in the evaluated mechanical properties in comparison with the conventional composite. The filler mass fraction played a critical role in determining the composite's mechanical properties.