journal article·2020-12-11

The usefulness of re-attachability of anti-adhesive cross-linked gelatin film and the required physical and biological properties

Tsunehito Horii, Hiroyuki Tsujimoto, Susumu Kageyama, Tetsuya Yoshida, Kenichi Kobayashi, Hideki Takamori, Hiroshi Minato, Jo Ueda, Akeo Hagiwara, Hiroshi Ichikawa, Akihiro Kawauchi

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Abstract

BACKGROUND: To overcome the unfavorable issues associated with conventional anti-adhesive HA/CMC film, we developed an anti-adhesive thermally cross-linked gelatin film. OBJECTIVE: We tried to clarify the re-attachability of the film and the required properties concerning the film thickness, stiffness and anti-adhesion effect. METHODS: To determine the optimal thickness, 5 kinds of the thickness of gelatin film and the conventional film were analyzed by the tensile test, shearing test, buckling test and tissue injury test. Finally, using the optimal film thickness, we tried to clarify the anti-adhesion effect of the reattached film. RESULTS: The tensile and shearing test showed gelatin films ≥30 μm thick had greater tensile strength and a smaller number of film fractures, than the conventional film. The buckling and tissue injury test showed gelatin films ≥60 μm thick had higher buckling strength and worse injury scores than the conventional film. The anti-adhesive effect of re-attached gelatin film using optimal thickness (30–40 μm) found the anti-adhesion score was significantly better than that of the control. CONCLUSIONS: Provided it has an optimal thickness, gelatin film can be reattached with enough physical strength not to tear, safety stiffness not to induce tissue injury, and a sufficient anti-adhesion effect.
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Research context

OpenAlex topics: Surgical Sutures and Adhesives · Polymer Surface Interaction Studies · Intestinal and Peritoneal Adhesions

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

, Shiga University of Medical Science, , , Japan

Division of Medical Life Systems, Department of Life and Medical Science, Doshisha University, Kyotanabe, Kyoto, Japan

, Yawata Central Hospital, , , , Japan

, Ueda Clinic, , , , Japan

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