Bilateral PLA/alginate membranes for the prevention of postsurgical adhesions

J Biomed Mater Res B Appl Biomater. 2016 Nov;104(8):1563-1570. doi: 10.1002/jbm.b.33503. Epub 2015 Aug 18.

Abstract

A bilateral barrier membrane for the prevention of postsurgical adhesions was developed. Thereby, a smooth PLA side was supposed to keep the affected tissues glidingly separated, while a mucoadhesive side made of alginate was meant to keep the barrier resident on the site of injury so that suturing becomes redundant or at least the membrane stays long enough to facilitate surgical handling. Because hydrophilic alginate and lipophilic PLA films show only low cohesion, solution electrospun meshes of PLA and PLA-PEG-PLA triblock copolymers with varying poly(ethylene glycol) [PEG] content were investigated as cohesion promoter to avoid an easy separation of the functionally different layers. Using direct electrospinning onto the PLA film, a modified contact surface of the mesh was created, which allowed the tested alginate solutions (3%, 5%) to infiltrate to different extents. Thereby, an increasing content of hydrophilic PEG within the mesh copolymer and a lower alginate concentration facilitated the infiltration. As a result, the PLA film with a PLA35k-PEG10k-PLA35k (racemic PLA chains) mesh and an alginate layer cast from a 3% alginate solution appeared to be the most effective combination as examined by means of a t peel test, a mucoadhesion test, a tensile test and optical evaluations. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 1563-1570, 2016.

Keywords: PLA; PLA-PEG-PLA; alginate; bilateral functionality; electrospinning; mucoadhesion; postsurgical adhesions.

MeSH terms

  • Alginates* / chemistry
  • Alginates* / pharmacology
  • Animals
  • Glucuronic Acid / chemistry
  • Glucuronic Acid / pharmacology
  • Hexuronic Acids / chemistry
  • Hexuronic Acids / pharmacology
  • Male
  • Membranes, Artificial*
  • Polyesters* / chemistry
  • Polyesters* / pharmacology
  • Polyethylene Glycols / chemistry
  • Polyethylene Glycols / pharmacology
  • Swine
  • Tissue Adhesions / prevention & control*

Substances

  • Alginates
  • Hexuronic Acids
  • Membranes, Artificial
  • Polyesters
  • Polyethylene Glycol 6000
  • Polyethylene Glycols
  • poly(lactide)
  • Glucuronic Acid