During the healing and reconstruction process of digestive tract, biodegradable anastomat plays an important role. Various of materials have been explored to prepare suitable anastomat. However, the biodegradable ratio or biocompatibility could not meet the requirement of wound healing in clinical application. To overcome these obstacles, we synthetized methoxy-poly(ethylene glycol)-block-polylactide (mPEG-b-PLA) and methoxy-poly(ethylene glycol)-block-poly(lactide-co-glycolide) (mPEG-b-PLGA) with different molecular weight. Biodegradable anastomotic tubes were prepared from these diblock copolymers using electrospinning technique. The thickness of anastomotic tube could be regulated by spinning conditions. Anastomotic tubes had exhibited excellent hemocompatibility (hemolysis ratios were ranged from 0.5% to 1.5%) and cytocompatibility. After 3 days, epithelial cells were adhered closely and covered fully on the surface of nanofibrous tubes. Moreover, mPEG-b-PLGA3 based anastomotic tube had play an important role to improve the healing and reconstruction process of cecal incision. The biodegradable anastomotic tubes from diblock copolymers of mPEG-b-PLA and mPEG-b-PLGA could promote healing and reconstruction of digestive tract and might play an important role after operation.
Postoperative peritoneal adhesions are one of the most common surgical complications. In this study, we developed a 20(S)-ginsenoside Rg3-loaded methoxy poly (ethylene glycol)-block-poly(L-lactide-co-glycolide) (mPEG- b -PLGA) electrospun membrane (PEM/Rg3) that could not only serve as a physical barrier, but also as a drug delivery system that releases 20(S)-ginsenoside Rg3 constantly to prevent postoperative peritoneal adhesions. The characteristics of PEM/Rg3, including scanning electron microscopy, water contact angle, and mechanical analyses, were assessed. Degradation and drug release assays of PEM/Rg3 were performed. The anti-adhesion efficacy of PEM/Rg3 was evaluated in an abdomen-cecum mouse model. The adhesion scores, adhesion areas, hematoxylin and eosin (H&E) staining, immunofluorescence, and western blotting were assessed. The 20(S)-ginsenoside Rg3 loaded mPEG- b -PLGA electrospun fibers were successfully fabricated. The fibers were smooth, with no obvious drug crystals. PEM/Rg3 membranes were biodegradable and could be degraded gradually to release 20(S)-Ginsenoside Rg3 constantly from the membranes. The animal study showed that PEM/Rg3 exhibited an excellent adhesion prevention ability when compared with the control group, the PEM group, and polylactic acid (PLA) commercial membrane (Surgiwrap™) group. Immunofluorescence and western blotting studies showed that PEM/Rg3 inhibited the expressions of interleukin 1 (IL-1), interleukin 6 (IL-6), and reactive oxygen species modulator-1 (ROMO1). The 20(S)-ginsenoside Rg3-loaded mPEG- b -PLGA electrospun membranes exhibited satisfactory anti-adhesion efficacy by inhibiting inflammatory responses and oxidative stress. This composite represents a promising strategy to prevent postoperative peritoneal adhesions.
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