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Tissue failure at suture lines contributes to complications and readmissions following complex surgeries in distensible organs such as those performed in the lower urinary tract. Excess tension at points of tissue approximation can contribute to abnormal wound healing, urine leaks, infections, and fistula development. A flexible biodegradable adhesive patch that adheres to dynamic tissue and prevents non-targeted adhesion to adjacent tissue is needed to provide support at suture sites throughout the wound healing process. Herein, we have developed a ready-to-use bilayer adhesive patch (BLAP) to reinforce suture lines for application to expandable and dynamic fluid-filled tissues such as the bladder. The external non-adhesive layer of BLAP comprises a bioabsorbable poly(glycerol sebacate) (PGS) elastomer, preventing undesired adhesion to the adjunct tissues. The internal tissue binding layer is composed of PGS modified with L-dopamine (L-DOPA) to allow immediate adhesion to the wet surface of the target tissue. Physical and mechanical properties of the patches were tuned by varying glycerol to sebacate ratios, L-DOPA contents, and curing time to achieve compliance that approximates that of bladder tissue. The candidate PG2S and PG2SD0.018 biomaterials of the designed BLAP demonstrated Young's moduli of 49.4 kPa and 61.5 kPa and stretchability between 174.7% and 223.7%, respectively. BLAP adhered tightly to a porcine bladder repaired cystotomy ex vivo, reinforcing the sutured line and increasing bladder burst pressure more than stand-alone surgical sutures or a commercial bioadhesive glue, Tisseel®. These features, combined with >90% cytocompatibility and biodegradability, render BLAP a promising elastic bioadhesive patch to reinforce suture lines in the bladder. Beyond the urinary tract, BLAP has the potential to be mechanically tuned for a variety of other non-planar, dynamic tissues.
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Control the Mechanical Properties and Degradation of Poly(Glycerol Sebacate) by Substitution of the Hydroxyl Groups with Palmitates
Abstract Mechanical properties and degradation profile are important parameters for the applications of biodegradable polyester such as poly(glycerol sebacate) in biomedical engineering. Here, a strategy is reported to make palmitate functionalized poly(glycerol sebacate) (PPGS) to alter the polymer hydrophobicity, crystallinity, microstructures and thermal properties. The changes of these intrinsic properties impart tunable degradation profiles and mechanical properties to the resultant elastomers depending on the palmitate contents. When the palmitates reach up to 16 mol%, the elastic modulus is tuned from initially 838 ± 55 kPa for the PGS to 333 ± 21 kPa for the PPGS under the same crosslinking conditions. The elastomer undergoes reversible elastic deformations for at least 1000 cycles within 20% strain without failure and shows enhanced elasticity. The polymer degradation is simultaneously inhibited because of the increased hydrophobicity. This strategy is different with other PGS modifications which could form a softer elastomer with less crosslinks but typically lead to a quicker degradation. Because the materials are made from endogenous molecules, they possess good cytocompatibility similar to the PGS control. Although these materials are designed specifically for small arteries, it is expected that they will be useful for other soft tissues too.
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- Award ID(s):
- 1719875
- PAR ID:
- 10456644
- Publisher / Repository:
- Wiley Blackwell (John Wiley & Sons)
- Date Published:
- Journal Name:
- Macromolecular Bioscience
- Volume:
- 20
- Issue:
- 9
- ISSN:
- 1616-5187
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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