• Title/Summary/Keyword: 유착 방지막

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Evaluation on Effectiveness for Preventing Post Surgical Adhesion of Sodium Hyaluronate/Sodium Carboxymethyl Cellulose (HA/CMC) Membrane in Rat Cecum/Peritonium Model (쥐 맹장/복벽 찰과상 모델에서 Sodium Hyaluronate/sodium Carboxymethyl Cellulose 멤브레인의 수술 후 유착방지에 대한 유효성 평가)

  • Lee, Young-Moo;Lee, Young-Woo
    • Membrane Journal
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    • v.15 no.3
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    • pp.213-223
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    • 2005
  • We prepared an anti-adhesion membrane made of sodium hyaluronate/sodium carboxymethylcellulose (HA/CMC) and evaluated its effectiveness for adhesion prevention in a rat model. The anti-adhesion membrane was prepared by lyophilizing HA/CMC solution and cross-linking properly with 1-Ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDAC). In a cecum/abdominal wall abrasion model of Sprague-Dawley rat, cecal serosa and abdominal wall were abraded in $1\times2\;(cm^2)$ with a bone burr after peritoneal midline incision and sutured at 3 points around the injured surface. The denuded cecum was covered with HA/CMC membrane (experimental group), or nothing (control group) and apposed to the abdominal wall. Most of the control group represented 3 or more of adhesion grade at POD 7, 14, 21, and 28, whereas $60\~70\%$ of the experimental group was 2 or less of adhesion grade at 14, 21, and 28. It was similar in the adhesion strength. In a general manner, the adhesion grade and strength showed gradual increasing until POD 14, almost same or a little increasing POD 21, but decreasing POD 28. Also the control group was much higher in adhesion grade, strength, and area than the experimental group. It is expected that the anti-adhesion membrane will have a good clinical result in postoperative adhesion prevention.

Fabrication and application of post surgical anti-adhesion barrier using bio-compatible materials (생체 적합성 재료를 이용한 수술후 유착 방지막의 제작과 응용)

  • Park S.H.;Kim H.C.;Yang D.Y.;Kim T.K.;Park T.K.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.203-204
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    • 2006
  • Studies on some biodegradable polymers and other materials such as hydrogels have shown the promising potential for a variety of surgical applications. Postoperative adhesion caused by the natural consequence of surgical wound healing results in problems of the repeated surgery. Recently, scientists have developed absorbable anti-adhesion barriers that can protect a tissue from adhesion in case they are in use; however, they are dissolved when no longer needed. Although these approaches have been attempted to fulfill the criteria for adhesion prevention, none can perfectly prevent adhesions in all situations. Overall of this work, a new method to fabricate an anti-adhesion membrane using biodegradable polymer and hydrogel has been developed. The ideal barrier for preventing postoperative adhesion would have the following properties; it should be (i) resorbable (ii) non-reactive (iii) easy to apply (iv) capable of being fixed in position. In order to fulfill these properties, we adopted solid freeform fabrication method combined with surface modification which includes the hydrogel coating, therefore, inner or outer structure can be controlled and the property of anti adhesion can be improved.

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A Study of the Effect of a Mixture of Hyaluronic Acid and Sodium Carboxymethyl Cellulose ($Guardix-sol^{(R)}$) on the Prevention of Pericardial Adhesion (Hyaluronic Acid와 Sodium Carboxymethyl Cellulose 혼합용액($Guardix-sol^{(R)}$)의 섬유막유착 방지 효과에 관한 연구)

  • Lee, Song-Am;Kim, Jin-Sik;Kim, Jun-Seok;Hwang, Jae-Joon;Lee, Woo-Surng;Kim, Yo-Han;Cho, Yang-Kyu;Chee, Hyun-Keun
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.596-601
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    • 2010
  • Background: This study was designed to evaluate the efficacy of a mixture of hyaluronic acid and sodium carboxymethyl cellulose ($Guardix-sol^{(R)}$) on experimental pericardial adhesion. Material and Method: Thirty rats were divided into 2 groups of 15 rats each and pericardial mesothelial injury was induced during surgery by abrasion. In the control group, blood and normal saline were administered into pericardium; in the test group, blood and HA-CMC solution were administered. Pericardial adhesions were evaluated at 2 weeks (n=5), 4 weeks (n=5), and 6 weeks (n=5) after surgery. The severity of adhesions was graded by macroscopic examination, and the adhesion tissue thickness was analyzed microscopically with Masson trichrome stain and an image processing program. Result: The test group had significantly lower macroscopic adhesion scores ($2.9{\pm}0.6$ : $3.9{\pm}0.4$, p<0.000) compared with the control group. For microscopic adhesion tissue thickness, the test group had lower scores compared with the control group, but this difference was not statistically significant ($91.73{\pm}49.91$ : $117.67{\pm}46.4$, p=0.106). Conclusion: We conclude that an HA-CMC solution ($Guardix-sol^{(R)}$) reduces the formation of pericardial adhesions in this animal model.

Efficacies of Sodium Carboxymethylcellulose, Oxidized Regenerated Cellulose and Vitamin E in Prevention Against Postoperative Adhesion Formation in Dogs (개에서 복강수술 후 유착방지에 대한 Sodium carboxymethylcellulose, Oxidized regenerated cellulose, Vitamin E의 효과)

  • Kim, Jung-Eun;Kwon, Young-Sam;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.27 no.6
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    • pp.698-703
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    • 2010
  • This study was performed to compare the efficacy of the sodium carboxymethylcellulose (SCMC), oxidized regenerated cellulose (ORC), and their combination with vitamin E for the prevention of postoperative adhesions in the dog. Twenty five dogs were randomly divided into five groups ; non-treated group (Control Group), SCMC-treated group (SCMC Group), ORC-treated group (ORC Group), vitamin E and SCMC-treated group (SCMC + E Group), and vitamin E and ORC-treated group (ORC + E group). After laparotomy, 5 abrasions were made to induce intraperitoneal adhesions on the surface of the ileal serosa. The adhesions were occurred in serosa to mesentary (37.6%), serosa to serosa (24%), serosa to omentum (8.8%) and serosa to parietal peritoneum (3.2%). The incidences of adhesions were 92%, 84%, 64%, 56% and 68% in Control, SCMC, ORC, SCMC+E and ORC + E Group, respectively. The adhesion scores in SCMC+E Group were significantly lower than those in the other groups (p < 0.01). In conclusion, this study showed that oral supplements of vitamin E and intraperitoneal administration of 2% SCMC solution were effective on reducing intraperitoneal adhesions in the dog.

Effects of Melatonin on Preventing Postoperative Intraperitoneal Adhesion Formation in Rats (Rat에서 술후 복강 유착방지에 대한 melatonin의 효과)

  • Lee, Seung-Chan;Kim, Jung-Eun;Kwon, Young-Sam;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.230-235
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    • 2006
  • This study was performed in rats to find the minimum dose of melatonin that can effectively prevent the formation of postoperative intraperitoneal adhesions. Forty-two Sprague Dawley male rats were divided into six groups consisting of 7 rats, respectively. After celiotomy, five abrasions of $0.5{\times}1cm$ area were made on the antimesenteric serosal surface of the colon with a scalpel blade. The abdominal cavity was filled with 1 ml of solution containing 1 mg/kg(Mel 1), 3 mg/kg(Mel 3), 10 mg/kg(Mel 10), 30 mg/kg(Mel 30) and 5% ethanol solution(sham) through the catheter, using a sterile syringe before abdominal closure. Control group was given no adjuvant. The locations and values of adhesion were assessed through the second operation on the 14th day after the first operation. The adhesions were located on serosa to mesentery(54 of 210, 25.7%), serosa to serosa(44 of 210, 21%), serosa to omentum (12 of 210, 5.7%) and serosa to parietal peritoneum(0 of 210, 0%). The incidences of adhesion in Control, Sham, Mel 1, Mel 3, Mel 10 and Mel 30 were 68.6%, 91.4%, 57.1%, 60.1%, 17.1% and 20%, respectively. The values of adhesion separation in Mel 10 and Mel 30 group were lower than those in other groups. However, there was no significant(p<0.05) between Mel 10 and Mel 30 group. This study showed that 10 mg/kg of melatonin were effective in reducing the intraperitoneal adhesion.

Fundamental Process Development for Bio-degradable Polymer Deposition and Fabrication of Post Surgical Anti-adhesion Barrier Using the Process (생분해성 고분자 용착을 위한 기반 공정 개발과 이를 이용한 수술 후 유착 방지막의 제작)

  • Park, Suk-Hee;Kim, Hyo-Chan;Kim, Taek-Gyoung;Jung, Hyun-Jeong;Park, Tae-Gwan;Yang, Dong-Yol
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.4 s.193
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    • pp.138-146
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    • 2007
  • Some biodegradable polymers and other materials such as hydrogels have shown the promising potential for surgical applications. Post surgical adhesion caused by the natural consequence of surgical wound healing results in repeated surgery and harmful effects. Recently, scientists have developed absorbable anti-adhesion barriers that can protect a tissue from adhesion in case they are in use; however, they are dissolved when no longer needed. Although these approaches have been attempted to fulfill the criteria for adhesion prevention, none can perfectly prevent adhesions in all situations. Overall, we developed a new method to fabricate an anti-adhesion membrane using biodegradable polymer and hydrogel. It employed a highly accurate three-dimensional positioning system with pressure-controlled syringe to deposit biopolymer solution. The pressure-activated microsyringe was equipped with fine-bore nozzles of various inner-diameters. This process allowed that inner and outer shapes could be controlled arbitrarily when it was applied to a surgical region with arbitrary shapes. In order to fulfill the properties of the ideal barriers f3r preventing postoperative adhesion, we adopted the pre-mentioned method combined with surface modification with the hydrogel coating by which anti-adhesion property was improved.

The Effect of Hyaluronic Acid and Vitamin I Combination on Preventing Postoperative Intraperitoneal Adhesion Formation in Dogs (개에서 Hyaluronic Acid와 Vitamin E의 병용이 복강수술 후 유착방지에 미치는 효과)

  • Bae, Jae-Sung;Jang, Kwang-Ho;Kwon, Young-Sam;Jang, Hwan-Soo;Kim, Jung-Eun;Park, Se-Il;Lim, Jae-Hyun;Li, Wen-Xue;Lee, Seoung-Jin
    • Journal of Veterinary Clinics
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    • v.20 no.1
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    • pp.42-48
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    • 2003
  • This study was performed to compare the effect of hyaluronic acid(HA), vitamin I and their combinations for the prevention of postoperative intraperitioneal adhesion in dogs. Twelve mongrel dogs were divided into four groups; HA- (HA Group), vitamin E 800IU- (E8 Group), HA + vitamin E 800IU- (HA+E8 Group) and HA + vitamin E 1600IU-treated group(HA+E16 Group) with three dogs in each group. After celiotomy, five abrasions of 1$\times$1 cm area were made on the antimesenteric serosal surface of the anterior ileocecum with a No. 10 scalpel blade. The five abrasions and peritoneal cavity were coated with 25 of 0.l% HA. Oral supplements of vitamin E were given from the fifth day before the operation to the fourteenth day after the operation. Hematologic values were evaluated before the operation and on the 1st, 4th, 7th and 14th day after the operation. The locations and scores of adhesion were assessed through the second operation on the 21st day after the first operation. The adhesions were located on serosa to mesentary(43.3%)), serosa to serosa(20%), serosa to omentum(5%) and serosa to parietal peritoneum(1.7%). The incidences of adhesion in HA, E8, HA+E8 and HA+E16 groups were 80%, 100%, 47% and 53%, respectively. The scores of adhesion in HA+E8 group(p < 0.05) were lower than those in other groups. This study showed that the combination of HA and vitamin E 800IU was significantly effective in reducing the intraperitoneal adhesion in dogs.

The Characteristic of Physical properties and Shrinkage of Nano-filament according to the Textured Conditions (사가공 조건에 따른 nano-filament의 물성 및 수축특성)

  • Kang, Ji-Man;Cho, Dae-Hyun;Lee, Jun-Hee;Choi, Jong-Duk
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2012.03a
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    • pp.92-92
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    • 2012
  • 나노필라멘트 섬유는 직편물 등으로 구조/용도 다양화 가능하다. 나노필라멘트 섬유는 소재특유의 닦음성, 흡착성, 고밀도 특성 등을 활용하여 직편물의 형태로 다양한 용도 개발이 가능하며, 나노기술을 접목시킨 새로운 기능성과 고성능 섬유 소재 개발을 통한 자동차 분야의 개발 트랜드인 고급화, 경량화, 고성능화 추진을 위해 연료전지, 신슐레이터, 고성능 필터, 시트나 도어트림, 헤드라인과 같은 인테리어류와 전자 분야의 제조원가 절감, 공정 단순화를 위해 프린터 토너, 하드디스크 연마제, 다용도 No Dust Cleaner 등의 개발, 의료/바이오 분야의 혈액필터, 수술용 보호제, 창상억제제(유착 방지막), 항균마스크, 의료용 약물전달 시스템 및 환경 분야의 정수/공기 정화 시스템, 건축 토목용 보강제, 고(高)인성 콘크리트, 폐수처리용 슬러리 담체(Matrix) 등 다양한 분야로 용도 개발이 가능하다. 본 연구는 나노필라멘트의 다양한 분야로의 용도 개발 적용의 기초연구로서, 부직포 상으로 얻어지는 나노섬유 제조기술의 단점인 직경의 불균일, 물리적 특성의 한계와 필라멘트가 아닌 단섬유로 인해 발생하는 용도 및 상품 개발에의 제한성을 개선하기 위하여 연속적으로 필라멘트를 생산가능한 해도형 복합방사 방법을 도입하여 개발한 장섬유 필라멘트 형태의 해도형 나노 섬유 소재를 활용하는 것으로 방사된 SDY 형태의 나노필라멘트 섬유를 제직상에서의 작업성 용이 및 직물의 벌키성 증대와 Crimp성을 향상 시켜 터치감 및 후가공에 용이할 수 있도록 DTY를 제조함에 있어 기존 일반 POY사에서의 DTY공정과는 달리 소재의 특성 즉, 해도사의 해성분 및 도성분의 후공정을 감안하여 최적의 Crimp는 발현하되 단면의 형상을 유지할 수 있는 다양한 사가공 조건을 설정 하고 이에 따라 가공사를 생산하여 공정조건에 따른 가공사의 물성 및 수축특성을 비교 분석 하여 염색 및 후가공시 소재의 물성 및 수축특성이 미치는 영향성을 살펴보고자 하였다.

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