Multifunctional Supramolecular Hydrogel for Prevention of Epidural Adhesion after Laminectomy

ACS Nano ◽  
2020 ◽  
Vol 14 (7) ◽  
pp. 8202-8219 ◽  
Author(s):  
Yan Wang ◽  
Lanlan Li ◽  
Yongchang Ma ◽  
Yong Tang ◽  
Yang Zhao ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
pp. 124
Author(s):  
Young Ha Kim ◽  
Chi Hyung Lee ◽  
Chang Hyeun Kim ◽  
Dong Wuk Son ◽  
Sang Weon Lee ◽  
...  

(1) Background: Cranioplasty is a surgery to repair a skull bone defect after decompressive craniectomy (DC). If the process of dissection of the epidural adhesion tissue is not performed properly, it can cause many complications. We reviewed the effect of a silicone elastomer sheet designed to prevent adhesion. (2) Methods: We retrospectively reviewed 81 consecutive patients who underwent DC and subsequent cranioplasty at our institution between January 2015 and December 2019. We then divided the patients into two groups, one not using the silicone elastomer sheet (n = 50) and the other using the silicone elastomer sheet (n = 31), and compared the surgical outcomes. (3) Results: We found that the use of the sheet shortened the operation time by 24% and reduced the estimated blood loss (EBL) by 43% compared to the control group. Moreover, the complication rate of epidural fluid collection (EFC) in the group using the sheet was 16.7%, which was lower than that in the control group (41.7%, p < 0.023). Multivariate logistic regression analysis showed the sheet (OR 0.294, 95% CI 0.093–0.934, p = 0.039) to be significantly related to EFC. (4) Conclusions: The technique using the silicone elastomer sheet allows surgeons to easily dissect the surgical plane during cranioplasty, which shortens the operation time, reduces EBL, and minimizes complications of EFC.


RSC Advances ◽  
2021 ◽  
Vol 11 (15) ◽  
pp. 8546-8551
Author(s):  
Johannes Karcher ◽  
Susanne Kirchner ◽  
Anna-Lena Leistner ◽  
Christian Hald ◽  
Philipp Geng ◽  
...  

Selective green-light triggered release of an anticancer agent under physiological conditions from a supramolecular hydrogel.


Soft Matter ◽  
2020 ◽  
Vol 16 (14) ◽  
pp. 3416-3424
Author(s):  
Xiongzhi Zhang ◽  
Yuanxun Liu ◽  
Junwei Wen ◽  
Zhiyong Zhao ◽  
Hongxiang Chen ◽  
...  

The introduction of structured microsphere composites into hydrogels is found to improve their mechanical strength capability.


2021 ◽  
Vol 9 (14) ◽  
pp. 3200-3209
Author(s):  
Wei Ha ◽  
Xiao-Bo Zhao ◽  
Wei-Hua Zhao ◽  
Jiang-Jiang Tang ◽  
Yan-Ping Shi

An ingeniously designed podophyllotoxin nanoprodrug was synthesized and offered an effective platform for co-delivery of multiple therapeutic agents for drug combination via the hierarchical self-assembly strategy.


Author(s):  
Xianglian Li ◽  
Hui Liu ◽  
Ailing Yu ◽  
Dan Lin ◽  
Zhishu Bao ◽  
...  

2011 ◽  
Vol 133 (6) ◽  
pp. 1670-1673 ◽  
Author(s):  
Masato Ikeda ◽  
Tatsuyuki Yoshii ◽  
Toshihiro Matsui ◽  
Tatsuya Tanida ◽  
Harunobu Komatsu ◽  
...  

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