Fiber Kinematics of Small Intestinal Submucosa Subjected to Biaxial Stretch

Author(s):  
Thomas W. Gilbert ◽  
Jonathan Grashow ◽  
Savio L.-Y. Woo ◽  
Michael B. Chancellor ◽  
Michael S. Sacks

Small intestinal submucosa (SIS) of the porcine has been used extensively over the past decade for repair of a variety of connective tissues, and is now being considered for functional tissue engineering applications. Thus, it is important to consider the kinematics of its fibers. The current study investigated the fiber kinematics of SIS in response to multiple stretch patterns using a modified version of a biaxial stretching device integrated with a small angle light scattering (SALS) apparatus (Billiar and Sacks 1997). Each sample was loaded to equibiaxial strain of 10% by stretching in each of the following stretch patterns: 1) first in the preferred fiber direction, then in the cross-preferred direction, 2) first in the cross-preferred direction, then in the preferred direction, and 3) simultaneously in both directions equally. The collagen fiber distributions for the equibiaxial strain states were found to be relatively insensitive to the stretch pattern. Further, an affine transformation calculation based on Lanir (1979) and Billiar and Sacks (1997) was used to predict the strip biaxial and equibiaxial collagen fiber distributions and it was found that while the tissue generally followed the trends expected for an affine material, the intensity levels were not predictive.

2006 ◽  
Vol 128 (6) ◽  
pp. 890-898 ◽  
Author(s):  
Thomas W. Gilbert ◽  
Michael S. Sacks ◽  
Jonathan S. Grashow ◽  
Savio L.-Y. Woo ◽  
Stephen F. Badylak ◽  
...  

Improving our understanding of the design requirements of biologically derived collagenous scaffolds is necessary for their effective use in tissue reconstruction. In the present study, the collagen fiber kinematics of small intestinal submucosa (SIS) was quantified using small angle light scattering (SALS) while the specimen was subjected to prescribed uniaxial or biaxial strain paths. A modified biaxial stretching device based on Billiar and Sacks (J. Biomech., 30, pp. 753–7, 1997) was used, with a real-time analysis of the fiber kinematics made possible due to the natural translucency of SIS. Results indicated that the angular distribution of collagen fibers in specimens subjected to 10% equibiaxial strain was not significantly different from the initial unloaded condition, regardless of the loading path (p=0.31). Both 10% strip biaxial stretch and uniaxial stretches of greater than 5% in the preferred fiber direction led to an increase in the collagen fiber alignment along the same direction, while 10% strip biaxial stretch in the cross preferred fiber direction led to a broadening of the distribution. While an affine deformation model accurately predicted the experimental findings for a biaxial strain state, uniaxial stretch paths were not accurately predicted. Nonaffine structural models will be necessary to fully predict the fiber kinematics under large uniaxial strains in SIS.


2004 ◽  
Vol 171 (4S) ◽  
pp. 12-12
Author(s):  
David A. Anderson ◽  
David S. Wang ◽  
Peter C. Fretz ◽  
Thai T. Nguyen ◽  
Howard N. Winfield

2018 ◽  
Vol 107 (6) ◽  
pp. 1960-1969 ◽  
Author(s):  
Ding Xia ◽  
Qing Yang ◽  
Kar‐Ming Fung ◽  
Rheal A. Towner ◽  
Nataliya Smith ◽  
...  

Author(s):  
Florence Cour ◽  
Pierre Munier ◽  
Kevin Kaulanjan ◽  
Adrien Vidart ◽  
Pierre-Olivier Bosset ◽  
...  

2013 ◽  
Vol 11 (4) ◽  
pp. 415-420 ◽  
Author(s):  
Hazem Orabi ◽  
Ahmed S. Safwat ◽  
Ahmed Shahat ◽  
Hisham M. Hammouda

2007 ◽  
Vol 106 (6) ◽  
pp. 1028-1033 ◽  
Author(s):  
Ghassan K. Bejjani ◽  
Joseph Zabramski ◽  
_ _

Object Dural substitutes are often needed after neurosurgical procedures to expand or replace dura mater resected during surgery. A new dural repair material derived from porcine small intestinal submucosa (SIS) was evaluated in a prospective multicenter clinical study. Methods Between 2000 and 2003, 59 patients at five different institutions underwent dural reconstruction with the SIS dural substitute, with a minimum follow up of 6 months. The primary goals of the study were to assess the efficacy and safety of the SIS dural substitute according to the rate of cerebrospinal fluid (CSF) leakage, infection, and meningitis. Chiari malformation Type I decompression (32 patients) and tumor resection (18 patients) were the most common procedures performed, with 81% of SIS grafts implanted in the posterior fossa or spine. There was one case of a CSF leak (1.7%), two cases of wound infection (3.4%), and no cases of bacterial meningitis (0%) in the 58 patients available for follow up. In both cases of wound infection, the SIS graft acted as a barrier to infection and was not removed. Intraoperatively, a watertight seal was achieved in all 59 cases. On follow-up imaging available in 27 patients there was no evidence of any adverse reaction to the graft or of cerebral inflammation. Conclusions The SIS dural substitute demonstrated substantial efficacy in these patients after a mean follow up of 7.3 ± 2.2 months. Rates of infection, CSF leakage, and meningitis were comparable to those reported for other dural substitute materials. A lack of adverse reactions to the graft, favorable safety profile, and clinical efficacy all point to the utility of this material as an alternative for dural repair.


1994 ◽  
Vol 8 (2) ◽  
pp. 125-130 ◽  
Author(s):  
PETER M. KNAPP ◽  
JAMES E. LINGEMAN ◽  
YORAM I. SIEGEL ◽  
STEPHEN F. BADYLAK ◽  
ROBERT J. DEMETER

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