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Advances in biomaterials for preventing tissue adhesion.

Wei Wu1, Ruoyu Cheng2, José das Neves3

  • 1Department of General Surgery, The First Affiliated Hospital of Soochow University, Orthopedic Institute, Soochow University, 188 Shizi St, Suzhou, Jiangsu 215006, PR China; Department of General Surgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, 365 Hanjiang Middle Road, Yangzhou, Jiangsu 225000, PR China.

Journal of Controlled Release : Official Journal of the Controlled Release Society
|June 28, 2017
PubMed
Summary

Preventing postsurgical adhesions, a common complication impacting patient quality of life, is crucial. This review explores adhesion mechanisms and highlights biomaterials and medicines as optimized strategies for active intervention.

Keywords:
Anti-adhesionBiomaterialsBiomimetic scaffoldElectrospun fibers

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Area of Science:

  • Biomedical Engineering
  • Regenerative Medicine
  • Materials Science

Background:

  • Postsurgical adhesions are a frequent complication, causing inflammation, pain, and reduced quality of life.
  • Current passive treatments are costly and require extended hospital stays.
  • Active prevention strategies are preferred for managing this postsurgical complication.

Purpose of the Study:

  • To elucidate the mechanisms underlying tissue adhesion formation.
  • To review current biomaterials and medicines utilized in adhesion prevention.
  • To inspire the development of novel anti-adhesion biomedicines tailored to specific tissue microenvironments.

Main Methods:

  • Review of scientific literature on postsurgical adhesion mechanisms.
  • Analysis of biomaterials and pharmaceutical agents for anti-adhesion therapies.
  • Discussion of strategies for tuning interventions to target tissue microenvironments.

Main Results:

  • Biomaterials can act as physical barriers and possess intrinsic anti-adhesive properties.
  • The physical and chemical characteristics of biomaterials contributing to anti-adhesion effects require further elucidation.
  • Combination therapies involving tailored biomaterials and specific medicines show promise.

Conclusions:

  • Active prevention of postsurgical adhesions is an optimized strategy.
  • Biomaterials offer versatile approaches for adhesion prevention, beyond simple barrier functions.
  • Further research into tailored biomaterial-medicine combinations is essential for advancing anti-adhesion therapies.