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Anti-coagulating hydroxyethyl starch blended with hyaluronic acid as a novel post-surgical adhesion barrier

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Abstract

Pharmacological and barrier-based approaches have been exploited for the treatment of post-surgical adhesion. In this study, anti-coagulating hydroxyethyl starch (HES) blended with hyaluronic acid (HA) was assessed as a novel post-surgical adhesion barrier in Sprague-Dawley (SD) rats to take advantage of both approaches. The HES/HA blend solution effectively reduced the adhesion area to 6.5% of the control, which might be due to the inhibited blood coagulation by HES as well as highly effective barrier properties of hygroscopic high molecular weight HA. Histological analysis showed that the HES/HA blend solutions effectively protected the smooth muscle cells and skeletal muscle cells from muscle degeneration by adhesion in the abdominal walls of SD rats.

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References

  1. K. E. Rogers and G. S. Dizerega, Peritoneal Surgery, Springer, New York, 2005.

    Google Scholar 

  2. D. Al-Musawi and J. N. Thomson, Gynaecol. Endosc., 10, 123 (2001).

    Article  Google Scholar 

  3. K. Kramer, N. Senninger, H. Herbst, and W. Probst, Arch. Surg., 137, 278 (2002).

    Article  CAS  Google Scholar 

  4. M. M. Reijen, E. M. Skrabut, V. A. Postma, J. W. Burns, and H. van Goor, J. Surg. Res., 101, 248 (2001).

    Article  Google Scholar 

  5. P. A. De Iaco, M. Stefanetti, and D. Pressato, Fertil. Steril., 69, 318 (1998).

    Article  Google Scholar 

  6. Y. Li and G. D. Prestwich, Fertil. Steril., 83, 1275 (2005).

    Article  Google Scholar 

  7. C. Z. Wei, C. L. Hou, Q. S. Gu, L. X. Jiang, B. Zhu, and A. L. Sheng, Biomaterials, 30, 5534 (2009).

    Article  CAS  Google Scholar 

  8. K. Saribeyoglu, S. Pekmezci, and K. Ulualp, Arch. Surg., 139, 1380 (2004).

    Article  Google Scholar 

  9. G. S. Dizerega, Peritoneum, Peritoneal Healing, and Adhesion Formation, Springer, New York, 2000.

    Google Scholar 

  10. E. K. Legrand, K. E. Rodgers, and W. Girgis, J. Surg. Res., 56, 67 (1994).

    Article  CAS  Google Scholar 

  11. T. Guvenal, A. Cetin, and H. Ozdemir, Hum. Reprod., 16, 1732 (2001).

    Article  CAS  Google Scholar 

  12. S. M. Chowdhury and J. A. Hubbell, J. Surg. Res., 61, 58 (1996).

    Article  CAS  Google Scholar 

  13. R. G. Strauss, C. Stansfield, and R. Heriksen, Transfusion, 28, 257 (1998).

    Article  Google Scholar 

  14. J. Treib, A. Haass, and G. Pindur, Transfusion, 36, 450 (1996).

    Article  CAS  Google Scholar 

  15. M. E. Barron, M. M. Wilkes, and R. J. Navickis, Arch. Surg., 139, 552 (2004).

    Article  CAS  Google Scholar 

  16. R. G. Strauss, D. C. Stump, and R. A. Henriksen, Transfusion, 25, 235 (1985).

    Article  CAS  Google Scholar 

  17. B. B. Warren and M. E. Durieux, Anesth. Analg., 84, 206 (1997).

    Article  CAS  Google Scholar 

  18. Y. Yeo, C. B. Highly, and E. Bellas, Biomaterials, 27, 4698 (2006).

    Article  CAS  Google Scholar 

  19. E. J. Oh, S. W. Kang, G. Giang, I. H. Cho, and S. K. Hahn, J. Biomed. Mater. Res., 86A, 685 (2008).

    Article  CAS  Google Scholar 

  20. S. J. Kim, S. K. Hahn, M. J. Kim, D. H. Kim, and Y. P. Lee, J. Control. Release, 104, 323 (2005).

    CAS  Google Scholar 

  21. E. J. Oh, J. W. Kim, J. H. Kong, S. H. Ryu, and S. K. Hahn, Bioconjug. Chem., 19, 2401 (2008).

    Article  CAS  Google Scholar 

  22. E. J. Oh, K. Park, J. S. Choi, C. K. Joo, and S. K. Hahn, Biomaterial, 30, 6026 (2009).

    Article  CAS  Google Scholar 

  23. Y. S. Jeon, Y. K. Son, K. H. Hong, and J. H. Kim, Macromol. Res., 16, 379 (2008).

    CAS  Google Scholar 

  24. H. Byun, B. Hong, S. Y. Nam, S. Y. Jung, J. W. Rhim, S. B. Lee, and G. Y. Moon, Macromol. Res., 16, 189 (2008).

    CAS  Google Scholar 

  25. H. G. Kang, E. J. Oh, J. K. Park, K. S. Kim, S. H. Ryu, and S. K. Hahn, Macromol. Res., 16, 182 (2008).

    CAS  Google Scholar 

  26. C. M. Lee, H. J. Jeong, D. W. Kim, and K. Y. Lee, Macromol. Res., 16, 429 (2008).

    CAS  Google Scholar 

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Correspondence to Sei Kwang Hahn.

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Park, J.K., Yeom, J., Hahn, S.K. et al. Anti-coagulating hydroxyethyl starch blended with hyaluronic acid as a novel post-surgical adhesion barrier. Macromol. Res. 18, 1076–1080 (2010). https://doi.org/10.1007/s13233-010-1103-y

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  • DOI: https://doi.org/10.1007/s13233-010-1103-y

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