Asymmetric composite wound nanodressing with superhydrophilic/superhydrophobic alternate pattern for reducing blood loss and adhesion

Wound dressings are of great importance in trauma medicine. However, such dressings are poor in hemostatic effect, and they easily adhere to the wound skin, leading to their unsatisfactory effects for clinical application. Herein, we developed a new concept of creating an asymmetric composite wound...

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Published inComposites. Part B, Engineering Vol. 223; p. 109134
Main Authors Long, Cai, Qing, Yongquan, Li, Songhe, Cui, Miao, Han, Mengxue, An, Kai, Long, Xiao, Liu, Chen, Liu, Changsheng
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 15.10.2021
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Online AccessGet full text
ISSN1359-8368
1879-1069
DOI10.1016/j.compositesb.2021.109134

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Abstract Wound dressings are of great importance in trauma medicine. However, such dressings are poor in hemostatic effect, and they easily adhere to the wound skin, leading to their unsatisfactory effects for clinical application. Herein, we developed a new concept of creating an asymmetric composite wound nanodressing (ACWN) with unique structure consisting of superhydrophilic/superhydrophobic alternate inner layer and superhydrophobic outer layer. Compared to traditional hemostatic materials, our fabricated material consisted of integration of alternate micropattern wettability of the inner layer and the asymmetric wettability of the inner/outer layers into simple gauze. This ACWN was verified to overcome the challenge of reducing blood loss and simultaneously reducing adhesion based on the results of rat experiments both in in vivo and in vitro. Importantly, the resulting ACWN exhibited efficient blood absorption and clotting abilities on the zone of superhydrophilic inner layer. Moreover, the zone of superhydrophobic inner layer with blood repellency could avoid pain and secondary injuries caused by forced removal of dressings, and its outer layer could further prevent blood extravasation and reduce the risk of infection. Undoubtedly, this effective strategy provides new insight into the practical application of hemostatic materials.
AbstractList Wound dressings are of great importance in trauma medicine. However, such dressings are poor in hemostatic effect, and they easily adhere to the wound skin, leading to their unsatisfactory effects for clinical application. Herein, we developed a new concept of creating an asymmetric composite wound nanodressing (ACWN) with unique structure consisting of superhydrophilic/superhydrophobic alternate inner layer and superhydrophobic outer layer. Compared to traditional hemostatic materials, our fabricated material consisted of integration of alternate micropattern wettability of the inner layer and the asymmetric wettability of the inner/outer layers into simple gauze. This ACWN was verified to overcome the challenge of reducing blood loss and simultaneously reducing adhesion based on the results of rat experiments both in in vivo and in vitro. Importantly, the resulting ACWN exhibited efficient blood absorption and clotting abilities on the zone of superhydrophilic inner layer. Moreover, the zone of superhydrophobic inner layer with blood repellency could avoid pain and secondary injuries caused by forced removal of dressings, and its outer layer could further prevent blood extravasation and reduce the risk of infection. Undoubtedly, this effective strategy provides new insight into the practical application of hemostatic materials.
ArticleNumber 109134
Author Long, Xiao
Han, Mengxue
Long, Cai
Qing, Yongquan
An, Kai
Liu, Chen
Cui, Miao
Liu, Changsheng
Li, Songhe
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  email: csliu@mail.neu.edu.cn
  organization: School of Materials Science and Engineering, Northeastern University, Shenyang, 110819, China
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Keywords Antiadhesion
Wound nanodressing
Superhydrophilic/superhydrophobic alternate micropattern
Blood loss reduction
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Snippet Wound dressings are of great importance in trauma medicine. However, such dressings are poor in hemostatic effect, and they easily adhere to the wound skin,...
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elsevier
SourceType Enrichment Source
Index Database
Publisher
StartPage 109134
SubjectTerms Antiadhesion
Blood loss reduction
Superhydrophilic/superhydrophobic alternate micropattern
Wound nanodressing
Title Asymmetric composite wound nanodressing with superhydrophilic/superhydrophobic alternate pattern for reducing blood loss and adhesion
URI https://dx.doi.org/10.1016/j.compositesb.2021.109134
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