Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (26): 4205-4209.doi: 10.3969/j.issn.2095-4344.2017.26.018

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Repair of abdominal wall defects by highly simulated chitosan scaffolds

Liu Hong-ze1, Wei Jie2
  

  1. 1Qinghai Cancer Hospital, Xining 810007, Qinghai Province, China; 2Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China
  • Received:2017-04-03 Online:2017-09-18 Published:2017-09-28
  • About author:Liu Hong-ze, Attending physician, Qinghai Cancer Hospital, Xining 810007, Qinghai Province, China
  • Supported by:
    the Project of Hebei Provincial Science and Technology Department, No. 20110426

Abstract:

BACKGROUND: Studies have shown that chitosan can improve the proliferation and migration of fibroblasts, promote the synthesis of extracellular matrix, and create a favorable environment for defect healing.
OBJECTIVE: To observe the effect of highly simulated chitosan scaffolds in repairing abdominal wall defects in rats.
METHODS: Sixty adult Sprague-Dawley rats were used to make animal models of abdominal wall defects, and then model rats were randomly divided into two groups: experimental group and control group followed by implantation with the highly simulated chitosan scaffold and polypropylene mesh, respectively. At 2, 4 weeks after repair, gross, adhesion and histopathological observations of the repair part were performed.
RESULTS AND CNCLUSION: Gross observation: in the control group, omental adhesion was found at 2 weeks after repair; and at 4 weeks after repair, the mesh was thickened and exhibited clear boundaries with the surrounding tissue, but common color and integration. In the experimental group, there was mild adhesion between the scaffold and the defect site at 2 weeks after repair, and the mesh was thickened, but the wound healed well with no prominence, swelling, and infection at 4 weeks after repair. Kadata adhesion score in the experimental group was lower than that the control group at 4 weeks after repair (P < 0.05). Pathological observation showed that at 4 weeks after repair, there were a large number of infiltrated inflammatory cells, capillary growth, and a large number of fibroblasts at the defect site in the control group; and meanwhile, a small amount of infiltrated inflammatory cell infiltration and a large number of collagen fibers and capillaries, with better granulation tissue maturity, were found in the experimental group. To conclude, the highly simulated chitosan scaffold can promote the repair of abdominal wall defects and reduce inflammatory reactions.

Key words: Chitosan, Polypropylenes, Tissue Adhesions, Tissue Engineering

CLC Number: