2021
DOI: 10.1002/adma.202007667
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A Multifunctional Origami Patch for Minimally Invasive Tissue Sealing

Abstract: For decades, bioadhesive materials have garnered great attention due to their potential to replace sutures and staples for sealing tissues during minimally invasive surgical procedures. However, the complexities of delivering bioadhesives through narrow spaces and achieving strong adhesion in fluid‐rich physiological environments continue to present substantial limitations to the surgical translation of existing sealants. In this work, a new strategy for minimally invasive tissue sealing based on a multilayer … Show more

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Cited by 103 publications
(105 citation statements)
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“…However, those carboxyl-containing hydrogels lacking interfacial liquid management were unreliable in physiological salt conditions because of the dissociation of carboxyl hydrogen bonds in a higher pH. [37] Relying on rapid adsorption of interfacial water, a dry tape was capable of quickly physically cross-linking to wet tissues [23] (Figure 2a) but showed a significant decline in adhesion energy. [38,39] To enhance the wet adhesion for hydrogen bonds, Cui et al developed a Janus hydrogel where a gradient decreased polyelectrolyte complexation distribution ranging from a completely neutralized carboxyl layer to less exists.…”
Section: Hydrogen Bond Adhesionmentioning
confidence: 99%
“…However, those carboxyl-containing hydrogels lacking interfacial liquid management were unreliable in physiological salt conditions because of the dissociation of carboxyl hydrogen bonds in a higher pH. [37] Relying on rapid adsorption of interfacial water, a dry tape was capable of quickly physically cross-linking to wet tissues [23] (Figure 2a) but showed a significant decline in adhesion energy. [38,39] To enhance the wet adhesion for hydrogen bonds, Cui et al developed a Janus hydrogel where a gradient decreased polyelectrolyte complexation distribution ranging from a completely neutralized carboxyl layer to less exists.…”
Section: Hydrogen Bond Adhesionmentioning
confidence: 99%
“…Antibiotic release Thiolated chitosan with poly(N-isopropyl acrylamide) loaded with ciprofloxacin [62] Poly(lactic-co-glycolic acid) (PLGA), poly(β-amino esters) (PAE), fibroblast growth factor (bFGF), and ceftriaxone sodium (CTX) [63] Hyaluronic acid (HA), dopamine, doxycycline, and reduced graphene oxide (rGO) [64] Introducing metal nanoparticles Silk fibroin (SF), tannic acid (TA), and silver nanoparticles (AgNPs) [65] Introducing cationic functional group Polyethylenimine (PEI) and polydextran aldehyde (PDA) [66] N-(2-hydroxypropyl)-3-trimethylammonium chitosan chloride (HTCC) and PDA [67] Incroporating organic acids 10-undecylenic acid (UA), poly (ethylene glycol) (PEG), and L-dopamine [68] Preventing microbial adhesion Carbopol (C), cellulose acetate, and perfluorocarbon liquid [69] Polyurethane (PU), chitosan, polysulfobetaines, and siliconje oil [70] Cell-infiltrative Introducing reversible crosslinks PEG and LAPONITE [70] Dopamine modified PEG (PEGDA) and gelatin microgel [71] Gelatin and β-cyclodextrin (β-CD) [72] Increasing pore size Silica microparticle and PEGDA [73] Electrically conductive…”
Section: Antimicrobialmentioning
confidence: 99%
“…Wu et al developed a multilayer bioadhesive patch consisting of an adhesive layer, blood-repellent hydrophobic layer, and antifouling zwitterionic layer (Figure 6A-i). [70] The adhesive layer was based on a double network of poly(acrylic acid) grafted with NHS ester (PAA-NHS ester) and chitosan. The PAA-NHS ester allows stable wet adhesion.…”
Section: Materials Referencementioning
confidence: 99%
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“…nature-inspired strategies, including 3,4-dihydroxyphenyl-Lalanine (DOPA)-modified adhesives, biomimetic protein adhesives, and structure-inspired adhesives. [1][2][3][4] Owing to the stable and robust properties of wet/underwater adhesion to various substrates, these materials are playing vital roles of tissue adhesion, 5,6 biomedical coatings, 7 drug-delivery systems, 8 and even energy field. 9 Traditional commercially available adhesives, such as epoxy resins, 10 polyurethanes 11 and cyanoacrylate-based adhesives 12,13 have been used extensively under wet conditions but have several drawbacks, such as a long curing time, an unstable adhesive force, lack of reusability, and biological toxicity.…”
mentioning
confidence: 99%