Airflow-directed in situ electrospinning of a medical glue of cyanoacrylate for rapid hemostasis in liver resection.
Rapid hemostasis of solitary organs is still a big challenge in surgical procedures or after major trauma in both civilians and on the battlefield. Here, we report the first use of an airflow-directed in situ electrospinning method to precisely and homogeneously deposit a medical glue of n-octyl-2-cyanoacrylate (OCA) ultrathin fibers onto a wound surface to realize rapid hemostasis in dozens of seconds. In vivo and in vitro experiments on pig liver resection demonstrate that the self-assembled electrospun OCA membrane with high strength, good flexibility and integrity is very compact and no fluid seeping is observed even under a pressure of 147 mm Hg. A similar effect has been achieved in an in vivo experiment on pig lung resection. The results provide a very promising alternative for rapid hemostasis of solitary organs as well as other traumas, providing evidence that the postoperative drainage tube may not be always necessary for surgery in the near future.
Institute & Hospital of Hepatobiliary Surgery, Key Laboratory of Digital Hepatobiliary Surgery of Chinese PLA, Chinese PLA Medical Academy, Chinese PLA General Hospital, Beijing 100853, P. R. China. jiangk301@126.com.
Kai
K
Jiang
Yun-Ze
YZ
Long
Zhao-Jun
ZJ
Chen
Shu-Liang
SL
Liu
Yuan-Yuan
YY
Huang
Xingyu
X
Jiang
Zhi-Qiang
ZQ
Huang
D000269:Adhesives / Q000737:chemistry* / Q000494:pharmacology / Q000627:therapeutic use; D000818:Animals; D003487:Cyanoacrylates / Q000737:chemistry* / Q000494:pharmacology / Q000627:therapeutic use; D006487:Hemostasis / Q000187:drug effects; D008099:Liver / Q000601:surgery*; D011312:Pressure; D013552:Swine; D014945:Wound Healing / Q000187:drug effects
D000269:Adhesives; D003487:Cyanoacrylates; C100832:octyl 2-cyanoacrylate