Laser-activated adhesive films for sutureless median nerve anastomosis

J Biophotonics. 2013 Dec;6(11-12):938-49. doi: 10.1002/jbio.201300054. Epub 2013 May 28.

Abstract

A novel chitosan adhesive film that incorporates the dye 'Rose Bengal' (RB) was used in conjunction with a green laser to repair transected rat median nerves in vivo. Histology and electrophysiological recording assessed the impact of the laser-adhesive technique on nerves. One week post-operatively, the sham-control group (laser-adhesive technique applied on un-transected nerves) conserved the average number and size of myelinated fibres in comparison to its contralateral side and electrophysiological recordings demonstrated no significant difference with un-operated nerves. Twelve weeks after the laser-adhesive anastomoses, nerves were in continuity with regenerated axons that crossed the anastomotic site.

Keywords: Photochemical tissue bonding; Rose Bengal; chitosan; peripheral nerve repair.

MeSH terms

  • Adhesives / pharmacology*
  • Anastomosis, Surgical / methods*
  • Animals
  • Biocompatible Materials / pharmacology
  • Chitosan / pharmacology
  • Electrophysiological Phenomena / drug effects
  • Female
  • In Vitro Techniques
  • Lasers*
  • Median Nerve / cytology
  • Median Nerve / drug effects*
  • Median Nerve / physiology
  • Median Nerve / surgery*
  • Rats
  • Tensile Strength

Substances

  • Adhesives
  • Biocompatible Materials
  • Chitosan