Arch Plast Surg.  2014 Nov;41(6):638-646. 10.5999/aps.2014.41.6.638.

Bio-Conjugated Polycaprolactone Membranes: A Novel Wound Dressing

Affiliations
  • 1Department of Surgery, National University Health System, Singapore.
  • 2Department of Reproductive Medicine, KK Women's and Children Hospital, Singapore.
  • 3Division of Bioengineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore.
  • 4Centre for Biomedical Materials Applications and Technology (BIOMAT), Department of Mechanical Engineering, Faculty of Engineering, National University of Singapore, Singapore.
  • 5Department of Surgery, National University of Singapore, Singapore. thiam_chye_lim@nuhs.edu.sg
  • 6Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System, Singapore.
  • 7Division of Cardiac, Thoracic and Vascular Surgery, Department of Surgery, National University Health System, Singapore.

Abstract

BACKGROUND
The combination of polycaprolactone and hyaluronic acid creates an ideal environment for wound healing. Hyaluronic acid maintains a moist wound environment and accelerates the in-growth of granulation tissue. Polycaprolactone has excellent mechanical strength, limits inflammation and is biocompatible. This study evaluates the safety and efficacy of bio-conjugated polycaprolactone membranes (BPM) as a wound dressing.
METHODS
16 New Zealand white rabbits were sedated and local anaesthesia was administered. Two 3.0x3.0 cm full-thickness wounds were created on the dorsum of each rabbit, between the lowest rib and the pelvic bone. The wounds were dressed with either BPM (n=12) or Mepitel (n=12) (control), a polyamide-silicon wound dressing. These were evaluated macroscopically on the 7th, 14th, 21st, and 28th postoperative days for granulation, re-epithelialization, infection, and wound size, and histologically for epidermal and dermal regeneration.
RESULTS
Both groups showed a comparable extent of granulation and re-epithelialization. No signs of infection were observed. There was no significant difference (P>0.05) in wound size between the two groups. BPM (n=6): 8.33 cm2, 4.90 cm2, 3.12 cm2, 1.84 cm2; Mepitel (n=6): 10.29 cm2, 5.53 cm2, 3.63 cm2, 2.02 cm2; at the 7th, 14th, 21st, and 28th postoperative days. The extents of epidermal and dermal regeneration were comparable between the two groups.
CONCLUSIONS
BPM is comparable to Mepitel as a safe and efficacious wound dressing.

Keyword

Skin; Wounds; Hyaluronic acid; Polycaprolactone; Rabbit

MeSH Terms

Bandages*
Granulation Tissue
Hyaluronic Acid
Inflammation
Membranes*
Pelvic Bones
Rabbits
Re-Epithelialization
Regeneration
Ribs
Skin
Wound Healing
Wounds and Injuries*
Hyaluronic Acid
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