Peritoneum Inspired Janus Barrier with Unilateral Lubrication, Programmable Adhesion and Antiinflammation for Preventing Postoperative Abdominal Adhesion
Postoperative abdominal adhesion, a complication with morbidity exceeding 90%, imposes severe clinical and economic burdens. Existing bioadhesive barriers often exhibit unreliable adhesion to the slippery abdominal wall, risk mispositioning, and neglect frictional stimuli and inflammation. Inspired by the lubricated peritoneum, we developed a programmable adhesive dual-layer Janus patch (DJP) barrier integrating a lubricated layer and an adhesive matrix. DJP achieves rapid, noncovalent interfacial adhesion, subsequently enhanced 2.81-fold via covalent interactions, enabling repositioning within a short time window to improve surgical fault tolerance. The micron-scale poly(sulfobetaine methacrylamide) brush on the DJP surface provides hydration lubrication with a low coefficient of friction (0.06), mimicking peritoneal lubrication and reducing frictional damage to injured tissue. The catechol-containing copolymer confers antioxidative and anti-inflammatory properties, confirmed in vitro. In a rat model, DJP adhering to the injured site significantly reduced collagen deposition between the abdominal wall and cecum, preventing adhesion and promoting tissue healing compared to commercial barriers. This work provides a guiding reference for developing antiadhesive biomaterials.