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Peritoneum Inspired Janus Barrier with Unilateral Lubrication, Programmable Adhesion and Antiinflammation for Preventing Postoperative Abdominal Adhesion

Authors: Kai Ren; Yao Zhao; Miao Zhang; Xiang Ke; Yuan Ding; Hao Wang; Jun Luo; Jing Xie; Jianshu Li

DOI: 10.1007/s40843-025-3645-3Status: Verified Translated Edition
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Key Findings in This Report

• • DJP achieves programmable adhesion with a 2.81-fold enhancement in interfacial stability through transition from noncovalent to covalent bonding, enabling repositioning within a short time to correct misplacement during surgery. • • The micron-scale poly(sulfobetaine methacrylamide) brush layer provides hydration lubrication with a coefficient of friction of 0.06, effectively reducing frictional stimuli to injured tissue, a critical factor in adhesion formation. • • In a rat model, DJP significantly reduced deposited collagen between abdominal wall and cecum compared to commercial barriers, demonstrating efficacy in preventing postoperative abdominal adhesion and promoting tissue healing. • • The catechol-containing copolymer confers antioxidative and anti-inflammatory properties, addressing the inflammatory component of adhesion pathogenesis, as validated in vitro.