Publications by authors named "Hideki Takamori"

Background: To overcome the unfavorable issues associated with conventional anti-adhesive HA/CMC film, we developed an anti-adhesive thermally cross-linked gelatin film.

Objective: We tried to clarify the re-attachability of the film and the required properties concerning the film thickness, stiffness and anti-adhesion effect.

Methods: To determine the optimal thickness, 5 kinds of the thickness of gelatin film and the conventional film were analyzed by the tensile test, shearing test, buckling test and tissue injury test.

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Article Synopsis
  • Developed a thermally cross-linked gelatin film that shows superior physical strength and ductility compared to conventional hyaluronic acid and carboxymethylcellulose films.
  • In tests with rat models, the gelatin film demonstrated a significantly better anti-adhesion effect and supported fibroblast cell proliferation, unlike the conventional films.
  • Cytotoxicity tests revealed that the gelatin film extract posed no cytotoxicity, making it a safer option for use as an anti-adhesion material.
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Article Synopsis
  • - The polyglycolic acid (PGA) fabric and fibrin glue (P-F method) have been shown to prevent complications after endoscopic submucosal dissection (ESD) in recent studies, but their effectiveness and mechanisms are not fully understood.
  • - In experiments using a canine stomach model, the P-F method significantly reduced ulcer perforation and damage compared to untreated control groups, with improved granulation tissue formation and mucosal regeneration observed over time.
  • - Culture experiments revealed that while fibroblast proliferation was higher on PGA, fibrin glue provided protection against hydrochloric acid, demonstrating that the P-F method effectively combines protective and regenerative properties for better tissue repair after ESD.
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Postoperative intra-abdominal or intrathoracic adhesions sometimes cause significant morbidity. We have designed three types of alginate-based treatments using strongly cross-linked (SL), weakly cross-linked (WL), and non-cross-linked (NL) alginate with calcium gluconate. In rat experiments, we compared the antiadhesive effects of the three types of alginate-based treatments, fibrin glue treatment (a standard treatment), and no treatment against adhesions caused by polyglycolic acid (PGA) mesh (PGA-induced adhesions).

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In order to prevent postoperative adhesion and the related complications, a thermally crosslinked gelatin (TCG) film was developed and the basic biological properties were examined, paying special attention to the relationship between these properties and the extent of crosslinking of the film. The gelatin films crosslinked thermally for five different time periods (0, 1, 3, 8, and 14 hours) were developed and the following tests were performed. Regarding the material characterization of the films, the water content, the water solubility, and the enzymatic degradation for collagenase were found to be closely related to the duration of thermal crosslinking.

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To overcome the problems associated with sheet- or film-type anti-adhesive materials, we developed a new type of anti-adhesive material, gelatin flakes. We made two types of gelatin flakes with or without thermal cross-linking, and preliminarily examined their basic properties and the anti-adhesive efficacy using a rodent adhesion model. Both types of the gelatin flakes rapidly turned into gel and tightly attached the injured surfaces, absorbing the moisture and blood, when applied onto the abraded sites of rats.

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