Skip to main content

Advertisement

Log in

Freeze-Dried Carboxymethyl Chitosan/Starch Foam for Use as a Haemostatic Wound Dressing

  • Original Paper
  • Published:
Journal of Polymers and the Environment Aims and scope Submit manuscript

Abstract

Prolonged bleeding is a general complication that occurs after tooth extraction or oral surgery. Thus, patients must apply pressure and use absorbable wound dressings to stop bleeding and prevent blood loss. This method stops bleeding and causes clotting of blood. However, some people have bleeding disorders or cannot stop bleeding with applied pressure after oral surgery. Therefore, haemostatic foam dressing is an interesting material that can be used to stop bleeding without hindering blood clotting in the wound site. In this study, foam was prepared using a blend of starch with carboxymethyl chitosan and glyoxal as a crosslinking agent. The foam was formed by freeze-drying. Carboxymethyl chitosan/starch foam absorbed water rapidly and held it, as analysed by a blood clotting assay and maximum swelling. Thus, carboxymethyl chitosan/starch foam (CM/starch foam) made with a 1:4 ratio and with 1% glyoxal also absorbed blood very well and exhibited suitable properties. Cytotoxic studies using human dermal fibroblast cells, as determined by MTT assay, confirmed that CM/starch foam was non-toxic and had good mechanical properties in a wet environment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Naalla R, Bhushan S, Ul Abedin M, Bichpuriya A, Singhal M (2020) Closed incisional negative pressure wound therapy at flap suture line: an innovative approach for improving outcomes in suboptimal wound conditions. ciNPWT 53:90–96

    Google Scholar 

  2. Larjava H (2012) Oral wound healing: cell biology and clinical management. Wiley, New York

    Book  Google Scholar 

  3. Hsu S-H, Hung K-C, Chen C-W (2016) Biodegradable polymer scaffolds. J Mater Chem B 4:7493–7505

    Article  CAS  Google Scholar 

  4. Liu J, Li Y, Hu Y, Cheng G, Ye E, Shen C, Xu F (2018) Hemostatic porous sponges of cross-linked hyaluronic acid/cationized dextran by one self-foaming process. Mater Sci Eng C 83:160–168

    Article  CAS  Google Scholar 

  5. Anisha BS, Sankar D, Mohandas A, Chennazhi KP, Nair SV, Jayakumar R (2013) Chitosan–hyaluronan/nano chondroitin sulfate ternary composite sponges for medical use. Carbohydr Polym 92:1470–1476

    Article  CAS  Google Scholar 

  6. Aderibigbe BA (2021) Chapter 6-Efficacy of polymer-based wound dressings in chronic wounds modeling and control of drug delivery systems. Academic Press, London, pp 79–110

    Google Scholar 

  7. Shivakumar P, Gupta MS, Jayakumar R, Gowda DV (2021) Prospection of chitosan and its derivatives in wound healing: Proof of patent analysis (2010–2020. Int J Biol 184:701–712

    CAS  Google Scholar 

  8. Wang Y, Liu G, Wu L, Qu H, Song D, Huang H, Wu C, Xu M (2020) Rational design of porous starch/hyaluronic acid composites for hemostasis. Int J Biol 158:1319–1329

    CAS  Google Scholar 

  9. Tan HW, Abdul Aziz AR, Aroua MK (2013) Glycerol production and its applications as a raw material: a review. Renew Sustain Energy Rev 27:118–127

    Article  CAS  Google Scholar 

  10. Uslu M-K, Polat S (2012) Effects of glyoxal cross-linking on baked starch foam. Carbohydr Polym 87:1994–1999

    Article  CAS  Google Scholar 

  11. Igberase E, Osifo PO (2019) Application of diethylenetriamine grafted on glyoxal cross-linked chitosan composite for the effective removal of metal ions in batch system. Int J Biol 134:1145–1155

    CAS  Google Scholar 

  12. Singh B, Kumar A (2021) Rohit, Gamma radiation formation of sterculia gum-alginate-carbopol hydrogel dressing by grafting method for use in brain drug delivery. Chem Phys Lett 779:138875

    Article  CAS  Google Scholar 

  13. Leonés LP, Lieblich M, Benavente R, Fiori S (2020) In vitro degradation of plasticized PLA electrospun fiber mats: morphological, thermal and crystalline evolution. Polymers 12:2–18

    Google Scholar 

  14. Moeini A, Pedram P, Makvandi P, Malinconico M, Ayala G (2020) Wound healing and antimicrobial effect of active secondary metabolites in chitosan-based wound dressings: a review. Carbohydr Polym 233, 115839

    Article  CAS  Google Scholar 

  15. Castro-Cesena AB, Camacho-Villegas TA, Lugo-Fabres PH, Novitskaya EE, McKittrick J, Licea-Navarro A (2016) Effect of starch on the mechanical and in vitro properties of collagen-hydroxyapatite sponges for applications in dentistry. Carbohydr Polym 148:78–85

    Article  CAS  Google Scholar 

  16. Li W, Zhou J, Xu Y (2015) Study of the in vitro cytotoxicity testing of medical devices (Review). Biomed Rep 3:617–620

    Article  CAS  Google Scholar 

  17. Garcia SN, Gutierrez L, McNulty A (2013) Real-time cellular analysis as a novel approach for in vitro cytotoxicity testing of medical device extracts. J Biomed Mater Res A 101A(7):2097–2106

    Article  CAS  Google Scholar 

  18. Boutrand J (2019) Biocompatibility and performance of medical devices. Woodhead Publishing, Sawston, pp 1–586

    Google Scholar 

  19. Chen W, Li X, Zeng L, Pan H, Liu Z (2021) Allicin-loaded chitosan/polyvinyl alcohol scaffolds as a potential wound dressing material to treat diabetic wounds: an in vitro and in vivo study. J. Drug Deliv. Sci. Technol. 65:102734

    Article  CAS  Google Scholar 

  20. Kaczmarek-Szczepanska B, Miłek O, Michalska-Sionkowska M, Osyczka AM (2021) Bio-studies of scaffolds based on chitosan/tannic acid cross-linked by glyoxal. Mater Lett 292:129667

    Article  CAS  Google Scholar 

  21. Raza M, Lim Y, Lee S, Seralathan K, Park S (2021) Synthesis and characterization of hydrogels based on carboxymethyl chitosan and poly(vinylpyrrolidone) blends prepared by electron beam irradiation having anticancer efficacy, and applications as drug carrier for controlled release of drug. Carbohydr Polym 258:117718

    Article  CAS  Google Scholar 

  22. Naureen B, Haseeb ASMA, Basirun WJ, Muhamad F (2021) Synthesis and degradation of 3D biodegradable polyurethane foam scaffolds based on poly (propylene fumarate) and poly [(R)-3-hydroxybutyrate]. Mater. Today Commun. 28:102536

    Article  CAS  Google Scholar 

  23. Singha G, Nayal A, Malhotra S, Koul V (2020) Dual functionalized chitosan based composite hydrogel for haemostatic efficacy and adhesive property. Carbohydr Polym 247:116757

    Article  Google Scholar 

  24. Tai N, Ghasemlou M, Adhikari R, Adhikari B (2021) Starch-based isocyanate- and non-isocyanate polyurethane hybrids: A review on synthesis, performance and biodegradation. Carbohydr Polym 265:118029

    Article  CAS  Google Scholar 

  25. Chen Y, Qian J, Zhao C, Yang L, Ding J, Guo H (2019) Preparation and evaluation of porous starch/chitosan composite crosslinking. Hemostatic Eur Polym J 118:17–26

    Article  CAS  Google Scholar 

  26. Zhang Y, Chang Z, Luo W, Gu S, Li W (2015) An J. Effect of starch particles on foam stability and dilational viscoelasticity of aqueous-foam. Chin J Chem Eng 23:276–280

    Article  Google Scholar 

  27. Li X, Wu J, Li D, Zou Q, Man Y, Zou L, Li W (2021) Pro-osteogenesis and in vivo tracking investigation of a dental implantation system comprising novel mTi implant and HYH-Fe particles. Bioact Mater 6:2658–2666

    Article  CAS  Google Scholar 

  28. Ouyang Q, Hou T, Li C, Hu Z, Liang L, Li S, Zhong Q, Li P (2019) Construction of a composite sponge containing tilapia peptides and chitosan with improved hemostatic performance. J Int J Biol 139:719–729

    CAS  Google Scholar 

  29. Mani M, Ebenezer V, Balakrishnan R (2014) Impact of hemostatic agents in oral surgery. BJR Suppl 7:215–219

    Google Scholar 

  30. Chen K, Tong C, Yang J, Cong P, Liu Y, Shi X, Liu X, Zhang J, Zou R, Xiao K, Ni Y, Xu L, Hou M, Jin H, Liu Y (2021) Injectable melatonin-loaded carboxymethyl chitosan (CMCS)-based hydrogel accelerates wound healing by reducing inflammation and promoting angiogenesis and collagen deposition. J Mater Sci Technol 63:236–245

    Article  Google Scholar 

  31. Li H, Cheng F, Wei X, Yi X, Tang S, Wang Z, Zhang Y, He J, Huang Y (2021) Injectable, self-healing, antibacterial, and hemostatic N,O-carboxymethyl chitosan/oxidized chondroitin sulfate composite hydrogel for wound dressing. Mater Sci Eng C 118:111324

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The authors acknowledge financial support received from the Research Pyramid, Rachadaphiseksomphot Endowment Fund (GCURP_58_02_63_01) of Chulalongkorn University. This work was supported in part by (1) the Petroleum and Petrochemical College, Chulalongkorn University, (2) the 90th Anniversary of Chulalongkorn University Fund (Rachadaphiseksomphot Endowment Fund) (3) the Center of Excellence for Petroleum, Petrochemicals, and Advanced Materials (CE-PPAM) (4) The Royal Government of Thailand Scholarship 2562 and (5) Herbal Extracts-infused Advanced Wound Dressing Research Unit, Rachadaphiseksomphot Endowment Fund, Chulalongkorn University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pitt Supaphol.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jungprasertchai, N., Chuysinuan, P., Ekabutr, P. et al. Freeze-Dried Carboxymethyl Chitosan/Starch Foam for Use as a Haemostatic Wound Dressing. J Polym Environ 30, 1106–1117 (2022). https://doi.org/10.1007/s10924-021-02260-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10924-021-02260-w

Keywords

Navigation