Surgical Wound Healing Using Polyurethane Dressings Incorporated with Walnut Leaf Extract

Authors

1 Ph.D. in Biomedical Engineering, Zahedan University of Medical Sciences, Zahedan, Iran

2 Ph.D. in Microbiology, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract
Background and Objective: Skin loss may occur due to various causes, including genetic disorders, acute trauma, chronic wounds, or even surgical interventions. Dressings can accelerate wound healing by protecting the wound from bacterial contamination and providing a favorable environment for tissue repair. Moist wound dressings are particularly effective in preventing dressing-related injuries, managing exudates, and minimizing discomfort and pain. In this study, a polyurethane-based film incorporated with walnut leaf extract was developed and evaluated.
Materials & Methods: To prepare the polyurethane biofilm, a 12% polyurethane solution was formulated using tetrahydrofuran and dimethylformamide (50:50). Walnut leaf extract was then added at concentrations of 1%, 2%, and 4% (w/w), followed by casting into Teflon molds. Physicochemical and mechanical properties were assessed using Fourier-transform infrared spectroscopy (FTIR), light transmittance, swelling behavior in phosphate-buffered saline (PBS), degradation analysis, and cytotoxicity testing. The tensile strength of the films decreased with increasing extract content, while flexibility improved.
Results: Due to the diverse chemical constituents of the extract, elongation at break increased from 38.4 ± 4.7% to 68.24 ± 11.3%. Swelling capacity in PBS rose from 76% for pure polyurethane to 96% for films containing 4% extract. MTT assay results indicated no cytotoxicity for films containing 1% and 2% extract, whereas the 4% extract film exhibited cytotoxic effects.
Conclusion: Based on the analytical data and SEM observations of L929 fibroblast cells cultured on the films, it can be concluded that polyurethane films containing 2% walnut leaf extract provide optimal mechanical, chemical, physical, and biological properties, making them suitable candidates for skin tissue applications in surgical wound healing.

Keywords


1. F. Groeber, M. Holeiter, M. Hampel, S. Hinderer, and K. Schenke-Layland, "Skin tissue engineering-in vivo and in vitro applications," Advanced drug delivery reviews, vol. 63, pp. 352-366, 2011.
2. Y.-F. Goh, I. Shakir, and R. Hussain, "Electrospun fibers for tissue engineering, drug delivery, and wound dressing," Journal of Materials Science, vol. 48, pp. 3027-3054, 2013.
3. S. Kishida, "Nanoscale biological and physical factors influence on myogenic differentiation of skeletal myoblasts," 2014.
4. B. Chevallay and D. Herbage, "Collagen-based biomaterials as 3D scaffold for cell cultures: applications for tissue engineering and gene therapy," Medical and Biological Engineering and Computing, vol. 38, pp. 211-218, 2000.
5. J. A. Sherratt and J. C. Dallon, "Theoretical models of wound healing: past successes and future challenges," Comptes Rendus Biologies, vol. 325, pp.
557-564, 2002.
6. R. White and K. F. Cutting, "Modern exudate management: a review of wound treatments," World Wide Wounds, vol. 2006, 1.
7. G. S. Lazarus, D. M. Cooper, D. R.
Knighton, D. J. Margolis, R. E. Percoraro, G. Rodeheaver, et al., "Definitions and guidelines for assessment of wounds and evaluation of healing," Wound Repair and Regeneration, vol. 2, pp.
165-170, 1994.
8. J. Hilton, D. Williams, B. Beuker, D. Miller, and K. Harding, "Wound dressings in diabetic foot disease," Clinical Infectious Diseases, vol. 39, pp. S100-S103, 2004.
9. M. C. Ferreira, P. Tuma Júnior, V. F. Carvalho, and F. Kamamoto, "Complex wounds," Clinics, vol. 61, pp. 571-578, 2006.
10.       L. S. Nair and C. T. Laurencin, "Biodegradable polymers as biomaterials," Progress in polymer science, vol. 32, pp. 762-798, 2007.
11.       J.-P. Chen, G.-Y. Chang, and J.-K. Chen, "Electrospun collagen/chitosan nanofibrous membrane as wound dressing," Colloids and Surfaces A: Physicochemical and Engineering Aspects, vol. 313, pp. 183-188, 2008.
12.       G. D. Mogoşanu and A. M. Grumezescu, "Natural and synthetic polymers for wounds and burns dressing," International journal of pharmaceutics, vol. 463, pp. 127-136, 2014.
13.       R. A. Kamel, J. F. Ong, E. Eriksson, J. P. Junker, and E. J. Caterson, "Tissue engineering of skin," Journal of the American College of Surgeons, vol. 217, pp. 533-555, 2013.
14.       T. W. Wang, H. C. Wu, Y. C. Huang, J. S. Sun, and F. H. Lin, "Biomimetic Bilayered
Gelatin-Chondroitin 6 Sulfate-Hyaluronic Acid Biopolymer as a Scaffold for Skin Equivalent Tissue Engineering," Artificial organs, vol. 30, pp. 141-149, 2006.
15.       A. D. Association, "Diagnosis and classification of diabetes mellitus," Diabetes care, vol. 37, pp.
S81-S90, 2014.
16.       A. A. Chaudhari, K. Vig, D. R. Baganizi, R. Sahu, S. Dixit, V. Dennis, et al., "Future prospects for scaffolding methods and biomaterials in skin tissue engineering: a review," International journal of molecular sciences, vol. 17, p. 1974, 2016.
17.       S. G. Priya, H. Jungvid, and A. Kumar, "Skin tissue engineering for tissue repair and regeneration," Tissue Engineering Part B: Reviews, vol. 14, pp.
105-118, 2008.
18.       L. I. Moura, A. M. Dias, E. Carvalho, and H. C. de Sousa, "Recent advances on the development of wound dressings for diabetic foot ulcer treatment-a review," Acta biomaterialia, vol. 9, pp. 7093-7114, 2013.
19.       R. A. Clark, K. Ghosh, and M. G. Tonnesen, "Tissue engineering for cutaneous wounds,"
Journal of Investigative Dermatology, vol. 127, pp. 1018-1029, 2007.
20.       K. M. Woo, V. J. Chen, and P. X. Ma,
"Nano-fibrous scaffolding architecture selectively enhances protein adsorption contributing to cell attachment," Journal of biomedical materials research Part A, vol. 67, pp. 531-537, 2003.
21.       F. J. O'brien, "Biomaterials & scaffolds for
tissue engineering," Materials today, vol. 14, pp.
88-95, 2011.
22.       B. Dhandayuthapani, Y. Yoshida, T. Maekawa, and D. S. Kumar, "Polymeric scaffolds in tissue engineering application: a review," International Journal of Polymer Science, vol. 2011, 2011.
23.       J. Santerre, K. Woodhouse, G. Laroche, and R. Labow, "Understanding the biodegradation of polyurethanes: from classical implants to tissue engineering materials," Biomaterials, vol. 26, pp. 7457-7470, 2005.
24.       M. C. Ferreira, P. Tuma, Jr., V. F. Carvalho, and F. Kamamoto, "Complex wounds," Clinics (Sao Paulo), vol. 61, pp. 571-8, Dec 2006.
25.       G. Broughton 2nd, J. E. Janis, and C. E. Attinger, "The basic science of wound healing," Plastic and reconstructive surgery, vol. 117, pp. 12S-34S, 2006.
26.       J. Schilling, "Wound care made incredibly visual. USA: LippincJtt Williams & Wilkins," 2007