Advances, challenges, and prospects for surgical suture materials

As one of the long-established and necessary medical devices, surgical sutures play an essentially important role in the closing and healing of damaged tissues and organs postoperatively. The recent advances in multiple disciplines, like materials science, engineering technology, and biomedicine, have facilitated the generation of various innovative surgical sutures with humanization and multi-functionalization. For instance, the application of numerous absorbable materials is assuredly a marvelous progression in terms of surgical sutures. Moreover, some fantastic results from recent laboratory research cannot be ignored either, ranging from the fiber generation to the suture structure, as well as the suture modification, functionalization, and even intellectualization. In this review, the suture materials, including natural or synthetic polymers, absorbable or non-absorbable polymers, and metal materials, were first introduced, and then their advantages and disadvantages were summarized. Then we introduced and discussed various fiber fabrication strategies for the production of surgical sutures. Noticeably, advanced nanofiber generation strategies were highlighted. This review further summarized a wide and diverse variety of suture structures and further discussed their different features. After that, we covered the advanced design and development of surgical sutures with multiple functionalizations, which mainly included surface coating technologies and direct drug-loading technologies. Meanwhile, the review highlighted some smart and intelligent sutures that can monitor the wound status in a real-time manner and provide on-demand therapies accordingly. Furthermore, some representative commercial sutures were also introduced and summarized. At the end of this review, we discussed the challenges and future prospects in the field of surgical sutures in depth. This review aims to provide a meaningful reference and guidance for the future design and fabrication of innovative surgical sutures. STATEMENT OF SIGNIFICANCE: This review article introduces the recent advances of surgical sutures, including material selection, fiber morphology, suture structure and construction, as well as suture modification, functionalization, and even intellectualization. Importantly, some innovative strategies for the construction of multifunctional sutures with predetermined biological properties are highlighted. Moreover, some important commercial suture products are systematically summarized and compared. This review also discusses the challenges and future prospects of advanced sutures in a deep manner. In all, this review is expected to arouse great interest from a broad group of readers in the fields of multifunctional biomaterials and regenerative medicine.

Ductile Effect of PGA/PCL Blending Plastics Using a Novel Ionic Chain Extender with Non-Covalent Bonds

Polyglycolic acid (PGA) is a promising polymer in the packaging field owing to its excellent hydrolysis, heat resistance, and gas barrier properties, but it is limited in application due to its poor toughness. For this reason, a covalently bonded chain extender is introduced to increase compatibility with flexible polymers. However, covalent bonds are unfavorable for application to degradable plastics because of the energy required for reverse reactions. Therefore, we intended to effectively control the ductility of blending plastics by using a novel ionic chain extender with a relatively weaker non-covalent bond than the existing covalent bond. Polycaprolactone (PCL), which has biodegradability and flexibility, was selected as a blending polymer. For comparison, a covalently reactive chain extender (G-CE) and a non-covalently ionic chain extender (D-CE) were synthesized and compounded with blending plastics. Each chain extender improved the compatibility between PGA and PCL, and the ductility of the PGA/PCL blending plastics was more greatly enhanced with non-covalently bonded D-CE than with covalently bonded G-CE. At this time, the ductility of the PGA/PCL(90/10) blending plastic without CE was 7.2%, the ductility of blending plastic with D-CE (10D) was 26.6%, and the ductility of blending plastic with G-CE (10G) was 18.6%. Therefore, it was confirmed that the novel ionic chain extender inducing non-covalent bonds improves the compatibility between PGA and PCL and is more advantageous in enhancing ductility through a reversible reaction.

Use of group 13 aryloxides for the synthesis of green chemicals and oxide materials

In this work, group 13 metal aryloxides [Al(MesalO)3] (1), [Me2Ga(MesalO)]2 (2), [AlLi3(MesalO)6] (3) and [Me2GaLi(MesalO)2(THF)] (4), were obtained by reaction of methyl salicylate (MesalOH) with group-13 alkyls MMe3 (for M...

Synthesis, Microstructure, and Properties of High-Molar-Mass Polyglycolide Copolymers with Isolated Methyl Defects

An efficient, fast, and reliable method for the synthesis of high-molar-mass polyglycolide (PGA) in bulk using bismuth (III) subsalicylate through ring-opening transesterification polymerization is described. The difference between the crystallization (T_c ≈ 180 °C)/degradation (T_d ≈ 245 °C) temperatures and the melting temperature (T_m ≈ 222 °C) significantly affects the ability to melt-process PGA homopolymer. To expand these windows, the effect of copolymer microstructure differences through incorporation of methyl groups in pairs using lactide or isolated using methyl glycolide (≤10% methyl) as comonomers on the thermal, mechanical, and barrier properties were studied. Structures of copolymers were characterized by nuclear magnetic resonance (¹H and ¹³C NMR) spectroscopies. Films of copolymers were obtained, and the microstructural and physical properties were analyzed. PGA homopolymers exhibited an approximately 30 °C difference between T_m and T_c, which increased to 68 °C by incorporating up to 10% methyl groups in the chain while maintaining overall thermal stability. Oxygen and water vapor permeation values of solvent-cast nonoriented films of PGA homopolymers were found to be 4.6 cc·mil·m^-2·d^-1·atm^-1 and 2.6 g·mil·m^-2·d^-1·atm^-1, respectively. Different methyl distributions in the copolymer sequence, provided through either lactide or methyl glycolide, affected the resulting gas barrier properties. At 10% methyl insertion, using lactide as a comonomer significantly increased both O₂ (32 cc·mil·m^-2·d^-1·atm^-1) and water vapor (12 g·mil·m^-2·d^-1·atm^-1) permeation. However, when methyl glycolide was utilized for methyl insertion at 10% Me content, excellent barrier properties for both O₂ (2.9 cc·mil·m^-2·d^-1·atm^-1) and water vapor (1.0 g·mil·m^-2·d^-1·atm^-1) were achieved.

Preparation and Properties of Poly(ethylene glycol-co-cyclohexane-1,4-dimethanol terephthalate)/Polyglycolic Acid (PETG/PGA) Blends

Polyglycolic acid (PGA) is used as a reinforcing component to enhance the mechanical properties of poly(ethylene glycol-co-cyclohexane-1,4-dimethanol terephthalate) (PETG). The tensile performance, micromorphology, crystallinity, heat resistance, and melt mass flow rates (MFRs) of PETG/PGA blends with varying PGA contents were studied. Both the tensile yield strength and tensile modulus of the PETG/PGA blends increased gradually with an increase in the PGA content from 0 to 35 wt%. The tensile yield strength of the PETG/PGA (65/35) blend increased by 8.7% (44.38 to 48.24 MPa), and the tensile modulus increased by 40.2% (1076 to 1509 MPa). However, its tensile ductility decreased drastically, owing to the poor interfacial compatibility of PETG/PGA and the oversized PGA domains. A multiple epoxy chain extender (ADR) was introduced into the PETG/PGA (65/35) blend to improve its interfacial compatibility and rheological properties. The tensile performance, micromorphology, rheological properties, crystallinity, and heat resistance of PETG/PGA (65/35) blends with varying ADR contents were studied. The strong chain extension effect of ADR along with its reactive compatibilization improved the rheological properties and tensile ductility. By carefully controlling the ADR concentration, the performance of PETG/PGA blends can be regulated for different applications.

Dual-site catalysis for sustainable polymers to replace current commodity polymers – carbonylative copolymerization of ethylene, ethylene oxide, and tetrahydrofuran

Thermoplastic elastomers and plastics have been produced via nickel-catalyzed COP of cyclic ethers, ethylene, and CO using a one-pot procedure.

Stereoselective cationic polymerization of vinyl ethers by easily and finely tunable titanium complexes prepared from tartrate-derived diols: isospecific polymerization and recognition of chiral side chains

Isotactic poly(vinyl ether)s were generated by titanium TADDOLates, which can be prepared from naturally abundant tartaric acid in a facile and economical manner with well-defined structures.

Robust and Elastic Lunar and Martian Structures from 3D-Printed Regolith Inks

Here, we present a comprehensive approach for creating robust, elastic, designer Lunar and Martian regolith simulant (LRS and MRS, respectively) architectures using ambient condition, extrusion-based 3D-printing of regolith simulant inks. The LRS and MRS powders are characterized by distinct, highly inhomogeneous morphologies and sizes, where LRS powder particles are highly irregular and jagged and MRS powder particles are rough, but primarily rounded. The inks are synthesized via simple mixing of evaporant, surfactant, and plasticizer solvents, polylactic-co-glycolic acid (30% by solids volume), and regolith simulant powders (70% by solids volume). Both LRS and MRS inks exhibit similar rheological and 3D-printing characteristics, and can be 3D-printed at linear deposition rates of 1–150 mm/s using 300 μm to 1.4 cm-diameter nozzles. The resulting LRS and MRS 3D-printed materials exhibit similar, but distinct internal and external microstructures and material porosity (~20–40%). These microstructures contribute to the rubber-like quasi-static and cyclic mechanical properties of both materials, with young’s moduli ranging from 1.8 to 13.2 MPa and extension to failure exceeding 250% over a range of strain rates (10^–1−10² min⁻¹). Finally, we discuss the potential for LRS and MRS ink components to be reclaimed and recycled, as well as be synthesized in resource-limited, extraterrestrial environments.