Albumin-genipin solder for laser tissue-welding

A. Lauto*, J. Foster, A. Avolio, L. Poole-Warren

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

Abstract

Background. Laser tissue soldering (LTS) is an alternative technique to suturing for tissue repair. One of the major drawbacks of LTS is the weak tensile strength of the solder welds when compared to sutures. In this study, the possibility was investigated for a low cytotoxic crosslinker, acting on amino groups, to enhance the bond strength of albumin solders. Materials and Methods. Solder strips were welded onto rectangular sections of sheep small intestine by a diode laser. The laser delivered in continuous mode mode a power of 170 ±10 m W at λ=808 nm, through a multimode optical fiber (core size=200 μm) to achieve a dose of 10.8 ±0.5 J/mg. The solder thickness and surface area were kept constant throughout the experiment (thickness = 0.15 ±1mm, area = 12±1.2 mm2). The solder incorporated 62% bovine serum albumin, 0.38% genipin, 0.25% indocyanin green dye (IG) and water. Tissue welding was also performed with a similar solder, which did not incorporate genipin, as a control group. The repaired tissue was tested for tensile strength by a calibrated tensiometer. Results. The tensile strength of the genipin solder was twice as high as the strength of the BSA solder (0.21 ±0.04 N and 0.11 ±0.04 N respectively; p∼10-15 unpaired t-test, N=30). Discussion. Addition of a chemical crosslinking agent, such as genipin, significantly increased the tensile strength of adhesive-tissue bonds. A proposed mechanism for this enhanced bond strength is the synergistic action of mechanical adhesion with chemical crosslinking by genipin.

Original languageEnglish
Title of host publicationProceedings of SPIE 5312
Subtitle of host publicationLasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIV, 124
EditorsKenneth E. Bartels, Lawrence S. Bass, Werner T. W. de Riese, Kenton W. Gregory, Henry Hirschberg, Abraham Katzir, Nikiforos Kollias, Steen J. Madsen, Reza S. Malek, Karen M. McNally-Heintzelman, Keith D. Paulsen, David S. Robinson, Lloyd P. Tate Jr., Eugene A. Trowers, Brian J. Wong
Place of PublicationBellingham, WA
PublisherSPIE
Pages124-129
Number of pages6
Volume5312
ISBN (Print)9780819452207
DOIs
Publication statusPublished - 2004
Externally publishedYes
EventSPIE, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIV - San Jose, CA, United States
Duration: 24 Jan 200424 Jan 2004

Conference

ConferenceSPIE, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XIV
CountryUnited States
CitySan Jose, CA
Period24/01/0424/01/04

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