Biodegradable hemostatic
gauze used for surgical hemostasis has
attracted great interest due to its excellent compliance and local
anti-inflammatory and therapeutic effects when combined with drugs.
Herein, we demonstrate the successful fabrication of water-soluble
absorbed cellulose hemostatic material by introducing a biocompatible
hydroxyethyl cellulose (HEC) hemostasis gauze into doxorubicin-loaded
in situ gel (GEL(DOX)) for the prevention of breast cancer recurrence
after surgical tumor resection. The present results show that HEC
has a shorter metabolic period, no anaphylaxis and peripheral nerve
toxicity, and possesses more advantages than oxidative regenerated
cellulose hemostasis gauze, a commercially available product in market.
HEC is of the physical hemostasis in mechanism, which does not induce
physiological hemostasis and hemolysis. In addition, the combination
of HEC with GEL(DOX) not only stops the bleeding efficiently, but
also effectively reduces the proliferation of tumor with no cardiac
toxic and bone marrow suppression. After treatment, the tumor inhibition
rate is up to 90%, resulting in prolonged survival time to 58 days.
In conclusion, HEC hemostatic gauze has a broad prospect in clinical
application due to its perfect biocompatibility, and we envision that
it is a new strategy for the prevention of breast cancer to implant
HEC hemostatic gauze containing GEL(DOX) at the postoperative site
after surgery.