Chitosan and Aloe vera gel formulations as wound healing agents in episiotomy

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.14895

Keywords:

Episiotomy; Tissue regeneration; Vaginal gel; Chitosan; Aloe vera.

Abstract

Episiotomy is an obstetric technique that consists of making an incision in the perineum during vaginal childbirth, to facilitate the baby to pass through. After delivery, the perineal region is sutured with absorbable threads to heal the cut. However, are frequent reports of pain, infections, and dyspareunia after the execution of this technique. In this context, the use of biomaterials becomes relevant as they promote faster and safer tissue repair, making it an attractive alternative for the healing process of episiotomy. Based on the physical-chemical and biological properties of chitosan and Aloe vera, this research developed three different vaginal gels, with the purpose of promoting tissue regeneration and infection prevention post-episiotomy. Chitosan solutions with concentrations of 5% w/v were prepared by dissolving the chitosan powder in 2% v/v aqueous solution of acetic acid. After the extraction and processing of the mucilage, the pulp of the Aloe vera leaf was added to the chitosan gel in the proportions of 1, 2, and 3% v/v. All formulations were neutralized by the slow drip technique of a neutralizing solution of sodium hydroxide (2 M). The compositions were analyzed according to their organoleptic aspect, optical microscopy, spreadability, hydrogen potential, absorption spectroscopy, cytotoxicity, and rheological behavior. Based on the results obtained, it was possible to conclude that gels produced have the potential to be used as vaginal gels.

References

Bonferoni, M. C., Giunchedi, P., Scalia, S., Rossi, S., Sandri, G., & Caramella, C. (2006). Chitosan Gels for the Vaginal Delivery of Lactic Acid: Relevance of Formulation Parameters to Mucoadhesion and Release Mechanisms. Aaps Pharmscitech, 7(4), 141-147.

Campos, L. M., Lemos, A. S. O., Cruz, L. F., Araújo, M. G. F., Botti, G. C. R. M., Reis Júnior, J. L., Rocha, V. N., Denadai, Â. M. L., Silva, T. P., & Tavares, G. D (2020). Development and in vivo evaluation of chitosan-gel containing Mitracarpus frigidus methanolic extract for vulvovaginal candidiasis treatment. Biomedicine & Pharmacotherapy, 130, 110609.

Denari, N. S. M. (2014). Biomateriais binários de quitosana/amido e quitosana/gelatina em L-ácido lático. Masters dissertation. Universidade de São Paulo.

Eghdampour, F., Jahdie, F., Kheyrkhah, M., Taghizadeh, M., Naghizadeh, S., & Hagani, H. (2013). The Impact of Aloe vera and Calendula on Perineal Healing after Episiotomy in Primiparous Women: A Randomized Clinical Trial. Jornal Of Caring Sciences, 2(4), 279-286.

Fernando, R. J., Sultan, Ab., H., Kettle, C., & Thakar, R. (2013). Methods of repair for obstetric anal sphincter injury. The Cochrane Database Of Systematic Reviews, 8(12), 1-45.

Jalalvandi, E., & Shavandi, A. (2018). In situ-forming and pH-responsive hydrogel based on chitosan for vaginal delivery of therapeutic agents. Journal Of Materials Science: Materials in Medicine, 29(10), 1-11.

Kalis, V., Laine, K., Leeuw, J., Ismail, K. M., & Tincello, D. G. Classification of episiotomy: towards a standardisation of terminology. Bjog: An International Journal of Obstetrics & Gynaecology, 119(5), 522-526.

Khoshgozaran-Abras, S., Azizi, M. H., Hamidy, Z., & Bagheripoor-Fallah, N. (2012). Mechanical, physicochemical and color properties of chitosan based-films as a function of Aloe vera gel incorporation. Carbohydrate Polymers, 87(3), 2058-2062.

Liu, C, Chen, X., & Park, H. (2005). Self-assembled nanoparticles based on linoleic-acid modified chitosan: stability and adsorption of trypsin. Carbohydrate Polymers, 62(3), 293-298.

Llanos, J. H. R., VERCIK, L. C. O., & VERCIK, A. (2015). Physical Properties of Chitosan Films Obtained after Neutralization of Polycation by Slow Drip Method. Journal Of Biomaterials And Nanobiotechnology, 06(04), 276-291.

Mastropietro, D. J. (2013). Rheology in Pharmaceutical Formulations-A Perspective. Journal Of Developing Drugs, 2(2), 1-6.

Melo, E. K. S., Carvalho, A. L. M., Borba, V. F. C., Sousa, G. D., Tabosa, M. A. M., & Leal, L. B. (2013). Análise e estudo viscosimétrico de diferentes géis de cetoprofeno 2,5%. Revista de Ciências Farmacêuticas Básica e Aplicada, 34(1), 95-99.

Mendes, M. S. L., Aguiar, K. L. N. P., Pereira, K. A. B., Oliveira, P. F., & Mansur, C. R. E. (2019). Hidrogéis à base de poliacrilamida e quitosana com potencial aplicabilidade no controle de conformidade em reservatórios de petróleo. Revista Eletrônica Perspectivas da Ciência e Tecnologia, 11(1), 1-15.

Ribeiro, M. P., Espiga, A., Silva, D., Baptista, P., Hhenriques, J., Ferreira, C., Silva, J. C., Borges, J. P., Pires, E., & Chaves, P. (2009). Development of a new chitosan hydrogel for wound dressing. Wound Repair And Regeneration, 17(6), 817-824.

Rotta, J., Minatti, E., & Barreto, P. L. M. (2011). Determination of structural and mechanical properties, diffractometry, and thermal analysis of chitosan and hydroxypropylmethylcellulose (HPMC) films plasticized with sorbitol. Ciência e Tecnologia de Alimentos, 31(2), 450-455.

Sánchez-Sánchez, M. P., Martín-Illana, A., Ruiz-Caro, R., Bermejo, P., Abad, M. J., Carro, R., Bedoya, L. M., Tamayo, A., Rubio, J., & Fernández-Ferreiro, A. (2015). Chitosan and Kappa-Carrageenan Vaginal Acyclovir Formulations for Prevention of Genital Herpes: In Vitro and Ex Vivo Evaluation. Marine Drugs, 13(9), 5976-5992.

Santos, L. M., Santos, L. M. S., Brandão, M. M., Cerqueira, E. A. C., Ramos, M. S. X., & Carvalho, E. S. S. (2018). Associação entre perineorrafia e problemas perineais, atividades habituais e necessidades fisiológicas afetadas. Revista Cuidarte, 9(2), 2233-2244.

Santos, R. C. S., & Santos, R. G. (2016). Fatores relacionados com a prática da episiotomia no Brasil: revisão de literatura. Estação científica (UNIFAP), 6(1), 43-52.

Şenyigit, Z. A., Karavana, S. Y., Eraç, B., Gürsel, Ö., Limoncu, M. H., & Baloğlu, E. (2014). Evaluation of chitosan based vaginal bioadhesive gel formulations for antifungal drugs. Acta Pharmaceutica, 64(2), 139-156.

Sharma, A. (2020). Honey Aloevera loaded electrospun PVA nanofibers as a potential wound dressing material. http://teqip.iith.ac.in/wp-content/uploads/2018/10/Apeksha.pdf

Sioutis, D., Thakar, R., & Sultan, A. H. (2017). Overdiagnosis and rising rate of obstetric anal sphincter injuries (OASIS): time for reappraisal. Ultrasound In Obstetrics & Gynecology, 50(5), 642-647.

Teplicki, E., Qianli, M. A., Castillo, D., Zarei, M., Hustad, A. P., Chen, J., & Li, J. (2018). The Effects of Aloe vera on Wound Healing in Cell Proliferation, Migration, and Viability. Wounds, 30(9), 263-268.

Torres, M. A. (2001). Propriedades viscosas e viscoelásticas de soluções e géis de quitosana. Masters dissertation. Universidade Estadual de Campinas.

Valenta, C. (2005). The use of mucoadhesive polymers in vaginal delivery. Advanced Drug Delivery Reviews, 57(11), 1692-1712.

Verghese, T. S., Champaneria, R., Kapoor, D., & Latthe, P. M. (2016). Obstetric anal sphincter injuries after episiotomy: systematic review and meta-analysis. International Urogynecology Journal, 27(10), 1459-1467.

Wang, H., Zhang, X., Mani, M., Jaganathan, S., Huang, Y., & Wang, C. (2017). Microwave-Assisted Dip Coating of Aloe Vera on Metallocene Polyethylene Incorporated with Nano-Rods of Hydroxyapaptite for Bone Tissue Engineering. Coatings, 7(11), 182-199.

Wu, Q., & Li, L. (2020). Thermal sensitive Poloxamer/Chitosan hydrogel for drug delivery in vagina. Materials Research Express, 7(10), 105401.

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Published

20/05/2021

How to Cite

MACÊDO, M. D. M. .; DANTAS, H. K. B. .; SOUZA, M. F. de .; PEDROSA, T. C. .; AZEVEDO, A. C. S. de .; FERREIRA, V. P. .; LUCENA, B. de M. .; SOUSA, W. J. B. de .; FOOK, M. V. L. . Chitosan and Aloe vera gel formulations as wound healing agents in episiotomy. Research, Society and Development, [S. l.], v. 10, n. 6, p. e36310614895, 2021. DOI: 10.33448/rsd-v10i6.14895. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14895. Acesso em: 15 nov. 2024.

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Section

Engineerings