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17 protocols using 3 0 silk suture

1

Subcutaneous FGF19 and BrdU Delivery in Mice

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All surgical procedures in mice were performed under isoflurane inhalation anaesthesia (2–3%). The hair over the intrascapular area was shaved and skin aseptically prepared. A small incision was made using a blunt tipped scissor, and a small pocket formed by spreading the subcutaneous connective tissue apart. Micro-osmotic pumps (Alzet, 1007D) releasing 8.5 mg kg−1 day−1 5-bromo-2-dexoyuridine (BrdU, Sigma) and 0.4 mg kg−1 day−1 FGF19 protein were implanted subcutaneously into the pocket with the flow moderator pointing away from the incision on day 1. Incisions were closed with 3-0 silk suture (Ethicon) and wound clips. Mice were killed on day 6, and serum and livers were collected for exposure and BrdU incorporation analysis. Saline solution (0.9% sodium chloride) was used as vehicle for dilutions.
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2

Murine Liver Perfusion Technique

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Organs were obtained from CD-1 mice, aged 3 to 4 months. Livers were harvested as described in rats [26 (link)]. Briefly, after the sacrifice of the mouse using increasing CO2 inhalation, a midline incision was performed to expose the abdominal cavity. The portal vein (PV) was cannulated with a 24G cannula (BD, UK), secured with a 3/0 silk suture (Ethicon, UK). The inferior vena cava (IVC) was ligated using a 3/0 silk suture placed proximally to the right renal vein while the superior one was sectioned and left opened to allow the reagents to flow out. The diaphragm, once detached from the insertions, was used as holding point. The whole procedure was carried out to avoid damages to the Glisson’s capsule.
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3

Ovarian Cancer Induction Protocol

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After selection based on ethanol consumption, all of the animals (n = 80) were anesthetized using 10% ketamine (60 mg/kg, i.p.) and 2% xylazine (5 mg/kg, i.p.) during the estrous phase, and the left flank region of the skin was cleaned with iodine and 70% EtOH. A 2-cm incision through the skin and the abdominal muscles was performed, and the ovaries were accessed after grasping the fat pad near the left kidney. The left ovary was injected directly under the bursa with a single dose of 100 μg of DMBA (Sigma Chemical Co, St Louis, MO) dissolved in 10 μL of sesame oil, which was used as the vehicle [30 (link)], and was returned intact to the body cavity. The muscle and skin layers were closed using a 3–0 silk suture (Ethicon, Inc., Juarez, MX). Sham surgery was conducted on the right ovary by administering only the vehicle. An antibiotic (105 units of benzylpenicillin potassium) was administered i.p. for prophylactic treatment. Over the next 180 days, the rats were monitored, and tumor development was observed via ultrasonography. The ovary size (volume and diameter) was used as a comparative parameter during OC development, and high-grade serous papillary carcinomas were subjected to treatment.
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4

Rat Liver Isolation Procedure

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This study was carried out in accordance with the recommendations in the Animal (Scientific Procedures) Act 1986. The Home Office approved the study protocol (licence number 70/2716). 250–300 g Sprague-Dawley rats (n = 100) were sacrificed by CO2 inhalation. The abdomen was sterilized with 70% ethanol and a U-shaped incision was performed to expose the abdominopelvic cavity. The abdominal inferior vena cava (IVC) and portal vein (PV) were identified and the PV was cannulated with a 24G cannula (BD, UK), which was secured in place with a 3–0 silk suture (Ethicon, UK). The abdominal IVC was ligated using silk sutures proximal to the right renal vein and the IVC was sectioned. The diaphragm was used as a holding point to release the whole liver from the supporting tissue. The whole procedure was carried out with special caution not to damage the Glisson’s capsule, which surrounds the organ.
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5

Liver Perfusion Technique in Mice

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Mice were killed by CO2 inhalation. The abdomen was cleaned with 70% ethanol and a U-shaped incision was performed to expose the abdominopelvic cavity. The abdominal inferior vena cava (IVC) and portal vein (PV) were identified and the PV was cannulated with a 24G cannula (Becton Dickinson, Franklin Lakes, NJ), which was secured in place with a 3-0 silk suture (Ethicon, Somerville, NJ). The abdominal IVC was sectioned and 200 U of heparin injected into the portal vein. The diaphragm was used as a holding point to release the whole liver from the supporting tissue. The whole procedure was carried out with special caution not to damage Glisson’s capsule, which surrounds the organ.
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6

Subcutaneous Implantation of ePCL Scaffolds

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ePCL scaffolds with or without cells were implanted subcutaneously into syngeneic wild type adult C57BL/6 mice. Recipient mice were anesthetized with inhaled isoflurane and given a subcutaneous injection of 0.05 mg/kg buprenorphine. The abdomen was shaved, prepared, and draped sterilely. A ventral midline incision was made and skin flaps were raised laterally to create subcutaneous pockets. The ePCL scaffolds were sutured to the abdominal wall using 6-0 Prolene suture (Ethicon, Somerville, NJ), and the incision was closed using 3-0 silk suture (Ethicon). Recipient mice with SMS-seeded scaffolds were sacrificed approximately 4 days postoperatively while recipient mice with scaffolds without initial SMS seeding were sacrificed approximately 2 weeks postoperatively. The explants were formalin-fixed and processed for histological evaluations.
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7

Chemically Induced Ovarian Cancer Model

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After selection for ethanol consumption, all of the animals (n = 80) were anesthetized with 10% ketamine (60 mg/kg, i.p.) and 2% xylazine (5 mg/kg, i.p.) during the estrous phase, and a 2-cm incision was made through the skin and abdominal muscles, and the left ovaries were accessed after grasping the fat pad near the left kidney. The left ovary was injected directly under the mesovarium with a single dose of 100 µg DMBA (Sigma Chemical Co, St Louis, MO) dissolved in 10 µL sesame oil, which was used as the vehicle 22 (link) and returned intact to the body cavity. The muscle layer and skin was closed using a 3-0 silk suture (Ethicon Inc., México, MX). Sham-surgery was conducted on the right ovary using only the vehicle. Antibiotic (105 units of benzylpenicillin potassium) was administered i.p. for the prophylactic treatment. Over the next 180 days, tumor development was observed by ultrasonography (size and volume).
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8

Periapical Lesion Removal and Analysis

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A preoperative digital periapical radiograph was taken with cone indicator and reference marker, placed over the sensor. Conventional re-root canal treatment was performed, patients were recalled after 3 to 6 months for evaluation of periapical healing, those patients in which periapical healing was not observed were scheduled for periapical surgery. Local anesthesia 1:80,000 lidocaine with epinephrine was administered and a full-thickness mucoperiosteal flap was elevated. After identifying the periapical lesion site, a window was created by removing the cortical bone with a small round bur #2 (Mani, Japan) in a slow-speed handpiece. The periapical lesion was removed with the help of curettes (Hilbro, Japan). Apicoectomy and retrograde cavity preparation was performed with the help of ultrasonic tips (Pro ultra, DENTSPLY Maillefer, Switzerland) and the retrograde filling was done with MTA (Pro-root MTA, DENTSPLY Tulsa Dental Specialties, USA). The flap was then repositioned and sutured with a 3/0 silk suture (ETHICON, LLC).
Tissue from the periapical lesion was collected and divided immediately into two fragments: one fragment was transferred in RNA later buffer filled 1.5 mL sterilized centrifuge tubes and kept in − 80 °C until homogenized to extract RNA, the second fragment was used for histopathological analysis.
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9

Root Coverage Using Subepithelial Connective Tissue Graft

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Patients were administered 2% lignocaine solution for obtaining anesthesia at the surgical site. Intracrevicular incisions were carried out at buccal and lingual aspects followed by full thickness mucoperiosteal flaps elevation (Figure 3). After the reflection of the flap, a sub-gingival calculus, plaque, pocket epithelium, and diseased granulation tissue were severed and surgical area was completely debrided. The SECTG was harvested from the palate (Figure 4).24 (link) The dimension of the graft was adequate to cover the root surfaces up to the CEJ; the donor site was then secured with horizontal suturing technique. The harvested SECTG was trimmed to remove all visible epithelium, shaped, and placed under coronal part of buccal flap up to CEJ (Figure 5).
Surgical flaps were repositioned and primary closure was attained by the direct loop suturing technique using 3-0 silk suture (Mersilk-Ethicon, Division of Johnson and Johnson Ltd.) (Figure 6). The surgical and donor site were protected by placing a non-eugenol periodontal dressing (Coe-pack-GC America INC. ALSIP, IL, USA). Patients were given post-operative instructions.
A similar surgical protocol was followed in control sites where only OFD was done without the use of SECTG.
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10

Decellularization of Rat Stomach

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Whole stomachs were harvested from female and male Sprague Dawley rats, weighing approximately 200–250 g. After sacrifice, the abdominal wall was sterilized with 70% ethanol and a midline incision was performed to expose the abdominal cavity. Celiac artery was cannulated with a 27G cannula (Introcan Certo, B. Braun Medical AG, Germany) secured in place with a 3–0 silk suture (Ethicon, UK). Hepatic artery was ligated and portal vein sectioned. The stomach was harvested and barbed to luer-lock connectors (Cole Parmer, US) were used to cannulate cardias and pylorus.
Stomachs were decellularised using a detergent-enzymatic treatment (DET) as previously described. Both the vasculature and the organ lumen were perfused with a 1 ml/min flow rate using a Masterflex L/S variable speed roller pump (Masterflex, US). Each DET cycle was consisting of: 24 h perfusion with deionized water (18.2 MU/cm), 4 h with 4% sodium deoxycholate (Sigma, UK), 1 h with deionized water, 3 h 22,5 mg/l DNase-I in 0,9% sodium chloride (NaCl, Sigma, UK) and 1,11 g/l calcium chloride (CaCl2, Sigma, UK). All organs after DET were preserved at 4 °C, in PBS (Gibco, UK) and antibiotics (Penicillin/streptomycin 1%) and irradiated to eliminate all contaminants.
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