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24 protocols using 4 0 silk suture

1

Brachial Plexus Avulsion Injury Model in Rats

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All surgical procedures were performed after anesthesia induced by a 1% sodium pentobarbital solution (40 mg/kg body weight). Place the rat prone on a sterilized pad with the head oriented away from the surgeon and the right forepaw abducted and extended. Use the fingertips to locate the clavicle. With a scalpel, make a 1.5 cm horizontal incision in the skin under the clavicle 2 mm. Use micro-dissecting scissors to separate the skin from the superficial fascia, exposing the pectoralis major muscle.
The pectoralis major muscle was cut paralleled with the muscle fibers to expose the brachial plexus, leaving the cephalic vein intact. The subclavian vessels were located and the upper, middle, and lower trunks were dissected. In the complete brachial plexus avulsion (BPA) group (n = 20), the upper, middle, and lower trunks were grasped with forceps and hauled out from the spinal cord. The tissue layers were then brought together, and the skin was closed with 4–0 silk sutures (Ethicon), as described previously [7 (link)].
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2

Implantation of Soft Electronic Devices on Rat Sciatic Nerves

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The soft peripheral nervous system is a desirable organ system for soft and conductive polymer-based electronic devices32 (link),33 (link). All procedures involving implantation and collecting of electrodes on rat sciatic nerves were performed in accordance with protocols approved by the Institutional Animal Care and Use Committee at Stanford University. Surgical procedures were described by a previously published protocol34 (link) with some modifications. Male Sprague Dawley rats (50–150g, Charles River) were given buprenorphine 0.1 mg per kg body weight intramuscularly before anesthesia and then anesthetized with 2% isoflurane in balanced oxygen. Under sterile conditions with external body warming, a 3-cm incision was made on the left thigh. About 1 cm of the sciatic nerve proximal to the tibial and peroneal bifurcation was either (1) inserted into the nerve cuff electrode (NS-NC-0.5–2-100PT-3–3-00–300-00, World Precision Instruments) or (2) wrapped with the MorphE. Muscle layers were closed with 4–0 silk sutures (Ethicon) and the skin was secured with Michel clips. At the end of week 4 or week 8 after surgery, rats were killed with carbon dioxide gas followed by decapitation for proper disposal. Sciatic nerves were collected for analysis.
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3

Biocompatibility Assessment of C16GSH Hydrogels

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Female BALB/c mice (Charles River Laboratories, Sulzfeld, Germany) were housed, five animals per cage, kept with water ad libitum, exposed to an artificial light–dark regime, and fed with regular chow. To assess the biocompatibility of the C16GSH hydrogels, 38 BALB/c mice were given subcutaneous implantations of one of the four following materials: 0.1 wt% C16GSH hydrogel (n=10), 1 wt% C16GSH hydrogel (n=10), collagen gel (n=9), or a sham-operated PBS control (n=9). The C16GSH hydrogels were prepared as previously described in 1-mL syringes and stored at 37°C overnight. Collagen gel was prepared as described earlier, with solution being preloaded into 1-mL syringes and heated to 37°C overnight to induce gelation.
Mice were anesthetized using isoflurane (1.5–3% in O2), their interscapular region shaved, and a small incision (∼2 cm) made on the right dorsal side. A sterile 1-mL syringe was used to inject 100 μL under the skin without a needle. The incision was then closed with two 4.0 silk sutures (Ethicon, Somerville, NJ). All animal procedures followed NIH guidelines for the care and use of laboratory animals and were approved by the University of Chicago's Institutional Animal Care and Use Committee (Protocol No. 72297, Chicago, IL).
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4

Uterus Scaffold Transplantation in Rats

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Under isoflurane anesthesia, each rat (n = 37) was subjected to a laparotomy that exposed the left uterine horn. A 20 mm × 10 mm full-thickness antemesometrial uterus wall segment was excised from the uterus horn leaving the blood vessel filled uterus mesometrium intact. The segment was replaced by an enzyme treated recellularized scaffold (n = 19; Group 1; Figure 1(C)) or with an enzyme treated acellular scaffold (n = 18; Group 2). Each graft was sutured using 6-0 non-absorbable polypropylene (Ethicon, Raritan, USA) by continuous sutures along the mesodermal side, while interrupted sutures were used for the proximal and distal anastomosis sites (Figure 1(D)). The abdominal muscle layer was then closed with 4-0 silk sutures (Ethicon) and the skin with titanium clips (Reflex7, Gaithersburg, USA). All animals received analgesics and antibiotics post-surgically (buprenorphine 0.05 mg/kg; carprofen 5 mg/kg; sulfamethoxazole 100 mg/kg; trimethoprim 20 mg/kg). Transplanted scaffolds in Group 1 and 2 were evaluated after euthanasia 14 days (n = 7/group), 30 days (n = 6/group), and 120 days (Group 1, n = 6; Group 2, n = 5) after transplantation. The spleen from every animal at every time point was also explanted and weighed.
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5

Unilateral Nephrectomy and DOCA-Induced Hypertension

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Abcc6−/− and WT mice were unilaterally nephrectomised under isoflurane inhalation anaesthesia (2.2–2.6% isoflurane in 100% O2). Hind-paw withdrawal, blink reflex and respiratory rate were monitored in these mice. A 1.5-cm incision was made through the skin and abdominal muscle caudal to the rib cage. The renal artery and vein were ligated with 4-0 silk sutures (Ethicon) and the left kidney was removed. Skin and muscle layers were closed separately with 4-0 silk sutures. In addition, a 1-cm incision was made in the back, at the base of the neck to implant DOCA pellets subcutaneously (Innovative Research of America, Sarasota, Florida, USA), to provide a dose of 1 mg/kg/day. Mice were then administered water containing 0.9% NaCl and 0.2% KCl. Upon recovery, they were monitored each day for 19 days to measure SBP, DBP and HR using tail-cuff plethysmography48 .
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6

Chronic Constriction Injury Model in Mice

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Prior to the study, the mice were adapted to the maintenance environment for 1 week. Thirty mice were then divided into the sham group, the model group, and the LIFU treatment group, with 10 mice in each group. Then, we used the CCI surgical method [24 (link)] to establish CNP models. Specifically, the sciatic nerve in the CCI group and the treatment group was ligated for 90 days. The mice were anesthetized with isoflurane (Sigma-Aldrich, St. Louis, Missouri, USA) and laid on a heating pad. In the prone position, the surgical site was prepared by shaving the posterolateral side of the right hind limb, and then, three applications of 75% ethanol were applied to the site. An incision (1 cm) was then made proximal to the right hind limb. The nerve was then uncovered using a splitting approach on the bicep femoris, and three ligatures (gut ligatures 6.0, Jinhuang, Shanghai, China) were tied at 1 mm long intervals. The deep and superficial muscles were reapproximated by applying an interrupted stitching technique using 4.0 chromic gut (Stoelting Co, Wood Dale, IL). The skin was closed using 4.0 silk sutures (Ethicon, Somerville, NJ). For the sham group, the right sciatic nerve was exposed using the same methods, but the nerve was not ligated. After surgery, the mice were returned to their original cages to continue feeding.
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7

Murine Model of Femoral Osteolytic Sarcoma

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The BCP model was constructed as described by Schwei et al (31 (link)). Mice were anesthetized with sodium pentobarbital (50 mg/kg; i.p.) and an incision was made in the skin on the right leg and the right joint was exposed. Then a hole was drilled in the femur-plateau. Subsequently, 20 µl α-minimum essential medium (Thermo Fisher Scientific, Inc.) containing 2×105 NCTC 2472 osteolytic sarcoma cells was injected into the intramedullary space of the right femur. Mice in the Sham group were injected with the isodose medium without any cells. The drilled hole was sealed with bone wax, and the wound was closed with 4-0 silk sutures (Ethicon, Inc.). Mice recovered from anesthesia on a heated blanket.
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8

Two-third Partial Hepatectomy for Liver Regeneration

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Two-third partial hepatectomy (PHx) was performed according to the methods described by Mitchell and Willenbring to induce liver regeneration (Mitchell and Willenbring, 2008 (link)). In brief, mice were anaesthetized with a mixture of ketamin (100 mg/kg body weight) and xylazine (10 mg/kg body weight) by intraperitoneal injection. After resection of falciform and triangle ligaments, the left lateral lobe was ligated with 4-0 silk sutures (Ethicon) and resected. Subsequently, the median lobe was ligated with suture between the gall bladder and suprahepatic vena cava and then resected. During and after surgery, the mice were maintained on a heating pad until waking-up. Metamizole was used as post-surgical analgesic treatment for the first 48 h post-surgery. Mice were euthanized at indicated time points to monitor liver regeneration by determining the liver to body weight ratio.
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9

Establishing Osteolytic Sarcoma Mouse Model

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NCTC 135 medium (Sigma, USA) supplemented with 10% of horse serum (Gibco, USA) was used to culture the NCTC 2472 osteolytic sarcoma cells (American Type Culture Collection, USA), which were placed in an atmosphere of 37°C (Thermo Forma, USA) with 5% CO 2. The steps to produce a BCP model have been previously described by Schwei et al [28] . First, anesthesia in the mice was achieved by intraperitoneally injecting them with a dose of 50 mg/kg pentobarbital sodium. Following general anesthesia, arthrotomy of the right knee was conducted. Next, we injected a dose of 20 μl α-minimum essential medium (Thermo Fisher Scientific, USA), which contained 2×10 5 osteolytic sarcoma cells, inside the right femur's intramedullary space, while the sham group was injected with just a dose of 20 μl α-minimum essential medium. Following the use of bone wax to seal off the drill hole, wound closure was achieved using 4-0 silk sutures (Ethicon, USA). The mice were transferred to a heated blanket to recover from anesthesia.
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10

Focal Cerebral Ischemia by MCAO in Rats

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Permanent focal cerebral ischemia was produced by endovascular occlusion of the left middle cerebral artery (MCAO) as described previously [15 (link)]. Briefly, animals were anesthetized by intraperitoneal injection of pentobarbital sodium (Dainippon Sumitomo Pharma, Osaka, Japan). Body temperature was maintained at 36.5–37.5 °C throughout surgery. After a midline neck incision, the left common carotid artery was isolated under a microscope and ligated with a 4–0 silk suture (Ethicon, Issy-Les-Moulineaux, France). The external and internal carotid arteries were temporarily ligated with a 4–0 silk suture. An arteriotomy was performed proximal to the bifurcation of the common carotid artery. A silicone-coated nylon monofilament (40 mm long, 0.26 mm diameter, Beijing Sunbio Biotech, China) was introduced through the arteriotomy and advanced into the internal carotid artery up to a distance of 18–20 mm to occlude the origin of the middle cerebral artery. Four hours after this procedure, the rats were reanesthetized and the middle cerebral artery blood flow was restored by withdrawing the nylon monofilament. After surgery, the rats were returned to their home cages and maintained at 30 °C with free access to food and water.
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