This is an unedited manuscript accepted for publication and provided as an Article in Press for early access at the author’s request. The article will undergo copyediting, typesetting, and galley proof review before final publication. Please be aware that errors may be identified during production that could affect the content. All legal disclaimers of the journal apply.
Kailas Datkhile,
Sunil S. Jalalpure,
- Associate Professor, Department of Molecular Biology & Genetics, Krishna Institute of Science and Technology, Krishna Vishwa Vidyapeeth “Deemed to be University”, Taluka-Karad, Dist-Satara, Maharashtra, India
- Principal, Department of Pharmacognosy, KLE College of Pharmacy, Belagavi, JNMC Campus, Nehru Nagar, Belagavi (Belgaum), Karnataka, India
Abstract
Uncontrolled hemorrhage remains one of the leading causes of preventable trauma-related mortality worldwide, highlighting the urgent need for rapid, effective, and biocompatible hemostatic materials. Polysaccharide-based composite biomaterials have emerged as promising candidates owing to their excellent biocompatibility, biodegradability, and intrinsic hemostatic properties. Natural polysaccharides, including chitosan, alginate, cellulose derivatives, starch, and hyaluronic acid, are increasingly combined with synthetic polymers, bioactive ceramics, metallic nanoparticles, and other functional additives to enhance mechanical strength, antimicrobial activity, tissue adhesion, and wound-healing performance. This review summarizes recent advances in the design, fabrication, biological mechanisms, and therapeutic applications of polysaccharide-based composite hemostats. Particular emphasis is placed on electrospun nanofibers, porous sponges, injectable hydrogels, and multifunctional composite dressings developed for rapid hemorrhage control. The underlying mechanisms, including platelet activation, erythrocyte aggregation, coagulation cascade enhancement, fluid absorption, and tissue regeneration, are critically discussed together with recent innovations in smart and stimuli-responsive systems. Current challenges related to large-scale manufacturing, sterilization, regulatory approval, biodegradation, and clinical translation are also highlighted. Overall, polysaccharide-based composite materials represent a promising platform for next-generation trauma care, although further preclinical and clinical investigations are required to facilitate their widespread clinical implementation.
Keywords: Polysaccharides; Hemostatic materials; Trauma care; Composite biomaterials; Chitosan; Alginate; Cellulose derivatives; Wound healing; Nanocomposites; Injectable hydrogels.
References
1. Remondelli MH, Rhee J, Barzanji NK, Wang J, Green JT, Do W, et al. Advancements in prehospital, en-route, and damage control casualty care and areas of future research for large-scale combat operations. Curr Trauma Rep. 2025;11(1):7. doi:10.1007/s40719-025-00284-4.
2. Bonanno FG. Management of hemorrhagic shock: physiology approach, timing and strategies. J Clin Med. 2022;12(1):260.
3. Peng HT. Hemostatic agents for prehospital hemorrhage control: a narrative review. Mil Med Res. 2020;7(1):13.
4. Berradi A, Aziz F, Achaby ME, Ouazzani N, Mandi L. A comprehensive review of polysaccharide-based hydrogels as promising biomaterials. Polymers (Basel). 2023;15(13):2908.
5. Maji B. Introduction to natural polysaccharides. In: Functional Polysaccharides for Biomedical Applications. Woodhead Publishing; 2019. p. 1-31.
6. Cassano R, Perri P, Scarcello E, Piro P, Sole R, Curcio F, et al. Chitosan hemostatic dressings: properties and surgical applications. Polymers (Basel). 2024;16(13):1770.
7. Elieh-Ali-Komi D, Hamblin MR. Chitin and chitosan: production and application of versatile biomedical nanomaterials. Int J Adv Res. 2016;4(3):411.
8. Hassanzadeh-Tabrizi SA. Alginate based hemostatic materials for bleeding management: a review. Int J Biol Macromol. 2024;274:133218.
9. Kanagal D, Rao K, Gathoga P, Moharana K, Patil R, Jaiswal P, et al. Biomaterial-based hemostasis: a review of the clinical and functional versatility of oxidized regenerated cellulose. Cureus. 2025;17(10):e94602.
10. Biranje SS, Sun J, Shi Y, Yu S, Jiao H, Zhang M, et al. Polysaccharide-based hemostats: recent developments, challenges, and future perspectives. Cellulose. 2021;28(14):8899-8937.
11. Wang L, Hao F, Tian S, Dong H, Nie J, Ma G. Targeting polysaccharides such as chitosan, cellulose, alginate and starch for designing hemostatic dressings. Carbohydr Polym. 2022;291:119574.
12. Shahrousvand M, Davachi SM, Mohammadi-Rovshandeh J, Mobayen MR. Hemostatic materials based on natural polymers. Sci J Iran Blood Transfus Organ. 2024;21(3):254-267.
13. Fang Y, Guo W, Ni P, Liu H. Recent research advances in polysaccharide-based hemostatic materials: a review. Int J Biol Macromol. 2024;271:132559.
14. Han J, Lv X, Hou Y, Yu H, Sun Y, Cui R, et al. Multifunctional hemostatic polysaccharide-based sponge enhanced by tunicate cellulose: a promising approach for photothermal antibacterial activity and accelerated wound healing. Int J Biol Macromol. 2023;251:126386.
15. Zhang S, Lei X, Lv Y, Wang L, Wang LN. Recent advances of chitosan as a hemostatic material: hemostatic mechanism, material design and prospective application. Carbohydr Polym. 2024;327:121673.
16. Yang X, Wang X, Gao X, Guo X, Hou S, Shi J, et al. What else should hemostatic materials do beyond hemostasis: a review. Mater Today Bio. 2024;25:101008.
17. Wang X, Yang X, Sun Z, Guo X, Teng Y, Hou S, et al. Progress in injectable hydrogels for the treatment of incompressible bleeding: an update. Front Bioeng Biotechnol. 2024;11:1335211.
18. Liu M, Jin J, Zhong X, Liu L, Tang C, Cai L. Polysaccharide hydrogels for skin wound healing. Heliyon. 2024;10(15):e35014. doi:10.1016/j.heliyon.2024.e35014.
19. Zheng Y, Wu J, Zhu Y, Wu C. Inorganic-based biomaterials for rapid hemostasis and wound healing. Chem Sci. 2023;14(1):29-53.
20. Chelu M, Musuc AM. Advanced biomedical applications of multifunctional natural and synthetic biomaterials. Processes. 2023;11(9):2696.
21. Srinivasan AJ, Secunda ZA, Mota-Alvidrez RI, Luc NF, Disharoon D, Traylor B, et al. Platelet-inspired synthetic nanoparticles improve hemostasis and hemodynamics in a rabbit model of abdominal hemorrhage. J Trauma Acute Care Surg. 2024;96(1):101-108.
22. Lu X, Li X, Yu J, Ding B. Nanofibrous hemostatic materials: structural design, fabrication methods, and hemostatic mechanisms. Acta Biomater. 2022;154:49-62.
23. Jiang Z, Zheng Z, Yu S, Gao Y, Ma J, Huang L, et al. Nanofiber scaffolds as drug delivery systems promoting wound healing. Pharmaceutics. 2023;15(7):1829.
24. Huang S, Li M, Xu H, Shu T, Jia H, Li Z, Yang Y, Zhao X, Guo B. Ultra-fast self-gelling self-expanding self-propelling high-adhesion procoagulant hemostatic powder for non-compressible hemorrhage hemostasis in pigs. Nat Commun. 2026;17(1):2146. doi:10.1038/s41467-026-68683-y.
25. Wang H, Yang L. Applications of injectable hemostatic materials in wound healing: principles, strategies, performance requirements, and future perspectives. Theranostics. 2023;13(13):4615.
26. Chen Y, Wang X, Tao S, Wang Q, Ma PQ, Li ZB, et al. Research advances in smart responsive-hydrogel dressings with potential clinical diabetic wound healing properties. Mil Med Res. 2023;10(1):37.
27. Guo Y, Cheng N, Sun H, Hou J, Zhang Y, Wang D, et al. Advances in the development and optimization strategies of the hemostatic biomaterials. Front Bioeng Biotechnol. 2023;10:1062676.
28. Ji M, Yuan Z, Ju F, Sun J, Yan Y, Ding Q, Chen J, Yang QQ, Zhou YL. Advances in hemostatic biomaterials: biomimetic strategies, nanotechnology, and smart therapeutics. Burns Trauma. 2026;14:tkag023. doi:10.1093/burnst/tkag023.

Journal of Polymer & Composites
| Volume | 14 | |
| 05 | ||
| Received | 20/07/2026 | |
| Accepted | 07/09/2026 | |
| Published | 07/10/2026 | |
| Publication Time | 79 Days |
