Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions
Sha Wang, Hua Duan, Bohan Li, Yiyi Wang, Zhengchen Guo, Xinyu Zhu Minimally Invasive Gynecologic Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, 100006, People’s Republic of ChinaCorrespondence: Hua Duan, Email duanhua@ccmu.edu.cnBackground: Intrauterine adhe...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-02-01
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| Series: | International Journal of General Medicine |
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| Online Access: | https://www.dovepress.com/efficacy-of-freeze-dried-amnion-grafts-on-cytokines-in-uterine-exudate-peer-reviewed-fulltext-article-IJGM |
| _version_ | 1819274119028408320 |
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| author | Wang S Duan H Li B Wang Y Guo Z Zhu X |
| author_facet | Wang S Duan H Li B Wang Y Guo Z Zhu X |
| author_sort | Wang S |
| collection | DOAJ |
| description | Sha Wang, Hua Duan, Bohan Li, Yiyi Wang, Zhengchen Guo, Xinyu Zhu Minimally Invasive Gynecologic Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, 100006, People’s Republic of ChinaCorrespondence: Hua Duan, Email duanhua@ccmu.edu.cnBackground: Intrauterine adhesions (IUAs) are a benign uterine disorder that results in intrauterine adhesions and scarring. This study was conducted to assess the effects of freeze-dried amnion grafts on the concentrations of adhesion-related cytokines in uterine exudates following hysteroscopic adhesiolysis of IUAs.Materials and Methods: This study was a prospective randomized controlled trial. Thirty patients who underwent hysteroscopic adhesiolysis for severe IUAs were enrolled. They were randomly divided into a study group (with freeze-dried amnion graft treatment after surgery, N = 15) and a control group (without a graft, N = 15). After complete separation of adhesions, a Foley balloon containing a freeze-dried amnion graft was inserted into the uterine cavity in the study group, while a Foley balloon with no graft was placed in the control group. Enzyme-linked immunosorbent assays were performed to test adhesion-related cytokine concentrations in uterine exudates, including IL-1β, TNF-α, and VEGF, at different time intervals after surgery. Second-look hysteroscopy was conducted three months after the surgery. On the basis of the American Fertility Society (AFS) scoring system, the level of adhesions was evaluated during hysteroscopy.Results: The postoperative volume of the uterine exudates in the study group was significantly lower than that of the control group (P < 0.05). The adhesion-related cytokine concentrations of TNF-α, VEGF, and IL-1β significantly increased after surgery in both groups. Their concentrations were significantly lower in the study group than in the control group (P < 0.05). Moreover, IL-1β exhibited a long-lasting effect in the study group. AFS scores and readhesion rates were significantly lower in the study group than in the control group after hysteroscopic adhesiolysis of severe IUAs.Conclusion: The application of freeze-dried amnion grafts is beneficial to the postoperative recovery of patients with severe IUAs and may reduce the readhesion rate after hysteroscopic adhesiolysis by lowering adhesion-related cytokines, including TNF-α, VEGF, and IL-1β.Keywords: freeze-dried amnion graft, intrauterine adhesions, interleukin-1 beta, tumour necrosis factor-α, vascular endothelial growth factor |
| first_indexed | 2024-12-23T23:03:21Z |
| format | Article |
| id | doaj.art-12470f9044c94cb39b8e6c9209a5ec7c |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-12-23T23:03:21Z |
| publishDate | 2022-02-01 |
| publisher | Dove Medical Press |
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| series | International Journal of General Medicine |
| spelling | doaj.art-12470f9044c94cb39b8e6c9209a5ec7c2022-12-21T17:26:52ZengDove Medical PressInternational Journal of General Medicine1178-70742022-02-01Volume 151703171372974Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine AdhesionsWang SDuan HLi BWang YGuo ZZhu XSha Wang, Hua Duan, Bohan Li, Yiyi Wang, Zhengchen Guo, Xinyu Zhu Minimally Invasive Gynecologic Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, 100006, People’s Republic of ChinaCorrespondence: Hua Duan, Email duanhua@ccmu.edu.cnBackground: Intrauterine adhesions (IUAs) are a benign uterine disorder that results in intrauterine adhesions and scarring. This study was conducted to assess the effects of freeze-dried amnion grafts on the concentrations of adhesion-related cytokines in uterine exudates following hysteroscopic adhesiolysis of IUAs.Materials and Methods: This study was a prospective randomized controlled trial. Thirty patients who underwent hysteroscopic adhesiolysis for severe IUAs were enrolled. They were randomly divided into a study group (with freeze-dried amnion graft treatment after surgery, N = 15) and a control group (without a graft, N = 15). After complete separation of adhesions, a Foley balloon containing a freeze-dried amnion graft was inserted into the uterine cavity in the study group, while a Foley balloon with no graft was placed in the control group. Enzyme-linked immunosorbent assays were performed to test adhesion-related cytokine concentrations in uterine exudates, including IL-1β, TNF-α, and VEGF, at different time intervals after surgery. Second-look hysteroscopy was conducted three months after the surgery. On the basis of the American Fertility Society (AFS) scoring system, the level of adhesions was evaluated during hysteroscopy.Results: The postoperative volume of the uterine exudates in the study group was significantly lower than that of the control group (P < 0.05). The adhesion-related cytokine concentrations of TNF-α, VEGF, and IL-1β significantly increased after surgery in both groups. Their concentrations were significantly lower in the study group than in the control group (P < 0.05). Moreover, IL-1β exhibited a long-lasting effect in the study group. AFS scores and readhesion rates were significantly lower in the study group than in the control group after hysteroscopic adhesiolysis of severe IUAs.Conclusion: The application of freeze-dried amnion grafts is beneficial to the postoperative recovery of patients with severe IUAs and may reduce the readhesion rate after hysteroscopic adhesiolysis by lowering adhesion-related cytokines, including TNF-α, VEGF, and IL-1β.Keywords: freeze-dried amnion graft, intrauterine adhesions, interleukin-1 beta, tumour necrosis factor-α, vascular endothelial growth factorhttps://www.dovepress.com/efficacy-of-freeze-dried-amnion-grafts-on-cytokines-in-uterine-exudate-peer-reviewed-fulltext-article-IJGMfreeze-dried amnion graftintrauterine adhesionsinterleukin-1 betatumour necrosis factor-αvascular endothelial growth factor |
| spellingShingle | Wang S Duan H Li B Wang Y Guo Z Zhu X Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions International Journal of General Medicine freeze-dried amnion graft intrauterine adhesions interleukin-1 beta tumour necrosis factor-α vascular endothelial growth factor |
| title | Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions |
| title_full | Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions |
| title_fullStr | Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions |
| title_full_unstemmed | Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions |
| title_short | Efficacy of Freeze-Dried Amnion Grafts on Cytokines in Uterine Exudates Following Hysteroscopic Adhesiolysis of Severe Intrauterine Adhesions |
| title_sort | efficacy of freeze dried amnion grafts on cytokines in uterine exudates following hysteroscopic adhesiolysis of severe intrauterine adhesions |
| topic | freeze-dried amnion graft intrauterine adhesions interleukin-1 beta tumour necrosis factor-α vascular endothelial growth factor |
| url | https://www.dovepress.com/efficacy-of-freeze-dried-amnion-grafts-on-cytokines-in-uterine-exudate-peer-reviewed-fulltext-article-IJGM |
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