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Efficacy of silicone sheet as a personalized barrier for preventing adhesion reformation after hysteroscopic adhesiolysis of intrauterine adhesions
Purpose To evaluate the efficacy of silicone sheet as a new type of barrier for preventing adhesion reformation following hysteroscopic adhesiolysis of intrauterine adhesions (IUAs). Methods Hysteroscopic adhesiolysis was performed for 36 patients with IUAs. The adhesion reformation rate was retrosp...
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| Published in: | Reproductive medicine and biology 2019-10, Vol.18 (4), p.378-383 |
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| creator | Azumaguchi, Atsushi Henmi, Hirofumi Saito, Tsuyoshi |
| description | Purpose
To evaluate the efficacy of silicone sheet as a new type of barrier for preventing adhesion reformation following hysteroscopic adhesiolysis of intrauterine adhesions (IUAs).
Methods
Hysteroscopic adhesiolysis was performed for 36 patients with IUAs. The adhesion reformation rate was retrospectively compared between 26 patients treated with silicone sheet (group 1) and 10 patients treated with an intrauterine device wrapped in oxidized regenerated cellulose as a barrier (group 2). For patients in group 1, a 1‐mm‐thick silicone sheet was cut to fit the size and shape of the individual uterine cavity as a personalized barrier.
Results
The size and shape of each silicone sheet used for patients in group 1 differed significantly. The adhesion reformation rate was significantly lower in group 1 (4/26, 15.4%) than in group 2 (4/10, 40.0%; P = 0.03), although the pregnancy rate (14/20, 70.0% vs. 5/10, 50.0%; P = 0.28) and miscarriage rate (2/14, 14.3% vs. 1/5, 20.0%; P = 0.72) were not significantly different.
Conclusion
Use of silicone sheets appears to be effective for preventing adhesion reformation following hysteroscopic adhesiolysis of IUAs. This is the first study to investigate the efficacy of silicone sheet used as a personalized barrier for preventing IUAs.
Silicone sheet could be easily cut to fit the size and shape of the individual uterine cavity as a personalized barrier. The adhesion reformation rate was significantly lower in patients treated with silicone sheet than in patients treated with oxidized regenerated cellulose and comparable to lowest adhesion reformation rate in recent 10 years reports. |
| doi_str_mv | 10.1002/rmb2.12294 |
| format | article |
| fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_f11a689b2972411b9b7e8d67280de795</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A735387781</galeid><doaj_id>oai_doaj_org_article_f11a689b2972411b9b7e8d67280de795</doaj_id><sourcerecordid>A735387781</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6714-27ada070f37e7ec13dfa9c58a2d4d083ac65eb2055d9aca0b8dc80cb40d61c4a3</originalsourceid><addsrcrecordid>eNp9klFrFDEQxxdRbK2--AEk4IsIdybZZJN9EdpStVARRJ_DbDJ7l2N3cyZ7lfNr-IXN3vWqJyJ5yDD55T-ZzL8onjM6Z5TyN7Fv-JxxXosHxSkTQs2oVPrhLpazHLKT4klKK0qZqgV_XJyUrKJK1fq0-HnVtt6C3ZLQkuQ7b8OAJC0RRwKJAFljTGGAzv9ARxqI0WMkbYhkHfEWh9EPCwJuicmHgUTMJz2MUwztmMnlNuUtJBvW3h7Abpt8mgr6YYywyYDPRQ8q6WnxqIUu4bO7_az4-u7qy-WH2c2n99eX5zczWykmZlyBA6poWypUaFnpWqit1MCdcFSXYCuJDadSuhos0EY7q6ltBHUVswLKs-J6r-sCrMw6-h7i1gTwZpcIcWEgjt52aFrGoNJ1w2vFBWNN3SjUrlJcU4eqllnr7V5rvWl6dBanzroj0eOTwS_NItyaSmlKBcsCr-4EYvi2wTSa3ieLXQcDhk0yvKRSKKGkyujLv9BV2MQ8ox3FVH4il7-pBeQG_NCGXNdOouZclbLUKhsjU_N_UHk57HdeaH3OH114vb9g81RTHvh9j4yayY5msqPZ2THDL_78lXv04L8MsD3wPZfZ_kfKfP54wfeivwAN5e0Z</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2301772425</pqid></control><display><type>article</type><title>Efficacy of silicone sheet as a personalized barrier for preventing adhesion reformation after hysteroscopic adhesiolysis of intrauterine adhesions</title><source>NCBI_PubMed Central（免费）</source><source>Publicly Available Content Database</source><source>Wiley Open Access</source><creator>Azumaguchi, Atsushi ; Henmi, Hirofumi ; Saito, Tsuyoshi</creator><creatorcontrib>Azumaguchi, Atsushi ; Henmi, Hirofumi ; Saito, Tsuyoshi</creatorcontrib><description>Purpose
To evaluate the efficacy of silicone sheet as a new type of barrier for preventing adhesion reformation following hysteroscopic adhesiolysis of intrauterine adhesions (IUAs).
Methods
Hysteroscopic adhesiolysis was performed for 36 patients with IUAs. The adhesion reformation rate was retrospectively compared between 26 patients treated with silicone sheet (group 1) and 10 patients treated with an intrauterine device wrapped in oxidized regenerated cellulose as a barrier (group 2). For patients in group 1, a 1‐mm‐thick silicone sheet was cut to fit the size and shape of the individual uterine cavity as a personalized barrier.
Results
The size and shape of each silicone sheet used for patients in group 1 differed significantly. The adhesion reformation rate was significantly lower in group 1 (4/26, 15.4%) than in group 2 (4/10, 40.0%; P = 0.03), although the pregnancy rate (14/20, 70.0% vs. 5/10, 50.0%; P = 0.28) and miscarriage rate (2/14, 14.3% vs. 1/5, 20.0%; P = 0.72) were not significantly different.
Conclusion
Use of silicone sheets appears to be effective for preventing adhesion reformation following hysteroscopic adhesiolysis of IUAs. This is the first study to investigate the efficacy of silicone sheet used as a personalized barrier for preventing IUAs.
Silicone sheet could be easily cut to fit the size and shape of the individual uterine cavity as a personalized barrier. The adhesion reformation rate was significantly lower in patients treated with silicone sheet than in patients treated with oxidized regenerated cellulose and comparable to lowest adhesion reformation rate in recent 10 years reports.</description><identifier>ISSN: 1445-5781</identifier><identifier>EISSN: 1447-0578</identifier><identifier>DOI: 10.1002/rmb2.12294</identifier><identifier>PMID: 31607798</identifier><language>eng</language><publisher>Japan: John Wiley & Sons, Inc</publisher><subject>Acids ; Adhesion ; Adhesions ; Care and treatment ; Cellulose ; Hospitals ; Hysterectomy ; hysteroscopic adhesiolysis ; Infertility ; intrauterine adhesions ; Intrauterine devices ; Investigations ; IUD ; Original ; oxidized regenerated cellulose ; Pregnancy ; Silicones ; Surgeons ; Surgery ; Uterus</subject><ispartof>Reproductive medicine and biology, 2019-10, Vol.18 (4), p.378-383</ispartof><rights>2019 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japan Society for Reproductive Medicine.</rights><rights>2019 The Authors. Reproductive Medicine and Biology published by John Wiley & Sons Australia, Ltd on behalf of Japan Society for Reproductive Medicine.</rights><rights>COPYRIGHT 2019 John Wiley & Sons, Inc.</rights><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6714-27ada070f37e7ec13dfa9c58a2d4d083ac65eb2055d9aca0b8dc80cb40d61c4a3</citedby><cites>FETCH-LOGICAL-c6714-27ada070f37e7ec13dfa9c58a2d4d083ac65eb2055d9aca0b8dc80cb40d61c4a3</cites><orcidid>0000-0002-7928-2471</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2301772425/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2301772425?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11542,25732,27903,27904,36991,36992,44569,46030,46454,53769,53771,74872</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31607798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azumaguchi, Atsushi</creatorcontrib><creatorcontrib>Henmi, Hirofumi</creatorcontrib><creatorcontrib>Saito, Tsuyoshi</creatorcontrib><title>Efficacy of silicone sheet as a personalized barrier for preventing adhesion reformation after hysteroscopic adhesiolysis of intrauterine adhesions</title><title>Reproductive medicine and biology</title><addtitle>Reprod Med Biol</addtitle><description>Purpose
To evaluate the efficacy of silicone sheet as a new type of barrier for preventing adhesion reformation following hysteroscopic adhesiolysis of intrauterine adhesions (IUAs).
Methods
Hysteroscopic adhesiolysis was performed for 36 patients with IUAs. The adhesion reformation rate was retrospectively compared between 26 patients treated with silicone sheet (group 1) and 10 patients treated with an intrauterine device wrapped in oxidized regenerated cellulose as a barrier (group 2). For patients in group 1, a 1‐mm‐thick silicone sheet was cut to fit the size and shape of the individual uterine cavity as a personalized barrier.
Results
The size and shape of each silicone sheet used for patients in group 1 differed significantly. The adhesion reformation rate was significantly lower in group 1 (4/26, 15.4%) than in group 2 (4/10, 40.0%; P = 0.03), although the pregnancy rate (14/20, 70.0% vs. 5/10, 50.0%; P = 0.28) and miscarriage rate (2/14, 14.3% vs. 1/5, 20.0%; P = 0.72) were not significantly different.
Conclusion
Use of silicone sheets appears to be effective for preventing adhesion reformation following hysteroscopic adhesiolysis of IUAs. This is the first study to investigate the efficacy of silicone sheet used as a personalized barrier for preventing IUAs.
Silicone sheet could be easily cut to fit the size and shape of the individual uterine cavity as a personalized barrier. The adhesion reformation rate was significantly lower in patients treated with silicone sheet than in patients treated with oxidized regenerated cellulose and comparable to lowest adhesion reformation rate in recent 10 years reports.</description><subject>Acids</subject><subject>Adhesion</subject><subject>Adhesions</subject><subject>Care and treatment</subject><subject>Cellulose</subject><subject>Hospitals</subject><subject>Hysterectomy</subject><subject>hysteroscopic adhesiolysis</subject><subject>Infertility</subject><subject>intrauterine adhesions</subject><subject>Intrauterine devices</subject><subject>Investigations</subject><subject>IUD</subject><subject>Original</subject><subject>oxidized regenerated cellulose</subject><subject>Pregnancy</subject><subject>Silicones</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Uterus</subject><issn>1445-5781</issn><issn>1447-0578</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9klFrFDEQxxdRbK2--AEk4IsIdybZZJN9EdpStVARRJ_DbDJ7l2N3cyZ7lfNr-IXN3vWqJyJ5yDD55T-ZzL8onjM6Z5TyN7Fv-JxxXosHxSkTQs2oVPrhLpazHLKT4klKK0qZqgV_XJyUrKJK1fq0-HnVtt6C3ZLQkuQ7b8OAJC0RRwKJAFljTGGAzv9ARxqI0WMkbYhkHfEWh9EPCwJuicmHgUTMJz2MUwztmMnlNuUtJBvW3h7Abpt8mgr6YYywyYDPRQ8q6WnxqIUu4bO7_az4-u7qy-WH2c2n99eX5zczWykmZlyBA6poWypUaFnpWqit1MCdcFSXYCuJDadSuhos0EY7q6ltBHUVswLKs-J6r-sCrMw6-h7i1gTwZpcIcWEgjt52aFrGoNJ1w2vFBWNN3SjUrlJcU4eqllnr7V5rvWl6dBanzroj0eOTwS_NItyaSmlKBcsCr-4EYvi2wTSa3ieLXQcDhk0yvKRSKKGkyujLv9BV2MQ8ox3FVH4il7-pBeQG_NCGXNdOouZclbLUKhsjU_N_UHk57HdeaH3OH114vb9g81RTHvh9j4yayY5msqPZ2THDL_78lXv04L8MsD3wPZfZ_kfKfP54wfeivwAN5e0Z</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Azumaguchi, Atsushi</creator><creator>Henmi, Hirofumi</creator><creator>Saito, Tsuyoshi</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7928-2471</orcidid></search><sort><creationdate>201910</creationdate><title>Efficacy of silicone sheet as a personalized barrier for preventing adhesion reformation after hysteroscopic adhesiolysis of intrauterine adhesions</title><author>Azumaguchi, Atsushi ; Henmi, Hirofumi ; Saito, Tsuyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6714-27ada070f37e7ec13dfa9c58a2d4d083ac65eb2055d9aca0b8dc80cb40d61c4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acids</topic><topic>Adhesion</topic><topic>Adhesions</topic><topic>Care and treatment</topic><topic>Cellulose</topic><topic>Hospitals</topic><topic>Hysterectomy</topic><topic>hysteroscopic adhesiolysis</topic><topic>Infertility</topic><topic>intrauterine adhesions</topic><topic>Intrauterine devices</topic><topic>Investigations</topic><topic>IUD</topic><topic>Original</topic><topic>oxidized regenerated cellulose</topic><topic>Pregnancy</topic><topic>Silicones</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Uterus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azumaguchi, Atsushi</creatorcontrib><creatorcontrib>Henmi, Hirofumi</creatorcontrib><creatorcontrib>Saito, Tsuyoshi</creatorcontrib><collection>Wiley Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Reproductive medicine and biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azumaguchi, Atsushi</au><au>Henmi, Hirofumi</au><au>Saito, Tsuyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of silicone sheet as a personalized barrier for preventing adhesion reformation after hysteroscopic adhesiolysis of intrauterine adhesions</atitle><jtitle>Reproductive medicine and biology</jtitle><addtitle>Reprod Med Biol</addtitle><date>2019-10</date><risdate>2019</risdate><volume>18</volume><issue>4</issue><spage>378</spage><epage>383</epage><pages>378-383</pages><issn>1445-5781</issn><eissn>1447-0578</eissn><abstract>Purpose
To evaluate the efficacy of silicone sheet as a new type of barrier for preventing adhesion reformation following hysteroscopic adhesiolysis of intrauterine adhesions (IUAs).
Methods
Hysteroscopic adhesiolysis was performed for 36 patients with IUAs. The adhesion reformation rate was retrospectively compared between 26 patients treated with silicone sheet (group 1) and 10 patients treated with an intrauterine device wrapped in oxidized regenerated cellulose as a barrier (group 2). For patients in group 1, a 1‐mm‐thick silicone sheet was cut to fit the size and shape of the individual uterine cavity as a personalized barrier.
Results
The size and shape of each silicone sheet used for patients in group 1 differed significantly. The adhesion reformation rate was significantly lower in group 1 (4/26, 15.4%) than in group 2 (4/10, 40.0%; P = 0.03), although the pregnancy rate (14/20, 70.0% vs. 5/10, 50.0%; P = 0.28) and miscarriage rate (2/14, 14.3% vs. 1/5, 20.0%; P = 0.72) were not significantly different.
Conclusion
Use of silicone sheets appears to be effective for preventing adhesion reformation following hysteroscopic adhesiolysis of IUAs. This is the first study to investigate the efficacy of silicone sheet used as a personalized barrier for preventing IUAs.
Silicone sheet could be easily cut to fit the size and shape of the individual uterine cavity as a personalized barrier. The adhesion reformation rate was significantly lower in patients treated with silicone sheet than in patients treated with oxidized regenerated cellulose and comparable to lowest adhesion reformation rate in recent 10 years reports.</abstract><cop>Japan</cop><pub>John Wiley & Sons, Inc</pub><pmid>31607798</pmid><doi>10.1002/rmb2.12294</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7928-2471</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Reproductive medicine and biology, 2019-10, Vol.18 (4), p.378-383 |
| issn | 1445-5781 1447-0578 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_f11a689b2972411b9b7e8d67280de795 |
| source | NCBI_PubMed Central（免费）; Publicly Available Content Database; Wiley Open Access |
| subjects | Acids Adhesion Adhesions Care and treatment Cellulose Hospitals Hysterectomy hysteroscopic adhesiolysis Infertility intrauterine adhesions Intrauterine devices Investigations IUD Original oxidized regenerated cellulose Pregnancy Silicones Surgeons Surgery Uterus |
| title | Efficacy of silicone sheet as a personalized barrier for preventing adhesion reformation after hysteroscopic adhesiolysis of intrauterine adhesions |
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