Cross-linked hyaluronate hydrogel prevents adhesion formation and reformation in mouse uterine horn model

• Published in: Human reproduction (Oxford) Vol. 16; no. 2; pp. 353 - 356
• Main Authors: Sawada, Tomio, Tsukada, Kazuhiko, Hasegawa, Kiyoshi, Ohashi, Yoshimasa, Udagawa, Yasuhiro, Gomel, Victor
• Format: Journal Article
• Language: English
• Published: Oxford Oxford University Press 01.02.2001; Oxford Publishing Limited (England)
• Subjects: adhesion prevention; adhesion reformation; Animals; Biological and medical sciences; Cross-Linking Reagents; Disease Models, Animal; Female; Genital system. Reproduction; hyaluronate hydrogel; Hyaluronic Acid; Hydrogels; Medical sciences; Mice; Mice, Inbred ICR; mouse uterine horn model; Pharmacology. Drug treatments; Postoperative Complications - prevention & control; reproductive surgery; Tissue Adhesions - prevention & control; Uterine Diseases - prevention & control; Uterus - injuries; Uterus - surgery; mouse uterine horn model; reproductive surgery; adhesion reformation; hyaluronate hydrogel; adhesion prevention; Postoperative; Animal model; Treatment efficiency; Rodentia; Adjuvant treatment; Uterine horn; Adhesion; Prevention; Vertebrata; Mammalia; Uterus; Crosslinked state; Mouse; Female genital system; Female; Hydrogel; Hyaluronic acid; Degradation product
• ISSN: 0268-1161; 1460-2350; 1460-2350
• DOI: 10.1093/humrep/16.2.353

The aim of this study was to evaluate the efficacy of cross-linked hyaluronate hydrogel (HA gel) as an adjuvant for postoperative adhesion prevention, in a mouse uterine horn model. In experiment 1 uterine horns were abrased with iodine. HA gel was applied to the injured surface before closure in the treatment group. In experiment 2, after injuring the uterine horns, three stitches were placed at equal distances around the uterine horns to appose the injured medial surfaces of the two horns during healing. HA gel was inserted between the uterine horns in the treatment group. In experiment 3 prevention of adhesion reformation was assessed. After lysis of adhesions that were induced as in experiment 2, HA gel was introduced between the serosal surfaces of apposing uterine horns. Untreated animals served as controls in each experiment. Statistical analysis was carried out using Student's t-test. The adhesion score was significantly lower in the HA gel group on the 14th day compared with controls in all the experiments: in experiment 1, 0.3 ± 0.4 versus 1.7 ± 1.2; in experiment 2, 0.9 ± 1.0 versus 2.6 ± 0.5; and in experiment 3, 1.5 ± 0.9 versus 2.2 ± 0.6 respectively. Cross-linked HA gel significantly reduced de-novo adhesions (P < 0.03) and adhesion reformation (P < 0.03).