Influence of platelet rich plasma on vascularization process in uterus scar area after cesarean section
E.R. GAYNUTDINOVA2, R.I. GABIDULLINA1, A.A. GALEYEV3, A.T. SHAYKHETDINOVA2, O.N. MIKHAYLOVA2, D.I. MARAPOV1, S.V. FEDOTOV2, A.M. MAKHANOVA1
1Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
2City Clinical Hospital No. 7, 54 Marshal Chuykov Str., Kazan, Russian Federation, 420103
3City Clinical Hospital No. 2, 13 Muzykal’naya Str., Kazan, Russian Federation, 420033
Gaynutdinova E.R. ― doctor of the Gynecology Department, tel. +7-937-614-94-95, e-mail: elvlion@rambler.ru
Gabidullina R.I. ― D. Med. Sc., Professor of the Department of Obstetrics and Gynecology No. 2, tel. +7-917-289-93-10, e-mail: ru.gabidullina@yandex.ru
Galeev A.A. ― Head of the Gynecology Department, tel. +7-987-296-84-46, e-mail: lamantinos@mail.ru
Shaykhetdinova A.T. ― Head of the Department of Ultrasound Diagnostics of Obstetric and Prenatal Service, tel. +7-917-269-65-87, e-mail:alsuan-kazan@rambler.ru
Mikhaylova O.N. ― doctor of the Department of Ultrasound Diagnostics, tel. +7-950-320-63-46, e-mail: michailovaolga1970@gmail.com
Marapov D.I. ― Cand. Med. Sc., Assistant Lecturer of the Department of Public Health and Health Care Organization, tel. +7-987-288-00-20, e-mail: damirov@list.ru
Fedotov S.V. ― Deputy Chief Doctor on Obstetrics and Gynecology, tel. +7-917-275-54-97, e-mail: NataliyaFedotova1972@mail.ru
Makhanova A.M. ― sixth year student of Pediatrics Department, tel. +7-950-309-19-54, e-mail: a.mahanova.a@mail.ru
70 patients, randomized into study and comparison groups, were examined. The patients of the study group were injected platelet rich plasma, derived by Plasmolifting technology, into uterus suture area during cesarean section. We estimated uterus scar revascularization process by Doppler ultrasonography of the blood flow in the uterus vessles. We also measured VEGF and FGF concentration on fifth day after the operation. We revealed that resistance index in uterus arteries and uterus scar area arteries were lower in study group. Vascular endothelial growth factor concentration in peripheral blood was lower in control group. The obtained results show the positive influence of Plasmolifting technology on vascularization process in uterus scar area.
Key words: cesarean section, platelet rich plasma, Doppler ultrasonography, growth factors.
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