Gynecology & Obstetrics
Open Access

Niki B Istwan

Publications

• Research Article
  Evaluation of Dehydrated Human Amnion/Chorion Membrane as an Adhesion Barrier in Women Undergoing Robotic Laparoscopy
  Author(s): John Dulemba, Pezhman Mirzakhani and Niki B Istwan John Dulemba, Pezhman Mirzakhani and Niki B Istwan
  
  Introduction: Amniotic membrane contains collagen, cytokines and growth factors, is immune privileged, and has been shown to modulate inflammation and reduce scarring. Dehydrated human amnion/chorion membrane (dHACM) allografts have been used in many clinical and surgical applications to facilitate healing. We describe our experience of using commercially available dHACM allograft as an adhesion barrier in women undergoing da Vinci robot laparoscopy at an outpatient surgery center. Methods: With IRB permission, we conducted a retrospective evaluation of medical records from 16 consecutive patients that had undergone robotic laparoscopy for pelvic pain due to endometriosis and adhesions. All patients had resection of endometriosis and adhesiolysis with application of dHACM. As per our routine practice, all had been scheduled for a second surg.. View More»
  DOI: 10.4172/2161-0932.1000405

  Abstract PDF

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