{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T05:02:26Z","timestamp":1789794146111,"version":"4.0.1"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["ECC\u20101941543"],"award-info":[{"award-number":["ECC\u20101941543"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022278","name":"Fondation des Gueules Cass\u00e9es","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022278","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012489","name":"Boston Area Diabetes Endocrinology Research Center","doi-asserted-by":"publisher","award":["DK135043"],"award-info":[{"award-number":["DK135043"]}],"id":[{"id":"10.13039\/100012489","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Machine perfusion has rapidly developed in the last decade and demonstrated improved preservation of conventional and marginal organs by reducing ischemia and hypoxia injuries. The aim of this study was to assess whether subnormothermic machine perfusion improves graft preservation compared with SCS in a porcine uterus model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      Swine uteri were procured from circulatory\u2010dead donors and allocated into two groups. In the experimental group, the organs were preserved with 4\u2009h\u2010dual subnormothermic machine perfusion (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) while the control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) underwent 4\u2009h\u2010static cold storage. After preservation, all uteri received ex\u00a0vivo whole blood normothermic reperfusion (NMP) to simulate transplantation. Perfusate samples were analyzed from uterine arteries and veins every 30\u2009min for gas and metabolic analysis, and weight variations were recorded continuously during perfusion. Following simulated transplantation, uterine contraction was assessed after oxytocin injection, and macrovascular perfusion was evaluated using contrast angiography. Several biopsies were procured from different parts of the uterus for histological and immunohistochemistry analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the experimental group, the weight of the uteri and lactate difference between vein and artery decreased during subnormothermic machine perfusion. Weight gain was significantly higher in the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03), which was consistent with interstitial edema observed on histological sections in this group. Uterine contraction evaluated through semi\u2010quantitative scoring was higher in the experimental group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this porcine model, subnormothermic machine perfusion reduces edema and preserves contractility more effectively than static cold storage. We demonstrate its particular interest in recovering organs procured from deceased donors. In addition, subnormothermic machine perfusion may enable other applications, including graft assessment, treatment and tolerance induction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70346","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:27:06Z","timestamp":1789792026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual acellular subnormothermic machine perfusion for enhanced uterus preservation in a swine model"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6990-5332","authenticated-orcid":false,"given":"Lucile","family":"Cabanel","sequence":"first","affiliation":[{"name":"Center for Engineering in Medicine and Surgery, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Shriners Children's Boston  Boston Massachusetts USA"},{"name":"Plastic Surgery Research Laboratory, Division of 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Reconstructive Surgery, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Plastic Surgery Research, Vascularized Composite Allotransplantation Program Development Cedars\u2010Sinai Hospital  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korkut","family":"Uygun","sequence":"additional","affiliation":[{"name":"Center for Engineering in Medicine and Surgery, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Shriners Children's Boston  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8191-8662","authenticated-orcid":false,"given":"Alexandre G.","family":"Lellouch","sequence":"additional","affiliation":[{"name":"Center for Engineering in Medicine and Surgery, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Shriners Children's Boston  Boston Massachusetts USA"},{"name":"Plastic Surgery Research Laboratory, Division of Department of Plastic and Reconstructive Surgery, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Plastic Surgery Research, Vascularized Composite Allotransplantation Program Development Cedars\u2010Sinai Hospital  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4190-5132","authenticated-orcid":false,"given":"Yanis","family":"Berkane","sequence":"additional","affiliation":[{"name":"Center for Engineering in Medicine and Surgery, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Shriners Children's Boston  Boston Massachusetts USA"},{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, CHU de Rennes University of Rennes  Rennes France"},{"name":"SITI Laboratory, UMR1236 INSERM, \u00c9tablissement Fran\u00e7ais du Sang 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