Yusuf GÜNERHAN, Kasım ÇAĞLAYAN, Aziz SÜMER, Neşet KÖKSAL, Ediz ALTINLI, Ender ONUR, Pembegül GÜNEŞ, Gulistan GUMRUKCU

The efficacy of carboxymetylcellulose for prevention adhesion formation after thyroid region surgery

Bu çalışmada amaç, ameliyat sonrası yapışıklık oluşmasını önlemek için kullanılan karboksimetil sellüloz (KMC)’un tiroid bölgesi ameliyatlarından sonra oluşan fibrosiz, enflamasyon ve yapışıklıkları önlemedeki etkisini irdelemek. Kırk rat onarlı dört gruba ayrıldı. Tüm ratlara servikal insizyon yapılarak her iki tiroid lobu görüldü ve her bir lob ipek ile iki sefer sütüre edildi. Sütür sonrası kontrol grupları (1,2) kapatılırken çalışma gruplarına (3,4) KMC uygulandı. 1. ve 3. gruplar 7.gün, 2. ve 4. gruplar 28. gün sakrifiye edildiler. Gruplar adezyon oluşumu yönünden karşılaştırıldılar. Makroskopik adezyon yönünden karşılaştırma yapıldığında Grup I ile Grup III arasında ve Grup II ile Grup IV arasında anlamlı fark bulundu (P

Anahtar Kelimeler:

tiroit bezi çıkartılması, yapışma, karboksimetilselüloz, ameliyat sonrası komplikasyonlar, önlem, sıçan, stabilize ediciler, cerrahi işlemler, tiroit bezi

Tiroid bölgesi ameliyatlarından sonra oluşan adezyonu önlemede karboksi metil selülozun etkisi

Aim of this study is to investigate the impact of carboxymetylcellulose about adhesion formation, fibrosis and inflamation after thyroid region surgery in an animal model. Forty rats were grouped into four and a cervical midline skin incision was made. Both thyroid lobe were seen and they were sutured two times per lobe with silk suture in group I, II, III and IV. In addition this procesure a sheet of the Carboxymethylcellulose (CMC) membrane was placed on thyroid glands before closing in goup III and IV. Rats were sacrified at seventh day in groups I, III and at twenty-eighth day in groups II, IV. In all groups adhesion formation, fibrosis and inflamation were evaluated and compared statistically. The comparison of groups in terms of macroscopic adhesion, fibrosis and inflammation scores revealed a statistically significant difference between Group I and Group III, and Group II and Group IV. (P<0,0001) Severe fibroblast proliferation was seen in the control groups and minimal fibroblast proliferation was seen in CMC membrane groups. CMC usage may be proceed to avoid from adhesion in reexploration expected thyroid surgery.

Keywords:

thyroidectomy, adhesions, carboxymethylcellulose, postoperative complications, prevention, rats, stabilizers, surgical operations, thyroid gland,

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