METHODS OF PREVENTION OF EPIDURAL CICATRICAL ADHESIONS IN THE EXPERIMENTAL MODEL, ANALYSIS OF THE RECEIVED RESULTS

Postoperative epidural cicatrical adhesions remains one of the most frequent complications in the long term after microdiskectomy, worsening the overall result of the treatment of lumbar intervertebral disc herniation-sacral spine. The purpose of this  study is to assess the  dynamics of the  formation of fibrous scar and the effectiveness of methods of prevention, using an experimental model of postoperative epidural cicatrical adhesions. The study was conducted on experimental animals underwent laminectomy on three levels, on two levels was carried out prevention of cicatrical adhesions using the proposed techniques. On the third level of prevention was conducted. Results development of cicatrical adhesions was evaluated 3, 6, 9, 12 months. Conclusions: the use of the proposed methods of prevention, epidural cicatrical adhesions reduces the severity of cicatrical changes in the epidural space.