Publication:
Effects of 4% Icodextrin on Experimental Spinal Epidural Fibrosis

dc.contributor.authorAntar, Veysel
dc.contributor.authorÇınar, Nilgün
dc.contributor.authorAkdemir, Hidayet
dc.contributor.authorKaraoğlan, Alper
dc.contributor.authorKelten, Bilal
dc.contributor.authorKarancı, Türker
dc.contributor.authorKara Yalçınkaya, Zeynep Mine
dc.contributor.authorMidi, Ahmet
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionMaltepe Üniversitesi
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionMaltepe Üniversitesi
dc.contributor.institutionMaltepe Üniversitesi
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionBahçeşehir Üniversitesi
dc.date.accessioned2025-09-20T20:02:11Z
dc.date.issued2017
dc.date.submitted29.07.2022
dc.description.abstractAIM: The aim of this experimental study was to investigate whether spinal epidural 4% glucose polymer solution is effective in the prevention of postoperative fibrosis. MATERIAL and METhODS: Twenty eight adult Wistar albino rats were randomly divided into two equal groups, including treatment and control. Both groups underwent L1 vertebral total laminectomy to expose the dura. Topical treatment group received 4% icodextrin. Four weeks later, epidural fibrosis was examined in both groups histologically, biochemically and macroscopically. RESuLTS: Topical use of 4% icodextrin prevented significantly epidural fibrosis following the laminectomy operation. COnCLuSIOn: Topical 4% icodextrin application inhibits postoperative epidural fibrosis with various mechanisms and prevents adhesions by playing barrier role between tissue surfaces through flotation. Our study is first to present evidence of experimental epidural fibrosis prevention with 4% icodextrin.
dc.identifier.endpage271
dc.identifier.issn1019-5149
dc.identifier.issue2
dc.identifier.startpage265
dc.identifier.urihttps://hdl.handle.net/20.500.14719/5612
dc.identifier.volume27
dc.language.isoen
dc.relation.journalTurkish Neurosurgery
dc.subjectNörolojik Bilimler
dc.subjectCerrahi
dc.titleEffects of 4% Icodextrin on Experimental Spinal Epidural Fibrosis
dc.typeResearch Article
dcterms.references1. Akeson WH, Massie JB, Huang B, Giurea A, Sah R, Garfin SR, Kim CW: Topical high-molecular-weight hyaluronan and a roofing barrier sheet equally inhibit postlaminectomy fibrosis. Spine J 5: 180-190, 2005,2. Alkalay RN, Kim DH, Urry DW, Xu J, Parker TM, Glazer PA: Prevention of postlaminectomy epidural fibrosis using bioelastic materials. Spine (Phila Pa 1976) 28:1659-1665, 2003,3. Barnett GH, Hardy RW, Little JR: Thoracic canal stenosis. J Neurosurg 66:338-344, 1987,4. Bryant MS, Bremer A, Nguyen TQ: Autogenic fat transplants in the epidural space in routine lumbar spine MR imaging assessment. AJNR 9:169-178, 1988,5. Bryant MS, Bremer A, Nguyen TQ: Autogenic fat transplants in the epidural space in routine lumbar spine surgery. Neurosurgery 13: 367-370, 1983,6. Colak A, Bavbek M, Aydin NE, Renda N, Acikgoz B: Effect of CO2 laser on spinal epidural fibrosis. Acta Neurochir (Wien) 138: 162-166, 1996,7. De Tribolet N, Porchet F, Lutz TW, Gratzl O, Brotchi J, van Alphen HA, van Acker RE, Benini A, Strommer KN, Bernays RL, Goffin J, Beuls EA, Ross JS: Clinical assessment of a novel anti adhesion barrier gel prospective randomized multicenter clinical trial of ADCON-L to inhibit postoperative peridural fibrosis and related symptoms after lumbar discectomy. Am J Orthop 27:111-129,1998,8. Di Zerega GS, Verco SJS, Young P, Kettel M, Kobak W, Martin D, Sanfilippo J, Peers EM, Scrimgeour A, Brown CBA: Randomized controlled pilot study of the safety and efficacy of 4% icodextrin solution in the reduction of adhesions following laparoscopic gynaecological surgery. Human Reproduction 17: 1031-1038, 2002,9. Edwards CA, O'Brien WD Jr: Modified assay for determination of hydroxyproline in a tissue hydrolyzate. Clin Chim Acta 10: 161-167, 1980,10. Epstein NE, Schwall G: Thoracic spinal stenosis. Diagnostic and treatment challenges. J Spinal Disord 7: 259-269, 1994,11. Foulkes GD, Robinson JS Jr: Intraoperative dexamethasone irrigation in lumbar microdiskectomy. Clin Orthop 261:224- 228, 1990,12. Geisler FH: Prevention of epidural fibrosis: Current methodologies. Neurol Res 21:9-22, 1999,13. Gerszten PC, Moossy JJ, Flickinger JC, Gerszten K, Kalend A, Martinez AJ: Inhibition of peridural fibrosis after laminectomy using low-dose external beam radiation in a dog model. Neurosurgery 46: 1478-1485, 2000,14. Gorgulu A, Simsek O, Cobanoglu S, Imer M, Parsak T: The effect of epidural free fat graft on the outcome of lumbar disc surgery. Neurosurg Rev 27: 181-184, 2004,15. He Y, Revel M, Loty B: A quantitative model of postlaminectomy scar formation effects of a non steroidal antiinflammatory drug. Spine 20: 557-563, 1995,16. Hinton JL, Warejcka DJ, Mei Y, Mc Lendon RE, Laurencin C, Lucas PA, Robinson JS: Inhibition of epidural scar formation after lumbar laminectomy in the rat. Spine 20:564-570, 1995,17. Huang SC, Lai HC, Tsai IC: Treatment of pseudomonas keratoscleritis after pterygium excision. Cornea 18: 608-611, 1999,18. Jayson MIV: The lumbar spine and back pain. 3rd edn. UK: Churchill-Livingstone, 1987:463,19. Keller JT, Dunsker SB, Mewhorter JM, Ongkıko CM, Saunders MC, Mayfield FH: The fate of autogenous grafts to the spinal dura. J Neurosurg 49: 412-418, 1978,20. Kemaloglu S, Ozkan U, Yılmaz F, Nas K, Gur A, Acemoglu H, Karasu H, Cakmak E: Prevention of spinal epidural fibrosis by recombinant tissue plasminogen activator in rats. Spinal Cord 41: 427-431, 2003,21. Kuivila TE, Berry JL, Bell GR, Steffec AD: Heparinized materials for control of the formation of the laminectomy membrane in experimental laminectomies in dogs. Clin Orthop Relat Res 236:166-174,1988,22. La Rocca H, Macnab I: The laminectomy membrane. Studies in its evolution, characteristics, effects and prophylaxis in dogs. J Bone Joint Surg Br 3: 545-550, 1974,23. Menzies D, Hidalgo Pascual M, Walz MK, Duron JJ, Tonelli F, Crowe A, Knight A: Use of icodextrin 4% solution in the prevention of adhesion formation following general surgery: From the multicentre ARIEL Registry. Ann R Coll Surg Engl 88: 375-382, 2006,24. Müller SA, Treutner KH, Haase G, Kinzel S, Tietze L, Schumpelick V: Effect of intraperitoneal anti-adhesive fluids in a rat peritonitis model. Arch Surg 138: 286-290, 2003,25. Prusick VR, Lint DS, Bruder J: Cauda equina syndrome as a complication of free epidural fat grafting. J Bone Joint Surg 70: 1256-1258, 1988,26. Rodgers KE, Robertson JT, Espinoza T, Oppelt W, Cortese S, di Zerega GS, Berg RA: Reduction of epidural fibrosis in lumbar surgery with Oxiplex adhesion barriers of carboxymethyl cellulose and polyethylene oxide. Spine J 3: 277-284, 2003,27. Rydell N: Decreased granulation tissue reaction after installment of hyaluronic acid. Acta Orthop Scand 41:307- 311, 1970,28. Smith DE, Godersky JC: Thoracic spondylosis an unusual cause of myelopathy. Neurosurgery 20: 589-593, 1987,29. Sun Y, Wang LX, Wang L, Sun SX, Cao XJ, Wang P, Feng L: A comparison of the effectiveness of mitomycin C and 5-fluorouracil in the prevention of peridural adhesion after laminectomy. J Neurosurg Spine 7: 423-428, 2007,30. Temel SG, Ozturk C, Temiz A, Ersozlu S, Aydinli U: A new material for prevention of epidural fibrosis after laminectomy. J Spinal Disord Tech 19: 270-275, 2006,31. Trotter EJ, Crissman J, Robson D, Babish J: Influence of non biologic implants on laminectomy membrane formation in dogs. Am J Vet Res 49: 634-643, 1988,32. Weiss C, Dennis J, Suros JM, Denlinger J, Badia A, Gross J: Sodium hyaluronate for the prevention of postlaminectomy scar formation. Trans Orthop Res Soc 13: 44-47,1989
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