THE EFFECTS OF HUMAN AMNIOTIC MEMBRANE AND FIBRIN SEALANT IN THE PREVENTION OF POSTOPERATIVE ADHESION FORMATION IN THE RABBIT OVARY MODEL

The study group consisted of 29 female, white New Zealand rabbits. The rabbits were randomized into 3 groups and a midline laparotomy was pe rformed in order tc, make a 4-5 mm long lesion using a scalpel in both ovaries. In Group I, both of the c,varies were left uncovered. In Gro up 2, the right ovaries were covered by human amniotic membrane graft. In Group 3, 0.1-0.2 mt of Tisseel solution was applied to the lesion in the right ovaries. No medication was applied to the left ovaries in any of the groups and thus this ovary acted as an individual control. After 2 weeks the adhesion scores were graded by relaparotomy in a bl ind manner. Fibrin sealant showed a significant reduction in postopera tive adhesion formation compared with the amniotic membrane graft and control groups (p<0.001). Therefore, it can be concluded that fibrin s ealant can be used Bs an adjuvant during reproductive surgery.