title: [Prevention of cicatricial adhecions using biodegradable membrane in lumbar microdiscectomy].
abstract: Article focuses on the efficiency improvement of lumbar microdiscectomy by preventing epidural fibrosis. Cicatricial adhesions are known to occur in all operated patients. Clinically significant changes are 5-38%. 90 patients with herniated disk at the lumbar level were operated, of whom 30--with the prevention of adhesions using biodegradable membrane, 30--with the prevention of adhesions using autologous fat tissue and 30--without cicatricial adhesions prophylaxis. The results allows to conlude on the safety of the use of biodegradable membrane ElastoPOB in lumbar microdiscectomy. Based on dynamics of the visual analogue scale and MRI is possible to make an assumptions about effectiveness of biodegradable material in prevention of cicatricial adhecions.
authors.forename: G N
authors.initials: GN
authors.lastname: Chapanidze
authors.forename: A V
authors.initials: AV
authors.lastname: Kuznetsov
authors.forename: O N
authors.initials: ON
authors.lastname: Dreval'
authors.forename: A G
authors.initials: AG
authors.lastname: Fediakov
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D017586:Diskectomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control*
chemical_list: D008567:Membranes, Artificial