Begum Kurt, Department of Obstetrics and Gynecology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey
Caglar Yildiz, Department of Obstetrics and Gynecology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey
Tulay Koc, Department of Medical Pathology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey
Nese Kurt-Ozkaya, Department of Plastic, Reconstructive and Aesthetic Surgery, Sivas Medicana Hospital, Sivas, Turkey
Serkan Celikgun, Department of Public Health, Institute of Health Sciences, Dokuz Eylul University, Izmir. Turkey
Objective: This study was carried out to investigate the effect of autologous platelet-rich plasma (PRP) on intra-abdominal adhesion at the cesarean section incision line in the uterus. Material and methods: As experimental animals 16 white New Zealand rabbits, 5-months-old, unmated, were used. Animals were divided into two groups the control group and PRP application group. In each group, a transverse incision was made to the uterus to mimic the cesarean section and sutured. Relaparotomy was performed 21 days after the first operation. Results: When the groups were evaluated in terms of inflammation, there was a significant difference between the two groups. When the groups were evaluated in terms of Mason’s Trichrome staining and fibrosis, There was a significant difference between groups. When the groups were evaluated in terms of vascular endothelial growth factor-1, there was also a significant difference between the groups. In an experimental rabbit uterine horn adhesion model, PRP is effective in preventing post-operative adhesion formation. Conclusions: This result may guide clinical studies using autologous PRP to prevent post-operative adhesion formation after gynecological operations.
Keywords: Gynecological surgery. Platelet-rich plasma. Post-operative complications- Repeat cesarean sections. Surgical adhesions.