Fibrin sealant for fasciocutaneous flaps

Journal of Reconstructive Microsurgery
Paolo ErbaDaniel F Kalbermatten

Abstract

Fibrin sealant is used in many areas of surgery. We present a novel aspect of flap insetting in the ischial region using fibrin spray to seal the transferred tissue. We analyzed 10 patients suffering from decubital ulcers and assessed drainage output, time of drain removal, as well as complications following fasciocutaneous flap surgery. Patients were randomized to receive sprayed fibrin glue (study group) or not (control group) before wound closure. The mean drainage time was 4 +/- 1 days in the study group and 6 +/- 1 days in the control group ( P = 0.06). The mean drainage volume was 100 +/- 20 mL in the study group and 168 +/- 30 mL in the control group ( P < 0.01). Fibrin sealant led to reduced drainage volumes and duration of drainage, indicating a beneficial effect of the application of fibrin glue in fasciocutaneous flap surgery for pressure sore coverage.

Citations

Apr 23, 2011·Aesthetic Plastic Surgery·P ErbaD F Kalbermatten
Nov 13, 2012·Annals of Plastic Surgery·Pietro Giovanni di SummaDaniel Felix Kalbermatten
Nov 12, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J GaabP M Vogt
Oct 18, 2013·International Wound Journal·Reto WettsteinDaniel F Kalbermatten
May 15, 2015·Journal of Medical Case Reports·Ingo KuhfussPhilip Zeplin
Dec 9, 2016·Journal of Plastic Surgery and Hand Surgery·Mathias TrempDaniel Felix Kalbermatten
Jan 5, 2017·Health Technology Assessment : HTA·Steven J EdwardsVictoria Wakefield
Nov 3, 2012·Acta Cirúrgica Brasileira·Larissa Correa HermetoAureo Evangelista Santana
Dec 6, 2016·The Cochrane Database of Systematic Reviews·Jason Kf WongJo C Dumville
Oct 21, 2015·Advances in Skin & Wound Care·Jose Manuel Arévalo VelascoMiguel Angel Casado

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