A simple preparation of autologous fibrin glue for skin-graft fixation

被引:31
作者
Buckley, RC
Breazeale, EE
Edmond, JA
Brzezienski, MA
机构
[1] Univ Tennessee, Coll Med, Dept Plast & Reconstruct Surg, Chattanooga, TN 37403 USA
[2] Albany Med Ctr, Albany, NY USA
关键词
D O I
10.1097/00006534-199901000-00033
中图分类号
R61 [外科手术学];
学科分类号
摘要
Numerous uses of fibrin glue as a sealant, hemostatic agent, and adhesive have been reported. We developed a simple method of preparing autologous fibrin glue for skin-graft fixation. Fifty patients have undergone the autologous fibrin glue technique for trauma, burns, and difficult wounds. The mean area grafted was 237 cm 2 (range 50 to 700 cm 2), and grafts were typically 0.012 to 0.016 inch thick (meshed 1.5:1). A standard gauze dressing was applied to all wounds, and no sutures or staples were used. At a mean follow-up of 3.4 months (range 1 to 9 months), 45 of 50 patients had over 95 percent take, and no patient had less than 90 percent take. There were no adverse reactions or infections noted, and no patient required additional grafting. This method offers a simple, cost-effective alternative for skin- graft fixation that leads to minimized postoperative care, subjectively cleaner wounds, and high patient satisfaction.
引用
收藏
页码:202 / 206
页数:5
相关论文
共 15 条
[1]   FIBRIN GLUE IN THE TREATMENT OF DORSAL HAND BURNS [J].
BOECKX, W ;
VANDEVOORT, M ;
BLONDEEL, P ;
VANRAEMDONCK, D ;
VANDEKERCKHOVE, E .
BURNS, 1992, 18 (05) :395-400
[2]   AUTOLOGOUS FIBRIN GLUE IN FULL-THICKNESS SKIN-GRAFTING [J].
CHAKRAVORTY, RC ;
SOSNOWSKI, KM .
ANNALS OF PLASTIC SURGERY, 1989, 23 (06) :488-491
[3]  
HARTMAN AR, 1992, ARCH SURG-CHICAGO, V127, P357
[4]   THE EFFECT OF FIBRIN GLUE ON SKIN-GRAFTS IN INFECTED SITES [J].
JABS, AD ;
WIDER, TM ;
DEBELLIS, J ;
HUGO, NE .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1992, 89 (02) :268-271
[5]  
KJAERGARD HK, 1992, SURG GYNECOL OBSTET, V175, P72
[6]   CLOSURE OF BLEPHAROPLASTY INCISIONS WITH AUTOLOGOUS FIBRIN GLUE [J].
MANDEL, MA .
ARCHIVES OF OPHTHALMOLOGY, 1990, 108 (06) :842-844
[7]   AN ANAPHYLACTIC REACTION TO TOPICAL FIBRIN GLUE [J].
MITSUHATA, H ;
HORIGUCHI, Y ;
SAITOH, J ;
SAITOH, K ;
FUKUDA, H ;
HIRABAYASI, Y ;
TOGASHI, H ;
SHIMIZU, R .
ANESTHESIOLOGY, 1994, 81 (04) :1074-1077
[8]   THE EFFECT OF FIBRIN GLUING TO SEAL BRONCHIAL AND ALVEOLAR LEAKAGES AFTER PULMONARY RESECTIONS AND DECORTICATIONS [J].
MOURITZEN, C ;
DROMER, M ;
KEINECKE, HO .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1993, 7 (02) :75-80
[9]  
NISSEN AJ, 1993, AM J OTOL, V14, P147
[10]   AUTOLOGOUS FIBRIN GLUE FROM INTRAOPERATIVELY COLLECTED PLATELET-RICH PLASMA [J].
OZ, MC ;
JEEVANANDAM, V ;
SMITH, CR ;
WILLIAMS, MR ;
KAYNAR, AM ;
FRANK, RA ;
MOSCA, R ;
REISS, RF ;
ROSE, EA .
ANNALS OF THORACIC SURGERY, 1992, 53 (03) :530-531