Effectiveness of fibrin glue in adherence of skin graft

Konda Sireesha Reddy, Ravi Kumar Chittoria, Preethitha Babu, Senthil Kumaran Marimuthu, Sudhanva Hemanth Kumar, Elan Kumar Subbarayan, Vinayak Chavan, Devi Prasad Mohapatra, Dinesh Kumar Sivakumar, MT Friji

Journal of Cutaneous and Aesthetic Surgery 2017 10(2):72-75

Background: Graft fixation is important for graft take. Fibrin glue has been proposed as an ideal material, because of its human origin and it provides firm adhesion in seconds or minutes. Objective: To evaluate the efficiency of fibrin glue, in increasing the take of skin graft. Assessment includes surgical time taken for graft fixation, haematoma/seroma formation, engraftment and wound closure by day 14. Methods: The study is an observational prospective study conducted in the Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, from January 2016 to June 2016. Sixteen patients who underwent split skin grafting were assessed during the study period. Fibrin glue was used on the recipient bed before grafting. Results: Better haemostasis and graft adhesion, with a significant reduction of surgical time, were noted. Conclusion: The safety profile of fibrin glue was excellent as indicated by the lack of any related serious adverse experiences. These findings demonstrate that it is safe and effective for attachment of skin grafts, with outcomes at least as good as conventional methods.

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