1st Edition

Surgical Adhesives & Sealants Current Technology and Applications

By David H. Sierra, Renato Saltz Copyright 1998
    247 Pages
    by CRC Press

    268 Pages
    by CRC Press

    From the Preface

    Surgical tissue adhesives are an ancient idea, going back to the beginnings of recorded history. The concept of adhering, rather than suturing, packing, or stapling planes of tissue is attractive, in that it is fast-acting and assures complete closure. Numerous technologies have been tried; some with limited success, others outright failures. In short, the perfect adhesive does not exist. Limitations occur in a number of areas: strength, toxicity, degradation, and safety. It is also important to keep in mind that "one size fits all" does not apply to adhesives in surgical applications any more than it does in day-to-day application. As one would not use paper glue to seal a bathtub, one would presumably not apply an adhesive onto tendons, which is suitable for sealing corneas. The properties required of an adhesive for each indication are quite different.

    Over the last twenty-five years, advances have been made in a wide range of technologies targeting some embodiment of a practical and safe adhesive. Foremost and successful among these are cyanoacrylates, marine adhesive proteins, and fibrin-based sealants. Another promising adhesive technology is laser solders, a mixture of polypeptides and proteoglycans, which integrates with the repair site when laser energy is applied.

    In light of these advances in the field, the Symposium for Surgical Tissue Adhesives was organized and held at the Atlanta Hyatt from October 8-10, 1993. The goal was to bring together these far-flung technologies in a comprehensive and cohesive manner. Presentations by investigators from around the world described the history of adhesives in medicine, current technologies, laboratory characterizations, and application developments, as well as regulatory aspects and clinical applications. We felt that as many viewpoints as possible, however conflicting, were important to present in order to give the most complete picture of the state of the art of surgical adhesives.

    ADHESIVE TECHNOLOGIES
    History of Tissue Adhesives
    Commercial Pooled-Source Fibrin Sealant
    Mussel Adhesive Protein
    Fibrin-Collagen Composite Tissue Adhesive
    Soldering Is a Superior Alternative to Fibrin Sealant

    LABORATORY EVALUATION
    Kinetic and Mechanical Parameters of Fibrin Glue
    Surgical Tissue Adhesives: Host Tissue Response, Adhesive Strength and Clinical Performance
    Biological and Rheological Properties of a Virally Inactivated Fibrin Glue (Biocolr): Comparison to an Autologous Fibrin Glue
    Assessment of Restored Tissue Elasticity in Prolonged in vivo Animal
    Veterinary Hemaseelr: Ex vivo and in vivo Studies on Bovine Fibrin Sealant

    LABORATORY APPLICATIONS
    Wound Healing Applications of Fibrin Sealants
    Fibrin Sealant: A Versatile Delivery Vehicle for Drugs and Biologics
    Sustained Release of Antibiotics from Fibrin Sealant
    Bone Induction by Demineralized Bone Powder and Partially Purified Osteogenin Using a Fibrin-Sealant Carrier
    Fibrin Sealant as a Delivery Vehicle for Sustained and Controlled Release of Chemotherapy Agents
    Experimental and Clinical Considerations: Craniofacial Surgery and Bone Metabolism

    CLINICAL APPLICATIONS AND INVESTIGATIONS

    Fibrin Sealant and the U.S. Food and Drug Administration Review
    Utilization of Fibrin Glue in Craniofacial and Facial Plastic Surgery
    Tissue Adhesives in Plastic and Reconstructive Surgery
    Clinical Applications of Tissue Adhesives in Aesthetic and Reconstructive Surgery
    Surgical Adhesives in Otolaryngology
    A Review of Nonsuture Peripheral Nerve Repair
    Clinical Use of Fibrin-Based Composite Tissue Adhesive in Otology and Neurotology
    Clinical Applications of Fibrin Sealant in Thoracic and Cardiovascular Surgery

    Biography

    David H. Sierra, MS, Vice-President, Research and Development Cohesion Corporation Palo Alto, California, Renato Saltz, MD, FICS, FACS, Associate Professor of Surgery Division of Plastic and Reconstructive Surgery University of Utah Salt Lake City, Utah