"Fibrin glue for spilt-thickness skin grafts and microsurgical end-to-e" by Susan Diane Drastal

Document Type

Thesis

Date of Award

5-31-1987

Degree Name

Master of Science in Biomedical Engineering - (M.S.)

Department

Biomedical Engineering Committee

First Advisor

David S. Kristol

Second Advisor

Peter Engler

Third Advisor

Arthur B. Ritter

Abstract

Fibrinogen and thrombin were combined to make a "glue" for adherence in microvascular anastomoses and split-thickness autologous skin grafts in rats. The powdered human fibrinogen and bovine thrombin were mixed with sterile water and each applied drop-wise through separate syringes in equal concentrations. A gelatinous clot formed in 10 seconds, and was completely coagulated in 45 seconds. In part I, one-half of the group had their grafts sutured, and one-half had their grafts glued in place.

In part II, microvascular arterial anastomoses were performed. Group I had their arteries reanastomosed using sutures only; group II had their arteries reanastomosed by using an intraluminal stent, two stay-sutures, and the fibrin glue.

The microvascular anastomoses were almost all patent. The glue served as a hemostyptic agent as well as an adhesive. In both groups, the sutured technique took nearly twice as long as the gluing technique.

The suture material caused a foreign body reaction on the grafts, not seen in the group with glue. The glued grafts took better overall, but all grafts sloughed at 2-3 weeks post-op, mainly due to infection and hemorrhage caused by excessive motion.

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