In the field of orthopedic surgery, additional areas of application and new indications have been discovered for fibrin glue treatment, for example, hemostasis in pseudotumors in hemophilic patients or in torn ligaments, and in spongiosa transplantation, primarily when nonautologous bone material is being used, or to fill large defects. In maxillofacial surgery fibrin glue is mainly used for osseous contouring of the facial and frontal bones, for alveolar ridge augmentations in preprosthetic surgery, and for soft tissue reconstructions.
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.
Pterygium surgery often presents a challenge to ophthalmic surgeons due to a high tendency for tissue re-growth. Pterygium: Techniques and Technologies for Surgical Success details the latest advances in ocular surface surgery, as well as new methods to overcome the traditional complications of pterygium surgery. Dr. John A. Hovanesian and his contributors address pterygium surgery through a detailed compilation of intraoperative and postoperative patient management. Pterygium: Techniques and Technologies for Surgical Success includes step-by-step details on a wide range of treatment therapies, such as: • Use of fibrin tissue adhesive • Conjunctival autograft techniques, including wide margin autograft • Amniotic membrane techniques and pearls • Mitomycin and 5FU Adjuncts • Conjunctival Chalasis • Postoperative complications management, including the surgical approach to recurrences Pterygium: Techniques and Technologies for Surgical Success is an indispensible resource for ophthalmic surgeons, residents, fellows, and assisting staff who must keep up with the latest ocular procedures regarding pterygium surgery.
Fibrin sealant is used for numerous indications in gynecology, especially for the McIndoe Operation and Cohn biopsy, the Marshall-Marchetti-Krantz-Hirsch-Stoll-Operation, urethrocysopexy, or in vitro fertilization for embryo transfer. The use of fibrin sealant in urology has also been extended, especially in operations of the spermatic cord, reconstruction of the urethra and closing of nephrotomies.
Advanced Therapy in Cardiac Surgery - Second Edition This second edition of Advanced Therapy in Cardiac Surgery presents state-of-the-art techniques and an in-depth review of cardiac surgery from the leading authorities. Each of the 62 succinct chapters represents the personal treatment protocols of the experts. The Advanced ......
The last volume in the series Fibrin Sealing in Surgical and Nonsurgical Fields discusses various uses of fibrin glue in endoscopic surgery. During the last years fibrin sealant has been established in the treatment of gastrointestinal ulcers and esophageal fistulae.
Written by more than 400 subject experts representing diverse academic and applied domains, this multidisciplinary resource surveys the vanguard of biomaterials and biomedical engineering technologies utilizing biomaterials that lead to quality-of-life improvements. Building on traditional engineering principles, it serves to bridge advances in materials science, life sciences, nanotechnology, and cell biology to innovations in solving medical problems with applications in tissue engineering, prosthetics, drug delivery, biosensors, and medical devices. In nearly 300 entries, this four-volume Encyclopedia of Biomaterials and Biomedical Engineering, Second Edition, covers: essential topics integral to tissue engineering research: bioreactors, scaffolding materials and fabrication, tissue mechanics, cellular interaction, and development of major tissues and organs being attempted by researchers worldwide; artificial lungs and muscles, bio-artificial livers, and corneal, dental, inner ear, and total hip implants; tissue engineering of blood vessels, heart valves, ligaments, microvascular networks, skeletal muscle, and skin; bone remodeling, bone cement, and bioabsorbable bone plates and screws; controlled drug delivery, insulin delivery, and transdermal and ocular implant-based drug delivery; endovascular stent grafts, vascular grafts, and xenografts; 3-D medical imaging, electrical impedance imaging, and intravascular ultrasound; biomedical, protein adsorption, and in vivo cardiovascular modeling; polymer foams, biofunctional and conductive polymers, and electroactive polymeric materials; blood–material interactions, the bone–implant interface, host reactions, and foreign body responses and much more.
The third edition of this book Ocular Therapeutics has been completely updated with addition of all new ocular drugs and delivery systems in every group of medicine used in ophthalmic disease and surgeries. Sixty-nine chapters of this line have been grouped as preliminary section, Applied Ocular Therapeutics and Recent Advances. In this comprehensive book leading International Ocular Drug Experts have shared their experiences and evidence-based knowledge in the form of chapters. It shall serve as ready reference for all ophthalmologists world-wide who are engaged in eradication of global blind.
J. Herbert Waite Like many graduate students before and after me I was There are so many species about which nothing is known, mesmerized by a proposition expressed years earlier by and the curse of not knowing is apathy. Krogh (1929) – namely that “for many problems there is Bioadhesion is the adaptation featured in this book, an animal on which it can be most conveniently studied”. and biology has many adhesive practitioners. Indeed, This opinion became known as the August Krogh Prin- every living organism is adhesively assembled in the ciple and remains much discussed to this day, particu- most exquisite way. Clearly, speci? c adhesion needs to larly among comparative physiologists (Krebs, 1975). be distinguished from the opportunistic variety. I think The words “problems” and “animal” are key because of speci? c adhesion as the adhesion between cells in the they highlight the two fundamental and complementary same tissue, whereas opportunistic adhesion might be the foci of biological research: (1) expertise about an animal adhesion between pathogenic microbes and the urinary (zoo-centric), which is mostly observational and (2) a tract, or between a slug and the garden path. If oppor- mechanistic analysis of some problem in the animal’s life nistic bioadhesion is our theme, then there are still many history or physiology (problem-centric), which is usually practitioners but the subset is somewhat more select than a hypothesis-driven investigation. before.
In-depth information on natural biomaterials and their applications for translational medicine! Undiluted expertise: edited by world-leading experts with contributions from top-notch international scientists, collating experience and cutting-edge knowledge on natural biomaterials from all over the world A must-have on the shelf in every biomaterials lab: graduate and PhD students beginning their career in biomaterials science and experienced researchers and practitioners alike will turn to this comprehensive reference in their daily work Link to clinical practice: chapters on translational research make readers aware of what needs to be considered when a biomaterial leaves the lab to be routinely used
