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Skin Grafting with Fibrin Glue in Burns

  • Conference paper
Fibrin Sealing in Surgical and Nonsurgical Fields

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Abstract

In an attempt to obtain better function and appearance, minimize blood loss and increase graft survival with minimal postoperative care, deep burns are treated by applying fibrin glue to difficult recipient sites.

We use a two-component fibrin sealant: fibrinogen made from pooled human plasma and bovine thrombin (Tissucol, Immuno AG, Vienna, Austria). The fibrin sealant is described as well as the technique used to seal the skin grafts in 15 patients (18 procedures). Graft sealing is limited to grafts located over areas subject to movement (joints, face, neck, hands) and to nonmeshed grafts for cosmetic reasons.

Our clinical experience, described here, demonstrates several advantages of sealing skin grafts on burn wounds: (1) hemostasis, early adherence and wound healing are improved; (2) better cosmetic results are obtained with sheet grafts on the face and neck; (3) operating time is reduced; (4) no special dressings are required; physiotherapy starts after 24 h; the recovery period is reduced as are secondary procedures.

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Authors
  1. J. P. Adant
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  2. B. Detroz
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  3. M. D’Silva
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  4. L. Natowitz
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  5. M. Ledoux
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  6. B. Pestiaux
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  7. P. Leclercq
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Editor information

Editors and Affiliations

  1. Ludwig-Boltzmann-Institut für experimentelle und klinische Traumatologie, Donaueschingenstraße 13, 1200, Wien, Austria

    Günther Schlag

  2. Wilhelminenspital Abteilung für Plastische und Wiederherstellungschirurgie, Montleartstraße 37, 1160, Wien, Austria

    Jürgen Holle

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© 1995 Springer-Verlag Berlin Heidelberg

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Adant, J.P. et al. (1995). Skin Grafting with Fibrin Glue in Burns. In: Schlag, G., Holle, J. (eds) Fibrin Sealing in Surgical and Nonsurgical Fields. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79346-2_20

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  • DOI: https://doi.org/10.1007/978-3-642-79346-2_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58550-3

  • Online ISBN: 978-3-642-79346-2

  • eBook Packages: Springer Book Archive

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