Abstract
OBJECTIVE
To evaluate the efficiency of biological sealant, an autologous fibrin glue, in dermatological surgery.
DESIGN
Randomized clinical trial.
SETTING
The Dermatology Service of Hospital das Clinicas, Universidade de Campinas (UNICAMP), referral center.
PATIENTS
14 patients with malign epithelial cutaneous tumors participated in the evaluation, each having two tumors, generally facial and symmetrical, in order to perform a comparative evaluation on the same individual.
PROCEDURES
The glue was prepared beforehand with a sample of autologous blood. Surgical extirpation of the tumor was followed by grafts or second intention healing.
OUTCOMES
The efficiency of the sealant was then evaluated in relation to hemostasis, adhesion, surgical time and evolution of the granulation tissue, clinically and histologically.
RESULTS
Immediate hemostasis and graft adhesion, with a significant reduction of surgical time, and in the open wounds there was immediate hemostasis and a clinical increase in granulation tissue, but with no histological differences among the groups on the 7th day.
CONCLUSION
It is an adjuvant resource in skin cancer surgery.
Collapse