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Published in: World Journal of Surgery 4/2010

01-04-2010

Fibrin Sealant: Past, Present, and Future: A Brief Review

Author: William D. Spotnitz

Published in: World Journal of Surgery | Issue 4/2010

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Abstract

Background

Fibrin sealant is a two-component topical hemostat, sealant, and tissue adhesive consisting of fibrinogen and thrombin that has been used in the United States as a blood bank- or laboratory-derived product since the 1980s and has been commercially available since 1998.

Methods/results

Initially, surgeons employed hospital-based materials because of the lack of availability of a commercially produced agent. At present, there are five U.S. Food and Drug Administration (FDA)-approved forms including products derived from pooled or autologous human plasma as well as bovine plasma. On-label indications include hemostasis, colonic sealing, and skin graft attachment. Recent clinical and experimental uses include tissue or mesh attachment, fistula closure, lymphatic sealing, adhesion prevention, drug delivery, and tissue engineering.

Conclusions

The modern literature on fibrin sealant now exceeds 3000 articles and continues to expand. This brief review presents the history of this material, its present clinical use, and its future applications.
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Metadata
Title
Fibrin Sealant: Past, Present, and Future: A Brief Review
Author
William D. Spotnitz
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 4/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-009-0252-7

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