A PROSPECTIVE STUDY OF THE USEFULNESS OF FIBRIN GLUE TO PREVENT POSTOPERATIVE PANCREATIC FISTULA

Background: Pterygium is a degenerative condition of sub conjunctival tissues that proliferates as vascularised granulation tissue to invade cornea. Treatment modalities may be medical or surgical. Objectives were to asses results of pterygium surgery in patients with pterygium, in terms of operative time, post-operative symptoms, overall graft success and post-operative complications conducted at government medical college, hospital, Jammu during one year.Methods: Prospective study conducted on 25 patients by using fibrin glue over a period of one year in upgraded department of ophthalmology at GMC Jammu.Results: Mean operating time was 23.20 minutes by using fibrin glue, severity of post-operative symptoms were less. Graft successfully attached in all cases.Conclusions: Present study concluded that use of fibrin glue associated with less operating time and less post-operative discomfort in terms of severity and duration

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The Use of Fibrin Sealant in Facelift Surgery

The American Journal of Cosmetic Surgery ◽

10.1177/074880680201900402 ◽

2002 ◽

Vol 19 (4) ◽

pp. 219-222 ◽

Cited By ~ 2

Author(s):

John J. Fezza ◽

Mont J. Cartwright ◽

William Mack ◽

Patrick Flaharty

Keyword(s):

Prospective Study ◽

Fibrin Glue ◽

Fibrin Sealant ◽

Recovery Period ◽

Operating Time ◽

Great Promise ◽

Healing Response ◽

Rapid Healing ◽

A Prospective Study

Purpose: To report the use of fibrin sealant in facelift surgery. Methods: A prospective study of 40 individuals was performed comparing individuals undergoing facelift surgery with and without the use of fibrin sealant. Patients were enrolled in 2 groups: 20 patients underwent facelifts without fibrin glue, and 20 patients with the use of fibrin glue. The amount of bruising and edema was compared in the 2 groups, as was the incidence of complications, such as hematomas. Operating time was also assessed in the 2 groups. Results: The patients who underwent the procedure with fibrin sealant had significantly less bruising and swelling and a more rapid healing response. Another benefit was that drains were not needed when glue was used. Operating times were shorter with the use of glue. Conclusions: Fibrin sealant has great promise in improving facelift results, with fewer complications and an expedited patient recovery period without the need for drains.

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Safety and efficacy of early drain removal and triple-drug therapy to prevent pancreatic fistula after distal pancreatectomy: A prospective study at a single institute

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2014.07.664 ◽

2014 ◽

Vol 219 (4) ◽

pp. e105

Author(s):

Tomohiko Adachi ◽

Tamotsu Kuroki ◽

Amane Kitasato ◽

Masataka Hirabaru ◽

Hajime Matsushima ◽

...

Keyword(s):

Drug Therapy ◽

Prospective Study ◽

Pancreatic Fistula ◽

Distal Pancreatectomy ◽

Safety And Efficacy ◽

Drain Removal ◽

A Prospective Study

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Drain fluid amylase in defining clinically relevant postoperative pancreatic fistula following pancreaticoduodenectomy: day 5 is better than day 3

International Surgery Journal ◽

10.18203/2349-2902.isj20175410 ◽

2017 ◽

Vol 4 (12) ◽

pp. 4058

Author(s):

Venkatarami Reddy Vutukuru ◽

Sivarama Krishna Gavini ◽

Chandramaliteeswaran C. ◽

Dinakar Reddy A. ◽

Varun Dasari ◽

...

Keyword(s):

Prospective Study ◽

Hospital Stay ◽

Pancreatic Fistula ◽

Postoperative Pancreatic Fistula ◽

P Value ◽

Duration Of Hospital Stay ◽

Drain Fluid ◽

Group A ◽

Group B ◽

Better Than

Background: Postoperative pancreatic fistula (POPF) remains the most serious complication of Pancreaticoduodenectomy. ISGPF defined POPF in 2005 based on drain fluid amylase on or after day 3 and graded the severity. But as Grade A fistulas are not clinically relevant, most of the clinicians do not consider them as POPF. Hence exact incidence of POPF is not known. Our aim is to see weather drain fluid amylase on or after day 5 can define clinically relevant POPF better than day 3.Methods: Prospective study included all patients who underwent Pancreaticoduodenectomy during the period January 2013 to November 2016. Serum and Drain fluid amylase were analyzed on Day 3. Those who met criteria of POPF underwent repeat amylase on Day 5. These patients were divided into 2 groups. Group A includes patients whose Day 5 amylase normalized and Group B where elevated Amylase persisted. Outcomes were compared in 2 Groups in terms of clinically relevant POPF (CRF), DGE, Haemorrhage (PPH), hospital stay and 30 Days mortality. Results were analysed and p value <0.05 was considered significant.Results: On 110 patients, 44 (40%) met ISGPF criteria of POPF. Of 44, 36 (82%) had normalized Amylase on Day 5 (Group A). Only 8 (18%) had persistent elevated amylase (Group B). None in Group A had CRF, whereas in Group B, 6(75%) had CRF and 2(25%) had only biochemical leak (p<0.0001). DGE was significantly higher in Group B (87.5% vs. 33.3%; p=0.013). PPH was seen in only 1 patient (Group A). Duration of hospital stay and 30day mortality were similar.Conclusions: Drain fluid amylase levels on or after Day 5 defines clinically relevant POPF better than levels on or after day 3.

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