Evidence map›Paper›PMID 26759762›Full record

ArticleGMS Interdisciplinary plastic and reconstructive surgery DGPW2015

Fibrin glue as a protective tool for microanastomoses in limb reconstructive surgery.

Stefan Langer, Thomas A Schildhauer, Marcel Dudda, Jeannine Sauber, Nick Spindler

Abstract read
In one paragraph

Article in GMS Interdisciplinary plastic and reconstructive surgery DGPW, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stefan LangerDepartment of Plastic, Esthetic and Special Hand Surgery, University Hospital Leipzig, Germany.
Thomas A SchildhauerDepartment of Trauma, University Hospital Bergmannsheil, Ruhr University Bochum, Germany.
Marcel DuddaDepartment of Trauma, University Hospital Bergmannsheil, Ruhr University Bochum, Germany.
Jeannine SauberDepartment of Plastic, Esthetic and Special Hand Surgery, University Hospital Leipzig, Germany.
Nick SpindlerDepartment of Plastic, Esthetic and Special Hand Surgery, University Hospital Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimFibrin glue becomes a more and more routinely used tool for stabilization of microanastomoses and nerve repair. This paper summarizes the technical properties and advantages of its use in a wide variety of microsurgical contexts, and includes an exemplary limb reconstructive case. PATIENTS AND

methodsA total of 131 patients who had undergone elective and emergency microsurgery mainly of the limbs were retrospectively analyzed, as was the use of free flaps.

resultsThe use of fibrin glue allows for proper positioning of anastomoses and repaired nerves. No torsion of the pedicle could be seen. The flap survival rated >94%. The fibrin glue could stay in place in >99%. In the rare case of revision, the fibrin glue could easily be removed without damaging the region of the microanastomosis.

conclusionFibrin glue should not be used to repair insufficient, i.e., leaking anastomoses, but it does protect the site of anastomosis from tissue and fluid pressure. It prevents the pedickle from torsion and its use facilitates relocation of the microanastomoses in cases of revision surgery.

Indexed as

fibrin gluefree flapmicroanastomosismicrosurgerynerve reconstruction

Identifiers

PMID26759762
PMCPMC4709928

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.