Evidence map›Paper›PMID 41817938›Full record

Trial reportAnnals of surgical oncology2026

Efficacy of Fibrin Glue in Skin Grafts for Skin Cancer (FiGSS): Open Randomised Clinical Trial.

Ekta Paw, Rhys Jaa-Kwee, Mark Zonta, Venkat Vangaveti, Clare Heal

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ekta PawCollege of Medicine and Dentistry, James Cook University, Douglas, Townsville, QLD, Australia. ekta.paw@my.jcu.edu.au.ORCID http://orcid.org/0000-0002-3751-7324
Rhys Jaa-KweeCollege of Medicine and Dentistry, James Cook University, Douglas, Townsville, QLD, Australia.
Mark ZontaDepartment of Surgery, Townsville University Hospital, Douglas, QLD, Australia.
Venkat VangavetiCollege of Medicine and Dentistry, James Cook University, Douglas, Townsville, QLD, Australia.
Clare HealCollege of Medicine and Dentistry, James Cook University, Douglas, Townsville, QLD, Australia.

Funding

Townsville Hospital SERTA Grant Townsville University Hospital SERTA Grant (2018_1
6 · The paper itself

Abstract

backgroundThis study aimed to conduct the first randomized clinical trial on the use of fibrin glue in split-skin grafts for skin cancer. Fibrin glue is an accepted technique for affixing split-skin grafts. Evidence suggests that fibrin glue has greater effectiveness than sutures or staples, particularly in populations with more comorbidities.

methodsThis randomized controlled clinical trial was conducted at a regional center in Queensland, Australia across the only two major hospitals in the area. The primary outcome assessed was graft take 1 month postoperatively. Pain with dressing changes and incidence of seroma, hematoma, and infection as well as operative time were assessed as secondary outcomes. Patients were recruited and randomized to either fibrin glue or staples and sutures for graft affixation. They were subsequently followed up at 1 week and 1 month for outcome assessment.

resultsThe study recruited 100 patients, and 83 patients with 133 grafts were analyzed for outcomes. Fibrin glue increased graft take by 17.13% when the study controlled for other variables. However, this was not statistically significant (p = 0.058; confidence interval [CI] - 0.63 to 34.89). There was a statistically significant reduction in the odds of seroma (odds ratio [OR] 0.08; CI 0.01-0.50; p < 0.01) and infection (OR 0.04; CI 0.00-0.33; p < 0.01) at 1 week.

conclusionsFibrin glue may be of benefit for patients at higher risk for graft failure and is likely to benefit patients at increased risk of seroma and infection. Trial registration ANZCTR: ACTRN12618000484246.

Indexed as

Carcinoma, Squamous CellFibrin Tissue AdhesiveSkin NeoplasmsSkin TransplantationTissue AdhesivesAgedFemaleFollow-Up StudiesGraft SurvivalHumansMaleMiddle AgedPostoperative ComplicationsPrognosisSeromaFibrin Tissue AdhesiveTissue AdhesivesFibrinRandomised controlled trialSkin cancerSkin graftSplit-skin graft

Identifiers

PMID41817938
PMCPMC13179194

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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.