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Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis

BACKGROUND: The objective of this study is to assess the current literature on the effectiveness of fibrin glue on survival of skin grafts. Fibrin glue is a possible alternative to secure skin grafts instead of traditional methods (i.e. sutures or staples). METHODS: Data Sources: MEDLINE, Scopus, Em...

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Autores principales: Paw, Ekta, Vangaveti, Venkat, Zonta, Mark, Heal, Clare, Gunnarsson, Ronny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305353/
https://www.ncbi.nlm.nih.gov/pubmed/32577231
http://dx.doi.org/10.1016/j.amsu.2020.06.006
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author Paw, Ekta
Vangaveti, Venkat
Zonta, Mark
Heal, Clare
Gunnarsson, Ronny
author_facet Paw, Ekta
Vangaveti, Venkat
Zonta, Mark
Heal, Clare
Gunnarsson, Ronny
author_sort Paw, Ekta
collection PubMed
description BACKGROUND: The objective of this study is to assess the current literature on the effectiveness of fibrin glue on survival of skin grafts. Fibrin glue is a possible alternative to secure skin grafts instead of traditional methods (i.e. sutures or staples). METHODS: Data Sources: MEDLINE, Scopus, Embase, Informit, CINAHL and the Cochrane Central Register of Controlled Trials, no limit on the earliest date of publication. STUDY ELIGIBILITY CRITERIA: Randomised, non-randomised controlled trials and cohort studies. PARTICIPANTS: and Interventions: Participants were patients with skin grafting/skin transplantation. The intervention was fibrin glue in any form (bovine, human pooled plasma or autologous) and comparator any form of affixing skin grafts (e.g. sutures or staples). Study Appraisal and Synthesis Methods: Studies were appraised using the Cochrane risk of bias tool and assessed for clinical heterogeneity. Effect sizes were calculated and illustrated with forest plots. RESULTS: 190 publications were narrowed to 15 relevant publications, of which eight were pooled in meta-analysis. The outcomes examined were: graft survival by percentage; graft survival reported as events; post-operative incidence of haematoma or seroma; pain reported after dressing changes via a visual analogue scale; length of stay in days (Glass's delta 2 was 0.48 95% CI 0.09, 0.97); and surgical time in minutes. Only length of stay showed a difference between groups and it favoured fibrin glue. CONCLUSIONS: While there may be benefits to the use of fibrin glue in skin graft patients, it is difficult to conclude this from the current evidence. Limitations were significant heterogeneity in outcomes measured and exclusion off non-English papers.
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spelling pubmed-73053532020-06-22 Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis Paw, Ekta Vangaveti, Venkat Zonta, Mark Heal, Clare Gunnarsson, Ronny Ann Med Surg (Lond) Review Article BACKGROUND: The objective of this study is to assess the current literature on the effectiveness of fibrin glue on survival of skin grafts. Fibrin glue is a possible alternative to secure skin grafts instead of traditional methods (i.e. sutures or staples). METHODS: Data Sources: MEDLINE, Scopus, Embase, Informit, CINAHL and the Cochrane Central Register of Controlled Trials, no limit on the earliest date of publication. STUDY ELIGIBILITY CRITERIA: Randomised, non-randomised controlled trials and cohort studies. PARTICIPANTS: and Interventions: Participants were patients with skin grafting/skin transplantation. The intervention was fibrin glue in any form (bovine, human pooled plasma or autologous) and comparator any form of affixing skin grafts (e.g. sutures or staples). Study Appraisal and Synthesis Methods: Studies were appraised using the Cochrane risk of bias tool and assessed for clinical heterogeneity. Effect sizes were calculated and illustrated with forest plots. RESULTS: 190 publications were narrowed to 15 relevant publications, of which eight were pooled in meta-analysis. The outcomes examined were: graft survival by percentage; graft survival reported as events; post-operative incidence of haematoma or seroma; pain reported after dressing changes via a visual analogue scale; length of stay in days (Glass's delta 2 was 0.48 95% CI 0.09, 0.97); and surgical time in minutes. Only length of stay showed a difference between groups and it favoured fibrin glue. CONCLUSIONS: While there may be benefits to the use of fibrin glue in skin graft patients, it is difficult to conclude this from the current evidence. Limitations were significant heterogeneity in outcomes measured and exclusion off non-English papers. Elsevier 2020-06-12 /pmc/articles/PMC7305353/ /pubmed/32577231 http://dx.doi.org/10.1016/j.amsu.2020.06.006 Text en © 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review Article
Paw, Ekta
Vangaveti, Venkat
Zonta, Mark
Heal, Clare
Gunnarsson, Ronny
Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis
title Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis
title_full Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis
title_fullStr Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis
title_full_unstemmed Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis
title_short Effectiveness of fibrin glue in skin graft survival: A systematic review and meta-analysis
title_sort effectiveness of fibrin glue in skin graft survival: a systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305353/
https://www.ncbi.nlm.nih.gov/pubmed/32577231
http://dx.doi.org/10.1016/j.amsu.2020.06.006
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