Use of Fibrin Sealant in Paediatric Surgery

Three years of experience in the application of fibrin sealant in paediatric surgery are summarized. Its adhesive, haemostatic and tissue-regenerating properties were clinically tested in 242 cases (including all branches of paediatric surgery such as maxillofacial, thoracic and abdominal surgery and urology) with excellent results. The ratio of the components of the sealant (aprotinin, lyophilized fibrin, thrombin) was chosen before any operation, according to the surgical target. We point out three main possibilities of use of fibrin glue: suture sealing permits a reduction of the number of stitches; haemostasis coupled to adhesion enables large amounts of parenchyma to be saved; and obliteration of blank spaces means direct healing and protection against sepsis.