Background: Due to technological improvements, the use of tissue adhesives and glues for tissue approximation and hemostasis in surgery has increased. We report our preliminary experience with this technology in pediatric endosurgery. Methods: Between 1997 and 2000, we employed tissue adhesives in 48 pediatric patients during laparoscopic procedures. In 25 patients, the glue was adopted for the hemostasis of parenchimal organs (liver in 24 cases and spleen in one). In three cases, the glue was used to repair organ perforation, in 19 it was used to close the distal part of a patent processus vaginalis in case of congenital inguinal hernia. In the final case, the glue was adopted to achieve optimal airtightness in case of pulmonary biopsy. The glue was injected with the aid of a needle positioned transparietally. Results: The procedure was easy and rapid in all cases, and there were no problems or complications related to glue positioning at a mean follow up of 51 months. Conclusion: Tissue adhesives are a very versatile product for use in pediatric laparoscopic surgery. It is likely that their usage will increase as the technology improves and more effective products are developed.
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F Bardari L D’Urso G Muto (2001) ArticleTitleConservative treatment of iatrogenic urinary fistulae: the value of cyanoacrylic glue. Urology 58 1046–1048 Occurrence Handle10.1016/S0090-4295(01)01399-1 Occurrence Handle1:STN:280:DC%2BD3MnpvV2isQ%3D%3D Occurrence Handle11744488
G Bornemisza I Miko J Ladanyi P Demeny (1975) ArticleTitleApplication of histoacryl-blau and surgical in experimental pancreas injuries and resections. Acta Chir Acad Sci Hungary 16 63–72 Occurrence Handle1:STN:280:CSqB387jsFY%3D
R Casanova (1987) ArticleTitleMicroarterial sutureless sleeve anastomosis using a polymeric adhesive: an experimental study. J Reconstr Microsurg 3 201–204 Occurrence Handle1:STN:280:BiiB2MzpvFE%3D Occurrence Handle3598942
RJ Chen JF Fang BC Lin YB Hsu JL Kao YC Kao MF Chen (1998) ArticleTitleSelective application of laparoscopy and fibrin glue in the failure of nonoperative management of blunt hepatic trauma. J Trauma 44 691–695 Occurrence Handle1:STN:280:DyaK1c3hsFWhug%3D%3D Occurrence Handle9555844
A Cuschieri (2001) ArticleTitleTissue adhesives in endosurgery. Semin Laparosc Surg 8 63–68 Occurrence Handle10.1053/slas.2001.24087 Occurrence Handle1:STN:280:DC%2BD3Mzps1aguw%3D%3D Occurrence Handle11337738
C Esposito (1997) ArticleTitleL’utilisation d’une nouvelle colle chirurgicale en chirurgie laparoscopique:quels avantages? J Coeliochir 23 66–68
C Feretis D Tabakopoulos P Benakis M Xenofontos B Golematis (1990) ArticleTitleEndoscopic hemostasis of esophageal and gastric variceal bleeding with histoacryl. Endoscopy 22 282–284 Occurrence Handle1:STN:280:By6C3cnjtlM%3D Occurrence Handle2272297
PM Goh CK Kum EH Toh (1994) ArticleTitleEndoscopic patch closure of malignant esophagotracheal fistula using histoacryl glue. Surg Endosc 8 1434–1435 Occurrence Handle1:STN:280:ByqC1cvgs1Q%3D Occurrence Handle7533332
AR Green MA Milling (1986) ArticleTitleButylcyanoacrylate adhesives in microvascular surgery: an experimental pilot study. J Reconstr Microsurg 2 103–105 Occurrence Handle1:STN:280:BimC3Mrgt1M%3D Occurrence Handle3944778
AM Henderson M Stephenson (1992) ArticleTitle3-Methoxybutylcyanoacrylate: evaluation of biocompatibility and bioresorption. Biomaterials 13 1077–1084
H Kobayaschi K Shiraki (1992) ArticleTitleToxicity test of biodegradable polymers by implantation in rabbit cornea. J Biomed Mat Res 26 1463–1476
J Labenz G Borsch (1993) ArticleTitleSuccessful endoscopic hemostasis of duodenal variceal bleeding with histoacryl. Endoscopy (letter) 25 194–197 Occurrence Handle1:STN:280:ByyB2Mbgsl0%3D
M Lima M Domini M Libri A Garzi (1997) ArticleTitleLaparoscopic Nissen fundoplication with fibrin glue: experimental study on pigs. Eur J Pediatr Surg 7 4–7 Occurrence Handle1:STN:280:ByiB2c%2Fjtl0%3D Occurrence Handle9085799
E Merimsky M Baratz (1981) ArticleTitleHistoacryl in sutureless uretero-ureteral anastomosis: an experimental study. Isr J Med Sci 17 254–256 Occurrence Handle1:CAS:528:DyaL3MXktlSgtLo%3D Occurrence Handle7195386
WG Middleton W Matthews DA Chiasson (1991) ArticleTitleHistoacryl glue in microvascular surgery. J Otolaryngol 20 363–366 Occurrence Handle1:STN:280:By2D2s3gsVY%3D Occurrence Handle1960794
YC Tseng Y Tabata (1990) ArticleTitleIn vitro toxicity test of 2-cyanoacrylate polymers by cell culture method. J Biomed Mat Res 24 1355–1367 Occurrence Handle1:CAS:528:DyaK3MXmvFSjtQ%3D%3D
DP Watson (1989) ArticleTitleUse of cyanoacrylate tissue adhesive for closing facial lacerations in children. Br Med J . 299–304
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Esposito, C., Damiano, R., Settimi, A. et al. Experience with the use of tissue adhesives in pediatric endoscopic surgery . Surg Endosc 18, 290–292 (2004). https://doi.org/10.1007/s00464-003-9032-x
- Pediatric endosurgery