Medical Adhesives and Their Role in Laparoscopic Surgery—A Review of Literature

Abstract

Laparoscopic surgery is undergoing rapid development. Replacing the traditional method of joining cut tissues with sutures or staples could greatly simplify and speed up laparoscopic procedures. This alternative could undoubtedly be adhesives. For decades, scientists have been working on a material to bond tissues together to create the best possible conditions for tissue regeneration. The results of research on tissue adhesives achieved over the past years show comparable treatment effects to traditional methods. Tissue adhesives are a good alternative to surgical sutures in wound closure. This article is a review of the most important groups of tissue adhesives including their properties and possible applications. Recent reports on the development of biological adhesives are also discussed.

Removing Fractured Endodontic Files with a Tube Technique—The Strength of the Glued Joint: Tube-Endodontic File Setup

“…They found that the glued joint was stronger at greater embedding depths, regardless of the adhesive substance or file type [14]. In clinical conditions, the length of the glued fragment of a broken file depends, among other things, on the possibility of safely exposing the foreign body at the desired length [16,17]. The possibility of inserting a longer fragment of the file into the sleeve directly translates into a stronger connection of the needle with the file and increases the chance of removing the broken fragment [19].…”

“…Some authors also recommend the use of cyanoacrylate glue [14]. The latter material has gained great popularity in industry, everyday life, and even medicine, including dentistry [16][17][18][19][20]. In addition to the undoubted benefits of using cyanoacrylate adhesives, one should also remember the limitations of their use in medicine.…”

“…In addition to the undoubted benefits of using cyanoacrylate adhesives, one should also remember the limitations of their use in medicine. Especially if they are used directly on soft tissues, further research is needed to ensure their safe use [17]. Due to their excellent bonding properties, adhesives based on cyanoacrylates are currently used in dentistry, among others, in periodontal, surgical, and endodontic procedures [18,19].…”

In vivo comparison of mesh fixation solutions in open and laparoscopic procedures for inguinal hernia repair: A meta-analysis

“…It should be noted, however, that both solutions present some limitations. Different formulations of fibrin glue are available, which have different concentration of fibrinogen and thrombin; the tensile strength of this kind of glue depends on fibrinogen concentration, which range from 40 to 115 mg/ml [ 17 , 18 ]. The adhesive strength of fibrin glues results lower if compared to cyanoacrylate-based glues, i.e.…”