Books > Medicine > Clinical & internal medicine > Otorhinolaryngology (ENT)
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Fibrin Sealant in Operative Medicine - Volume 1: Otorhinolaryngology (Paperback, Softcover reprint of the original 1st ed. 1986)
Loot Price: R2,946
Discovery Miles 29 460
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Fibrin Sealant in Operative Medicine - Volume 1: Otorhinolaryngology (Paperback, Softcover reprint of the original 1st ed. 1986)
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Fibrin plays a prominent role in wound healing. It has a hemostatic
effect, induces cellular response to wound damage,' and, by forming
strands to build a matrix, assists in neovascularization and
fibroblast proliferation. The concept of using clotting substances
from human blood for wound manage- ment and to achieve hemostasis
in bleeding parenchymatous organs can be traced to 1909, when
Bergel [1] reported on the hemostatic effect of fibrin powder. In
1915, Grey [3] employed fibrin to control bleeding in neurosurgical
operations of the brain. A year later, Harvey [4] used fibrin
patches to stop bleeding from parenchy- matous organs in general
surgery. It took more than two decades for this ingenious idea to
be rediscovered. In 1940, Young and Medawar [8] reported on
experimental nerve anastomosis by sealing. Similarly, Tarlov and
Benjamin [7] reunited nerves with plasma clots in 1943. Tarlov
improved the results obtained with clot anastomosing of nerves by
avoiding tension at the nerve stumps. In 1944, Cronkite et al. [2]
reported on an initial series of eight cases in which fibrinogen
and thrombin had been used successfully for anchoring skin grafts.
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