Online ISSN: 2515-8260

Keywords : Sutures

Comparison of Fibrin Glue Vs Suture for Conjunctival Limbal Autografting in Pterygiumsurgery

Kiran B, Pawan Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10365-10370

Background:To compare the efficiency and safety of fibrin glue and suturing technique
for adherence of conjunctival limbal autograft after pterygium excision.
Materials and Methods: AProspectiveinterventional study conducted from September
2018 to December 2020 in the department of Ophthalmology at
KIMS,Narketpally.100eyesof100 patientsoperatedforprimary nasal
pterygium.Autologousconjunctival grafttakenfromthe superotemporal limbu was used
to cover the scleraafter pterygiumexcision.In50 eyes,thetransplantwasattached
tothesclerawitha fibrin tissue adhesive (BeriplastP),in 50 eyeswith10-
0Vicrylsilksutures.Outcome measures included graft position and stability,recurrence
of pterygium, Postoperativepatient discomfort(pain,watering)andbio microscopic
findings(hyperemia,edema).Patientswere followedupatleastforsixmonths.
Results: Subconjunctival haemorrhage occurred underthe graftingonepatientinFibrin
glue group.Granuloma was seen in one patient in suture group,which resolved after
suture removal. Inferior Graft dislodgement was seen in one patient in suture
group.Symptoms like pain, watering, Foreign body sensation were
significantlylessandbiomicroscopicfindingswerebetterin Fibrin glue group.Average
Surgery Cost Was Higher (<0.05)andsurgerytimewasshorter (<0.05)infibrin group.
Conclusion: Fibrin glue is a safe and effective method for attaching conjunctival limbal
autografts.Usingfibringlueforgraft fixation pterygium surgery causes significantly less
postoperative pain,watering,foreign body sensation and


Jembulingam Sabarathinam; Kathiravan Selvarasu; Dr Madhulaxmi M

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 889-896

A suture is a device, either natural or synthetic, which is used for ligation of blood vessels and in wound closure following surgery. Its major functions are to hold tissues together following wound closure or surgery. Neck dissection procedures leave open wounds which need to be approximated for the process of wound healing and aesthetic considerations. Henceforth the aim of the current study is to assess the type of sutures used in surgical wound closure of neck in patients with oral squamous cell carcinoma following radial neck dissection in private institutional setup in chennai. Data was procured from the case sheets of patients undergoing radial neck dissection following surgical management of oral squamous cell carcinoma. The data was tabulated in MS-Excel and analysed by SPSS software (Version 20). The results were inferred. 60% of the external surgical wound closure were sutured using silk sutures while 40% where sutured using polyglactin and nylon sutures. 60% of the internal wound closures were closed using polyglactin while 40% was using polypropylene and nylon.Polyglactin 910 and silk were the most predominantly used suture materials for internal and external surgical wound closure in an private institutional set up in Chennai.