Nikolaou Christina, Frountzas Maximos, Kapetanakis Emmanouil I, Stefanoudakis Dimitrios, Papadopulos Nikolaos A, Kykalos Stylianos, Schizas Dimitrios, Iliopoulos Dimitrios
Laboratory of Experimental Surgery and Surgical Research "N.S. Christeas", School of Medicine, National and Kapodistrian University of Athens, 10509 Athens, Greece.
Department of Plastic & Reconstructive Surgery, Burn Center, General Hospital of Athens "G. Genimatas", 11527 Athens, Greece.
Eur Burn J. 2025 Jun 5;6(2):32. doi: 10.3390/ebj6020032.
Fibrin sealants have been implemented in the management of burn wounds. They can be used either in combination with skin grafts for full-thickness burns or alone for treating superficial and deep dermal burns. The aim of this review was to provide critical insights regarding the efficacy of fibrin sealants in enhancing wound healing, improving graft adherence, and reducing complications. Therefore, evidence from experimental models and clinical trials was synthesized, underscoring the transformative role of fibrin sealants in modern burn care. This comprehensive review includes recent evidence on the potential benefits of fibrin sealants in the management of superficial and deep dermal or full-thickness burn injuries. Clinical and experimental evidence underscores some benefits in utilizing fibrin sealants in the management of superficial and deep dermal burn injuries, or in combination with skin grafts in full-thickness burns. Furthermore, fibrin sealants diminish postoperative pain and facilitate quick recovery for daily activities; however, controversy regarding their cost still remains. This review concludes that fibrin sealants could serve as a safe and effective therapeutic option for burn wound management. The safety and efficacy of their utilization, along with their wide availability and easiness to use, could make them an alternative treatment choice when a specialized plastic surgery service is not available, or in the emergency setting across different healthcare systems.
纤维蛋白密封剂已被应用于烧伤创面的处理。它们可与全层烧伤的皮肤移植联合使用,也可单独用于治疗浅度和深度真皮烧伤。本综述的目的是提供关于纤维蛋白密封剂在促进伤口愈合、提高移植皮片黏附性和减少并发症方面疗效的关键见解。因此,综合了来自实验模型和临床试验的证据,强调了纤维蛋白密封剂在现代烧伤治疗中的变革性作用。这一全面综述涵盖了关于纤维蛋白密封剂在处理浅度和深度真皮或全层烧伤损伤方面潜在益处的最新证据。临床和实验证据强调了在处理浅度和深度真皮烧伤损伤时使用纤维蛋白密封剂,或在全层烧伤中与皮肤移植联合使用的一些益处。此外,纤维蛋白密封剂可减轻术后疼痛并促进日常活动的快速恢复;然而,关于其成本的争议仍然存在。本综述得出结论,纤维蛋白密封剂可作为烧伤创面处理的一种安全有效的治疗选择。其使用的安全性和有效性,以及广泛的可及性和易用性,使其在没有专业整形手术服务的情况下,或在不同医疗系统的紧急情况下成为一种替代治疗选择。