Grid adhesion: a new type of tissue union.

Cyanoacrylate adhesives, applied as a continuous layer, bar the way for the ingrowth of vessels. A genuine tissue union is achieved when the adhesive is applied in the form of a grid. This is accomplished by painting the adhesive on the tissue by means of a roller made of Teflon or by means of a porous gauze, soaked in adhesive. The method was applied experimentally for skin transplantation, for the creation of portasystemic anastomoses, for reinforcement of fasciae and for closures of laparotomies without sutures as well as for hemostasis of lacerations of the spleen. Clinical experiences are reported.