The tissue adhesive indermil and its use in surgery.

Indermil, in relation to the tissue adhesives described remains the state of the art with regard to function and clinical outcome. The advantage of an inventory sterile tissue adhesive that is to say one that is in the clinic or operating theatre ready for immediate use on demand is the requirement of modern surgical practice. Cost factors are also an important consideration in today's environment. A research study by the Department of Health Economics at the University of York found the cost of the Indermil tissue adhesive system equivalent to absorbable sutures and produced projected savings per patient in relation to conventional sutures with respect to theatre time and return patients' visits (6). In parallel a survey of patients showed 90% would prefer wound closure by an adhesive in relation to traditional sutures. There are few areas of surgical practice which cannot find some application for tissue adhesives. The growing international interest in adhesives and their application would confirm their importance and potential in surgery.