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A Systematic Review: Fibrin Glue in Drainless Rhytidoplasty.
- Source :
-
Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Jun; Vol. 48 (12), pp. 2224-2230. Date of Electronic Publication: 2024 Mar 08. - Publication Year :
- 2024
-
Abstract
- The following questions guided the study: Can the use of fibrin glue in drainless rhytidoplasty reduce hematoma prevalence, seroma prevalence increase patient satisfaction or decrease the length of hospital in the adult population compared with standard treatment? The following inclusion and exclusion criteria apply: The procedure performed was rhytidoplasty for both groups. Participants were limited to adults who did not have any other procedure performed during the study. The intervention consisted of the use of fibrin glue without drains compared to the control group, in which drains and/or pressure dressing were applied. Databases: clinicaltrials.gov, MEDLINE, COCHRANE, mRCT, PubMed, Google Scholar, Scopus, Embase, VHL, GHL were searched on 03/25/2023 by 2 different investigators. The Cochrane Risk of Bias Tool 2.0 was used. Five studies were included with a total number of 1277 participants (2554 face sides). The cumulative hematoma rate was OR 0.47 (95% CI 0.26-0.84) in favor of using fibrin glue. Insufficient data were available to assess seroma rate, patient satisfaction, and length of hospital stay. The risk of study bias was judged to be low and moderate. The certainty for the use of fibrin sealant versus drainage is high and the importance of outcomes is rated as important in the GRADEpro GDT tool. Fibrin glue use is more beneficial comparing to drainage in patients undergoing rhytidectomy in terms of hematoma prevalence. This study was registered in PROSPERO (CRD42023421475).Level of Evidence I This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .<br /> (© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)
- Subjects :
- Female
Humans
Male
Drainage methods
Esthetics
Hematoma etiology
Hematoma epidemiology
Hematoma prevention & control
Length of Stay statistics & numerical data
Patient Satisfaction statistics & numerical data
Postoperative Complications epidemiology
Postoperative Complications prevention & control
Seroma prevention & control
Seroma epidemiology
Seroma etiology
Tissue Adhesives therapeutic use
Treatment Outcome
Fibrin Tissue Adhesive therapeutic use
Rhytidoplasty methods
Rhytidoplasty adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1432-5241
- Volume :
- 48
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Aesthetic plastic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 38456891
- Full Text :
- https://doi.org/10.1007/s00266-024-03908-3