The advantages of INDERMIL flexifuze glue in acute burns

Abstract

In our burn unit, we used Glubran cyanoacrylate glue until 2017, but thereafter had problems obtaining it. Since 2018, we have gained some experience using a new glue called INDERMIL flexifuze. It is supplied as a sterile liquid topical tissue adhesive. It is composed of an octyl blend cyanoacrylate formulation that is not associated with perceptible heat release upon application. It acts as a physical barrier to microbial penetration as long as the adhesive film remains intact. The skin graft must be set in position before the glue is opened. Meticulous haemostasis before graft application is needed. In addition, the surrounding areas must be cleaned and dried. The glue is then applied at 1 - 2 cm intervals. The skin graft can then be dressed in a standard fashion. We have used it in 30 cases, with 100% graft take. We have found INDERMIL flexifuze to be a very effective glue for atraumatic skin graft fixation, and recommend its use.