Welcome to the drain-free tummy tuck resource library

Deciding to have a tummy tuck is a big decision. We want to make sure you are well-informed about what to expect before, during, and after your surgery. Here, you can download resources, view videos, or get answers to frequently asked questions.

Downloadable Resources

Questions to ask your physician

Video Library

TissuGlu® - The Drain-Free Option

Video Transcript

Narrator: Once you decide to have a tummy tuck, we want to provide the best possible experience for you. That is why we would like to tell you about an advanced technology that transforms your tummy tuck recovery. One of the most common problems after a tummy tuck is fluid accumulation. Fluid is part of the natural healing process but too much fluid can push apart the tissue layers and slow down healing. There are two ways to manage fluid accumulation during recovery. Through the use of post-operative drains or a new drain-free option. Historically, drains have been part of the tummy tuck experience. They are flexible, clear plastic tubes that end in a bulb that collects fluid. They are placed under your skin to route the fluid outside of your body. Depending on your procedural plan, drains may be in place for up to three weeks. Many patients find drains uncomfortable and painful during recovery. They must be pinned to binders or undergarments which makes it awkward and cumbersome to hind under clothing. They can be messy and leak onto your clothing, especially during drain maintenance. A lot of people do not like that they have to empty and measure fluid multiple times a day. Drains may also interfere with sleep as they may tug on stabilizing sutures, causing pain and discomfort. Drains also need to be removed by a healthcare professional. Drains can cause infection or additional scarring. And removal can sometimes be painful. However, your doctor now offers a revolutionary new option that may allow you to recover drain-free. TissuGlu is the first and only FDA-approved synthetic surgical adhesive for internal use. TissuGlu is a clinically proven alternative to drains for your tummy tuck. TissuGlu is precisely applied with a special applicator. It forms a strong bond between tissue layers to help you heal naturally without drains. TissuGlu reduces spaces between the layers where fluid can collect. Allowing your body to re-absorb fluid is part of the healing process. TissuGlu safely breaks down and is eliminated naturally from your body. In clinical studies, those who were treated with TissuGlu were able to get back to daily activities like showring, driving, and returning to work sooner than those with drains. Regardless of which option you choose, some people will still require additional management. However, a clinical study showed that 3 of 4 who had TissuGlu required no further treatment. TissuGlu frees you from anxiety about the care and maintenance related to drains. Here is what a TissuGlu patient had to say about her tummy tuck recovery:

Patient, two weeks post-op: Not having the drains definitely impacted my decision to use TissuGlu because I felt a lot less anxiety about the procedure and about the recovery time. And I also felt like not having drains was less of a burden on my husband taking care of me after the surgery and having to handle that.

Narrator: Ask your Doctor if a tummy tuck with TissuGlu is the right choice for you.

Important TissuGlu Surgical Adhesive Safety Information. Indication: TissuGlu Surgical Adhesive is indicated for the approximation of tissue layers where subcutaneous dead space exists between the tissue planes in abdominoplasty. Contraindications: Do not use in patients with known or suspected allergies to urethane-based or isocyanate-containing products. Warnings: do not use TissuGlu Surgical Adhesive in patients who have had prior exposure TissuGlu. Immunological response associated with repeat TissuGlu exposure has not been studied. The effectiveness for the treatment of patients with BMI> 28 has not been established. Higher BMI patients have a propensity for fluid accumulation and may have an increased risk of seroma formation. Effectiveness was not observed in weight loss patients undergoing abdominoplasty. Weight loss patients have a propensity for fluid accumulation and may have an increased risk of seroma formation and aspiration. Benefits: TissuGlu may reduce the needs for drains after surgery. By using TissuGlu instead of drains, you may: return to normal activities more quickly, experience less discomfort and pain than when drains are used, have fewer invasive treatments for fluid management. The results showed that 73% of TissuGlu patients had no treatment after surgery. However, some patients did require additional invasive treatments including reinsertion of the drains. Risks: clinical studies were performed using TissuGlu. There were no increased safety risks with the use of TissuGlu than when drains were used. Potential complications associated with the use of the devise and the tummy tuck procedures include seroma (fluid) formation. These complications may require treatments such as drain placement and/or fluid removal by needle, which may be performed in the operating room. Additional potential complications include wound healing issues, rash/redness, surgical site or incision infection, scarring, hematoma (bruise or swelling), incision separation, and immunological reaction. Safety information: for full safety information please visit http://tissuglu.com, contact your doctor, or call Cohera Customer Support at 1-800-641-7458.

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See What a Surgeon has to say

Video Transcript

Joseph Hunstad, MD, FACS: By eliminating drains from abdominoplasty, it really eliminates the number one thing patients complain about. They hate drains. They are painful, they have to drag around this appendage and TissuGlu can eliminate the need for drains which is a huge advance. The elimination of dead space is closing off the space that has been created by lifting the skin away from the abdominal wall to do the surgery we need to do. And by closing that space, sealing those layers together, it eliminates the need for a drain and really makes operation much better for the patient, and I think enhances the recovery.

Narrator: What are the Risks to the use of TissuGlu Surgical Adhesive? Extensive clinical studies were performed using TissuGlu. There were no increased safety risks with the use of TissuGlu. Potential Complications associated with the use of TissuGlu and the tummy tuck procedures include seroma (fluid) formation. These complications may require treatments such as drain replacements and/or fluid removal by needle, which may be performed in the operating room. Additional potential complications include wound healing issues, rash/redness, surgical site or incision infection, scarring, hematoma (bruise or swelling), incision separation, and immunological reaction.

Who Should Not Use TissuGlu Surgical Adhesive? Use in pediatric patients, i.e., individuals 22 years of age and younger, has not been clinically evaluated for safety. Patients with known or suspected allergies to urethane-based or isocyanate-containing products. Tell your doctor if you have had previous exposure to TissuGlu since you may be more likely to experience an allergic reaction. TissuGlu effectiveness has not been shown in patients with body mass index of >28 or in patients who have had massive weight loss. These patients are more likely to have fluid accumulation. These patients also may have an increased risk of seroma formation

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Get A Patient’s Perspective

Video Transcript

Patient, two weeks post-op: Not having the drains definitely impacted my decision to use TissuGlu because I felt a lot less anxiety about the procedure and about the recovery time. And I also felt like not having drains was less of a burden on my husband taking care of me after the surgery. I feel really good. I’m really excited to be able to have a flat stomach again.” Patient, Two weeks Post-Op

Narrator: What are the Risks to the use of TissuGlu Surgical Adhesive? Extensive clinical studies were performed using TissuGlu. There were no increased safety risks with the use of TissuGlu. Potential Complications associated with the use of TissuGlu and the tummy tuck procedures include seroma (fluid) formation. These complications may require treatments such as drain replacements and/or fluid removal by needle, which may be performed in the operating room. Additional potential complications include wound healing issues, rash/redness, surgical site or incision infection, scarring, hematoma (bruise or swelling), incision separation, and immunological reaction.

Who Should Not Use TissuGlu Surgical Adhesive? Use in pediatric patients, i.e., individuals 22 years of age and younger, has not been clinically evaluated for safety. Patients with known or suspected allergies to urethane-based or isocyanate-containing products. Tell your doctor if you have had previous exposure to TissuGlu since you may be more likely to experience an allergic reaction. TissuGlu effectiveness has not been shown in patients with body mass index of >28 or in patients who have had massive weight loss. These patients are more likely to have fluid accumulation. These patients also may have an increased risk of seroma formation

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See How TissuGlu Works

Video Transcript

Narrator: Cohera Medical is launching our first product, TissuGlu Surgical Adhesive. This unique technology is a clinically proven alternative to post-operative drains. It is the first FDA-approved synthetic internal surgical adhesive engineered to be strong, safe, and clinically effective to adhere tissue together after abdominoplasty procedures. Let’s take a look at what makes TissuGlu unique. The novel, strong, urethane-based chemical design is created from bio-compatible lysine building blocks. The revolutionary urethane adhesive is applied to the tissue with an easy to use applicator in a grid pattern just prior to close. Each small drop of adhesive can hold approximately 10 pounds of force which is comparable to the strength of cyanoacrylates. Now let’s take a look at what goes on between the tissue layers. TissuGlu Surgical Adhesive bonds tissue layers together and reduces dead space in the surgical wound, helping to facilitate the body’s natural healing process. By forming a strong bond between tissue planes, TissuGlu Surgical Adhesive is clinically proven to eliminate the need for drains in abdominoplasty procedures and allows patients to return to normal activities sooner. The choice is clear.TissuGlu Surgical Adhesive. Holding Strong, Healing Naturally.

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View a TissuGlu Demonstration

Video Transcript

Joseph Hunstad, MD, FACS: By eliminating drains from abdominoplasty, it really eliminates the number one thing patients complain about. They hate drains. They are painful, they have to drag around this appendage and TissuGlu can eliminate the need for drains which is a huge advance. The elimination of dead space is closing off the space that has been created by lifting the skin away from the abdominal wall to do the surgery we need to do. And by closing that space, sealing those layers together, it eliminates the need for a drain and really makes the operation much better for the patient, and I think enhances the recovery.

Patient, two weeks post-op: Not having the drains definitely impacted my decision to use TissuGlu because I felt a lot less anxiety about the procedure and about the recovery time. And I also felt like not having drains was less of a burden on my husband taking care of me after the surgery. I feel really good. I’m really excited to be able to have a flat stomach again.

Narrator: What are the Risks to the use of TissuGlu Surgical Adhesive? Extensive clinical studies were performed using TissuGlu. There were no increased safety risks with the use of TissuGlu. Potential Complications associated with the use of TissuGlu and the tummy tuck procedures include seroma (fluid) formation. These complications may require treatments such as drain replacements and/or fluid removal by needle, which may be performed in the operating room. Additional potential complications include wound healing issues, rash/redness, surgical site or incision infection, scarring, hematoma (bruise or swelling), incision separation, and immunological reaction.

Who Should Not Use TissuGlu Surgical Adhesive? Use in pediatric patients, i.e., individuals 22 years of age and younger, has not been clinically evaluated for safety. Patients with known or suspected allergies to urethane-based or isocyanate-containing products. Tell your doctor if you have had previous exposure to TissuGlu since you may be more likely to experience an allergic reaction. TissuGlu effectiveness has not been shown in patients with body mass index of >28 or in patients who have had massive weight loss. These patients are more likely to have fluid accumulation. These patients also may have an increased risk of seroma formation

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Important TissuGlu® Surgical Adhesive Safety Information

INDICATION

TissuGlu® Surgical Adhesive is indicated for the approximation of tissue layers where subcutaneous dead space exists between the tissue planes in abdominoplasty.

IMPORTANT SAFETY INFORMATION

Contraindications
Do not use in patients with known or suspected allergies to urethane-based or isocyanate-containing products.

Warnings

  • Do not use TissuGlu® Surgical Adhesive in patients who have had prior exposure to TissuGlu®. Immunological response associated with repeat TissuGlu® exposure has not been studied.
  • The effectiveness for the treatment of patients with BMI > 28 has not been established. Higher BMI patients have a propensity for fluid accumulation and may have an increased risk of seroma formation.
  • Effectiveness was not observed in weight loss patients undergoing abdominoplasty. Weight loss patients have a propensity for fluid accumulation and may have an increased risk of seroma formation and aspiration.

Benefits
TissuGlu® may reduce the need for drains after surgery. By using TissuGlu® instead of drains, you may:

  • Return to normal activities more quickly
  • Experience less discomfort and pain than when drains are used
  • Have fewer invasive treatments for fluid management. The results showed that 73% of TissuGlu® patients had no treatments after surgery. However, some patients did require additional invasive treatments including reinsertion of drains.

Risks
Clinical studies were performed using TissuGlu®. There were no increased safety risks with the use of TissuGlu® than when drains were used. Potential complications associated with the use of the device and the tummy tuck procedures include seroma (fluid) formation. These complications may require treatments such as drain placement and/or fluid removal by needle, which may be performed in the operating room. Additional potential complications include wound healing issues, rash/redness, surgical site or incision infection, scarring, hematoma (bruise or swelling), incision separation, and immunological reaction.

Safety Information:
For full safety information please visit http://tissuglu.com/safety, contact your doctor, or call Cohera Customer Support at 1-800-641-7458.

Disclaimer:
TissuGlu® Surgical Adhesive is currently approved for sale in the United States for the approximation of tissue layers where subcutaneous dead space exists between the tissue planes in abdominoplasty. TissuGlu® Surgical Adhesive received European CE Mark in 2011, where it is approved for large flap surgical procedures such as abdominoplasty. TissuGlu® Surgical Adhesive is not approved for sale in any other region. Any questions related to the indication for use should be directed to your Cohera Medical Account Manager or to Cohera Medical Corporate Clinical Affairs. Refer to the complete TissuGlu® Surgical Adhesive Directions for Use for prescribing and usage information.