Drain-free tummy tuck FAQs

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+ What is a tummy tuck?

A tummy tuck (abdominoplasty) is a procedure where excess skin and fat are surgically removed to create a smoother, firmer stomach area. 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.1

+ What are drains?

Historically, drains have been part of the tummy tuck experience. They are placed under your skin at the time of surgery to route fluid outside of your body. The fluid needs to be measured and emptied throughout the 1-3 weeks drains can be in place. Research has shown that 100% of patients complain about the pain and discomfort associated with drains after a tummy tuck.

Drain

+ How long has TissuGlu® been available?

TissuGlu was approved for use in Europe in 2011 and in the United States in February 2015. To date, TissuGlu has been used safely and effectively in thousands of procedures.

+ What is TissuGlu made of?

TissuGlu is a synthetic, lysine-based urethane adhesive. It forms a strong bond between tissue layers to help you heal and breaks down into nontoxic components that are processed by the body naturally.

+ What are the benefits of TissuGlu?

By eliminating the need for drains, TissuGlu helps simplify your tummy tuck recovery. By choosing TissuGlu instead of drains, you may be able to

  • Return to your everyday routine more quickly (showering, driving, returning to work)
  • Avoid the pain and discomfort caused by drains
  • No drain emptying, fluid measurement, or maintenance required
  • Less stress and burden on you and your caregiver
  • Avoid anxiety about drain removal procedures
  • Worry less about additional scarring caused by drains
  • Gain peace of mind knowing your risk of drain-related infection is eliminated

+ How does TissuGlu work?

Your doctor applies TissuGlu in a grid pattern with a special applicator, so it’s very precise. The many points of contact created by the multiple drops of adhesive help ensure that the tissue bond holds very tightly. This keeps the tissue layers together and helps prevent gaps between the tissue layers where fluid can accumulate.
See TissuGlu in action.

+ How long does TissuGlu stay in my body?

The bonds between the TissuGlu and tissue start breaking down within the first few weeks of the healing process and the TissuGlu is gone in a matter of months.

+ Is TissuGlu right for me?

A drain-free tummy tuck with TissuGlu may not be for everyone. Depending on your health history or procedural plan, you may have an increased risk for fluid accumulation. Talk to your doctor and find out if a drain-free tummy tuck with TissuGlu is the right experience for you.

+ What are the risks of using TissuGlu?

Extensive clinical studies were performed using TissuGlu. Potential complications associated with the use of TissuGlu and the tummy tuck procedure include seroma (fluid) formation, rash/redness, infection, scarring, hematoma (bruising or swelling), incision separation, and immunological reaction. Additional potential complications include wound healing issues, rash/redness, surgical site or incision infection, scarring, hematoma (bruise or swelling), incision separation, and immunological reaction. Ask your doctor to explain the risks and potential complications associated with the use of TissuGlu Surgical Adhesive and an abdominoplasty procedure.

+ Is there a scientific study I can read?

Yes. The safety and efficacy of TissuGlu were studied in clinical trials in the United States. The studies showed that TissuGlu is a proven alternative to drains. Study results showed that participants who used TissuGlu had fewer invasive procedures, shorter recovery times, and a better quality of life during recovery compared with those who used drains.

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Reference: 1. Hunstad JP, Michaels J, Burns AJ, et al. A prospective, randomized, multicenter trial assessing a novel lysine-derived urethane adhesive in a large flap surgical procedure without drains. Aesthetic Plast Surg. 2015;39(4):616-624.

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.