TissuGlu® resources for your practice

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TissuGlu offers you the opportunity to differentiate and elevate your practice by becoming Drain-Free Certified. TissuGlu provides an overall superior abdominoplasty experience, allowing patients to enjoy a more comfortable recovery without the pain and hassle of drains. Here you can see what conferences we are attending, download practice-differentiating materials, Drain-Free Certified practice assets, and view our video library.

Atlanta Breast
Surgery Symposium

January 19-22

Atlanta, GA

51st Annual Baker
Gordon Symposium

February 9-11

Miami, FL

Aesthetica Super
Symposium

March 2-4

New Orleans, LA

The Aesthetic
Meeting

April 29-May 1

San Diego, CA

Royal Ancient Society
of American Plastic Surgeons

May 9-13

Okatie, SC

New Jersey Society of
Plastic Surgeons

May 20

New Brunswick, NJ

Ohio Valley Society of
Plastic Surgeons

June 2-4

Pittsburgh, PA

Southeastern Society
of Reconstructive and Plastic Surgeons

June 11-15

Cloister, Sea Island, GA

Breast Surgery and
Body Contouring Symposium

August 10-12

San Diego, CA

Texas Society of Plastic
Surgeons

September 15-17

Ft. Worth, TX

American Society of
Plastic Surgeons

October 6-10

Orlando, FL

Experience Insights
Breast & Body Contouring

October 19-21

San Francisco, CA

North Carolina Society of
Plastic Surgeons

October 26-29

Asheville, NC

Florida Plastic Surgery
Forum

December 14-17

Palm Beach, FL

drain-free social media assets

Drain-Free social media assets

Promote your drain-free tummy tuck offering to your social media followers.

DOWNLOAD
Patient education video

Patient education video

Use this patient-focused video to educate prospective tummy tuck clients about the different recovery options available to them.

DOWNLOAD
Patient brochure

Patient brochure

This downloadable patient brochure can be printed in your office or sent to prospective or current patients via email. You may also post this brochure on your practice website.

Drain-Free Certified practice assets

If you are a Drain-Free Certified physician, you have access to exclusive practice materials and tools. This includes a listing in our Physician Locator, which helps patients find Drain-Free Certified practitioners. Below is a library of information you may use to support and promote your certification status.

Social media assets

An expanded series of suggested posts and topics you can use on your Facebook page, Twitter account, Instagram, or other digital social media venue.

GET CERTIFIED TO DOWNLOAD

In-office materials

A selection of downloadable resources you can use when educating and counseling patients on their abdominoplasty procedure with TissuGlu.

GET CERTIFIED TO DOWNLOAD

Print-ready ad

Customize this ad with your practice information and help drive patient interest and office visits by promoting your Drain-Free Certified status within your local region.

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Promotional email copy

Use to promote your practice by letting your patients know that you are now a TissuGlu Drain-Free Certified physician, offering drain-free tummy tucks to your abdominoplasty patients.

GET CERTIFIED TO DOWNLOAD

Video Library

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.

Narrator: What are the Risks to the Use of TissuGlu Surgical Adhesive? Extensive clinical studies were performed using TissuGlu. There were no increased 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 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.

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 > 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.

Building a successful TissuGlu practice

 
Video Transcript

Dr. Ashley Gordon, MD, FACS, Board-Certified Plastic Surgeon and Drain-Free Certified TissuGlu® Expert: I am always trying to improve the patient experience. And so at every patient’s six week appointment I ask them what was the worst part of your experience or what could we have done to make your experience better? And with tummy tuck patients, I think it was really one hundred percent of the time they all would say they hated the drains.

Dustin Reid, MD, TissuGlu® Drain-Free Certified Surgeon: Over the last few years, I have noticed that the drains can be a real catch for patients to having surgery. For some reason, that is what they fear the most.

Dr. Ashley Gordon, MD, FACS, Board-Certified Plastic Surgeon and Drain-Free Certified TissuGlu® Expert: So I was always looking for a way to, maybe, not use the drains and I know a lot of surgeons use progressive tension sutures, but for me, I didn’t feel like that was a really great option for my patients. With the TissuGlu, I feel like they less discomfort because it’s taking the sheer and the force away without actually having a stitch there that’s potentially pulling.

Kacie Killough, Registered Nurse: Usually when patients call us with questions or concerns, a big part of it is the drains. Its leaking, it hurts.

Lindsay Shive, Registered Nurse: It reduces a lot of questions, phone calls about drain care, teaching them how to empty the drains, how to take care of the drains. Now they are coming in specifically asking for the drain-free tummy tuck.

Dustin Reid, MD, TissuGlu® Drain-Free Certified Surgeon: I’ve been surprised how many patients have sought us out based on our marketing of the drain-free abdominoplasty.

Dr. Ashley Gordon, MD, FACS, Board-Certified Plastic Surgeon and Drain-Free Certified TissuGlu® Expert: Once you are drain-free certified, they give you a lot of marketing materials that are all already done, they’re really pretty, to put on your website, for social media. They have really educational videos. So, after you complete the training, the company is really supportive and they have a really nice website that is really educational where you get listed as a drain-free certified surgeon. And then also, we obviously added that content to our website so when patients search tummy tucks now or drains with tummy tucks, we come up at the top of Google. I love that this is the next big thing for tummy tucks to really improve the patient experience. And I think so many times, like, we’re not focused on the patient experience, we are focused on the result. And I think we need to be focused on the result. And I think that if we spend a little bit more time listening, we would deliver not just a great result but a great experience.

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.

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.

Performing the procedure

 
Video Transcript

In abdominoplasty, TissuGlu application is the last step immediately prior to closure. Before applying TissuGlu, I use temporary staples to close the horizontal incision. I then place vertical hatch marks with a marking pen every few inches so that the upper and lower flaps are correctly aligned after the TissuGlu is placed. Other temporary flap securement methods such as towel clips can also be used. I then create the new umbilical site and then defat circumferentially. I secure a traction suture to the umbilicus at 12 o’clock and pass the suture tail through the umbilicus incision. Hemostasis is then ensured. I then remove my horizontal staples and inspect the anterior abdominal wall once again to confirm that everything is dry. While I’m performing these steps, the TissuGlu applicator is unboxed and prepared by my OR team. First, my circulating nurse removes the foil pouch from the outer box and carefully opens it from the corners. She then removes the sealed applicator tray inside the foil pouch. Because the foil pouch is a moisture barrier only, the sealed tray is not placed in the sterile field. As demonstrated here, proper sterile technique needs to be used to deliver the sterile contents of the sealed applicator tray to the sterile field. My circulating nurse peels back the lid while firmly gripping the bottom of the tray. Then, my scrub tech uses a rocking motion to remove the retainer tray inside, which houses the TissuGlu applicator. The tech then places the retainer tray on the back table. My tech then removes the TissuGlu applicator by gripping the neck, using sterile technique. One of the nice features of the applicator is its Multi-Tip™ Pivot Head, which can be rotated to facilitate access to the tissue plane as you are applying the TissuGlu. With the Multi-Tip™ Pivot Head tilted up, my tech moves the actuator switch to the open position. When the indicator is white, the tech begins priming the applicator. We do this on the sterile back table to minimize any contact of the TissuGlu with our instruments or supplies. With the pivot head still tilted up and a 4x4 positioned directly under the 3 nozzles, the trigger is then pressed several times until there’s an even drop flow. The applicator is now ready to use. There is an odor from the DMSO, which is normal. It’s important to note that if the applicator becomes idle for 10 to 15 minutes during use, it will need to be re-primed. We are now ready to place the TissuGlu. My assistant retracts the anterior flap up, and I begin applying TissuGlu at the level of the xiphoid and continue inferiorly. I place the nozzles lightly on the surface of the tissue and fully squeeze and release the trigger, with a 1-second pause to allow the drops to fully form. Then, I lift the applicator straight up and move it inferiorly, aligning the spacer guide to the previous drops, and repeat. I continue doing this until an application column is complete. I start a new column by lifting the applicator to the top of the field and aligning the end nozzle approximately 2 and a half centimeters laterally from the previously placed drops. This ensures that I don’t place dots too close together and that I maintain the grid pattern. More is not better when using TissuGlu. Adequate spacing is needed for proper healing. Throughout the application process, I keep a 1- to 2-centimeter distance between the TissuGlu drops and the incision line. This is also the same distance that should be maintained between TissuGlu and pain pumps or drains, should they be used. I continue these steps until the entire application area is filled with a grid pattern of adhesive drops. For this patient, I needed just one applicator, which covers an area of approximately 740 square centimeters, which is about 1 and a half sheets of 8.5” x 11” paper. I need to emphasize that once the application process is complete, if there’s any TissuGlu left, it should NOT be used. It’s very important for there to be space between the adhesive drops to allow for healing to take place. Now that I’ve finished applying the TissuGlu, the applicator is returned to the retainer tray to minimize any contact between TissuGlu and our instruments or supplies. Immediately after applying TissuGlu, I close the incision. First, I pull the flap toward the incision, placing it into position so I don’t smear the adhesive. Then, I use staples to temporarily close the horizontal incision. This minimizes movement of the flap and avoids smearing the adhesive while I’m closing. As I mentioned earlier, you can also use other temporary flap securement methods such as towel clips. Next, before I start closing the incision, I place a green towel over the abdomen, and my assistant applies firm, uniform pressure to the area to maintain tissue-to-tissue contact during initial TissuGlu curing. We set a timer for 20 minutes. Application of TissuGlu has not increased operative time because while my assistant is maintaining pressure, I’m closing the horizontal incision. While I’m suturing, I apply counter pressure to avoid lifting the flap near the incision line. Note that at no time do I re-lift or reposition the flap, as this would cause the adhesive to smear and disrupt the curing process. After the horizontal incision is closed, I then inset and suture the umbilicus, once again making sure to not lift the flap in the periumbilical area. It takes 30 to 45 minutes after TissuGlu application for the adhesive to fully cure. So, during this time, we minimize patient movement to allow for optimal adhesion, including being very careful when placing the patient in the garment and when transferring the patient to the stretcher. Our postop compression protocol includes foam inside the garment over the lower abdomen for several days. Patients wear the garment for 6 weeks post operatively.

You may find that your abdominoplasty patients feel much better when TissuGlu is used instead of drains, but it is important to remind the patients that early excessive activity should be avoided as this could lead to disruption in the healing process and complications. No vigorous activity or heavy lifting for 3 weeks, but patients are allowed to resume light exercise at 3 weeks post op.

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.

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. 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 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.

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 > 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.

The drain-free tummy tuck: Nancy's experience

 
Video Transcript

Nancy, a Nurse and Real TissuGlu® Patient: I recently had a tummy tuck and TissuGlu was used and the recovery was very easy. So I consulted with several doctors and all but Dr. Gordon were wanting to place drains for seven to ten days, and I was basically going to be taking care of myself after the first couple of days. Knowing that it is a pretty painful surgery, getting up and down would be a challenge and so if I did not have the drains, that would be a big plus. My recovery went very well because I didn’t have to worry about drains coming out. My scar line is a beautiful one and things just seemed intact. Check into TissuGlu because it just seems to make the recovery process so much easier for the patient and the for caregiver.

Dr. Ashley Gordon, MD, FACS, Board-Certified Plastic Surgeon and Drain-Free Certified TissuGlu® Expert: I love that this is the next big thing for tummy tucks to really improve the patient experience. The patients are so excited at the idea of not having a drain. I don’t think even I realized how much anxiety it would create for them.

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.

The drain-free tummy tuck: Celina's experience

 
Video Transcript

Celina, a Real TissuGlu® Patient: Shortly before my procedure, I learned that I wasn’t going to have to deal with drains. I was already worried about a lot of other things like caring for my kids, my household while I was healing, so not having to worry about the drains, I was very happy to hear that. My husband was very anxious about having to deal with that, and I knew probably most of that most would have to come on me to deal with. I did not want to have to measure them, take them in the shower with me, deal with them having to go back to work. I was also worried about additional scarring I might have from the placement of the drains, and just how long I would have to wear them, possibly up to three weeks. When I came out of surgery and I was recovering at home, my stomach looked and felt amazing. It was very tight and taught to my body, and I didn’t feel bloating or any inflammation there. If Dr. Gordon hadn’t told me she was using this new technology on me, I wouldn’t have even known it was there. I felt like I looked amazing right after surgery. I couldn’t believe that my stomach was as flat as it was. I hadn’t seen my stomach look like that in over a decade. I just felt great from day one.

Dr. Ashley Gordon, MD, FACS, Board-Certified Plastic Surgeon and Drain-Free Certified TissuGlu® Expert: TissuGlu is an adhesive that is FDA approved for internal use that we place along the muscle layer before closure with this applicator. It forms a strong bond between tissue layers eliminating the space where fluid could collect and the glue is broken down over time and eliminated naturally through the body.

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.

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. 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 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.

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 > 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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Elevate your practice with TissuGlu

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.