Los cianoacrilatos en cirugía
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Desde su introducción en la cirugía hace más de 35 años, los cianoacrilatos se han usado en diversos campos de las especialidades quirúrgicas. A pesar de sus múltiples ventajas sobre la sutura convencional, muchos cirujanos dejaron de usarlos por su gran histotoxicidad y las dificultades de su aplicación. En los últimos años, nuevamente se han comenzado a utilizar los olvidados adhesivos con excelentes resultados. En esta revisión se comentan aspectos históricos, características físicas, químicas y biológicas de estos adhesivos; métodos de síntesis, metabolismo, respuesta inmunitaria y carcinogénesis después de aplicarse en el organismo y usos actuales y potenciales de los cianoacrilatos en la cirugía.
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Referencias
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