Comparative Analysis of Adhesive Strength and Flexibility in Surgical Sealants for Cardiovascular Surgery

Objectives: The objective of this study was to compare the adhesive strength and flexibility of 3 surgical sealants-synthetic (Hydrofit; Sanyo Chemical Industries, Kyoto, Japan), albumin-based (BioGlue; Artivion, Kennesaw, GA, USA), and fibrin-based (Beriplast; CSL Behring, Tokyo, Japan)-which are commonly used in cardiovascular surgery but unexplored under identical experimental conditions. Methods: Adhesive strength was evaluated using a tensile adhesion test on collagen, polyester, and polytetrafluoroethylene substrates. Flexibility was assessed by measuring the maximum stress and elongation at failure in Hydrofit and BioGlue film samples. Beriplast was excluded as it failed to form films. Results: Hydrofit and BioGlue showed similar collagen-collagen adhesion strengths (p = 0.11), while Beriplast was significantly weaker (p