a surgical device to stanch the flow of blood is disclosed . the surgical device can place an implantable adhesive over or around varices or other bleeders . the surgical device has a vacuum system for capturing tissue and an adhesive system to apply adhesive to the captured tissue . a vacuum chamber is used to contact tissue and contains a chamber therein for the reception of tissue . an adhesive applicator is provided within the vacuum chamber and moves longitudinally therein to apply adhesive to tissue . the surgical device can apply an adhesive patch to tissue or inject adhesive into tissue . alternately , an adhesive actuator and a chemical agent can be dispensed to tissue within the vacuum chamber .