Evaluation of isoamyl 2-cyanoacrylate tissue adhesive in management of pediatric lacerations: An alternative to suturing

Abstract

Aims:A study was conducted to evaluate the benefits of cyanoacrylate tissue adhesive as an alternative to suturing in management of pediatric lacerations.Materials and Methods:A total of 7 patients were evaluated and followed for 3-month. The wound was evaluated on 1st, 3rd, and 7th postoperative day for swelling, infection, gaping and pain and at 1st and 3rd postoperative month for scar evaluation. The evaluation was based on different superficial facial wound repairs (i.e., low tension) with an average length <3 cm; and if the surgeon subjectively felt that subcuticular sutures were justified to reduce wound tension, then these were used. Isoamyl 2-cyanoacrylate glue was applied over lacerated wound margins after cleaning the wound and holding together for 15 s by means of tissue holding forceps.Statistical Analysis:Statistical analysis was done using Chi-square test after collection of data. Mean and standard error were estimated from the sample.Results:The mean total time taken for skin closure was 1–2.5 min. There was no wound infection in any of the cases; only one case showed wound dehiscence on 3rd postoperative day. The cosmetic was better as there were no suture marks.Conclusion:Isoamyl 2-cyanoacrylate can be considered as excellent “no needle” alternative for closure of selected pediatric lacerations, those that are short, clean and under low tension.

Hysteroscopic tubal occlusion using iso‐amyl‐2‐cyanoacrylate in patients with hydrosalpinx

“…CA converts into an inert polymer on coming in contact with moisture, solidifies within 5–10 s and fixes in a minute . It is bacteriostatic and extremely adhesive to biological tissue which makes it beneficial to occlude hydrosalpinx prior to IVF …”

Early Complications Following Facial Laceration Repair Performed by Emergency Physicians After One Year of Wound Closure Training

“…Patients who satisfied the following criteria were included: facial lacerations were closed by emergency physicians, referral to plastic surgeons responsible for facial trauma in our ED was not requested at the ED, and wound review was performed by board‐certified plastic surgeons during a follow‐up visit and medical chart for wound review was available. Patients whose wounds had not been reviewed within 3 days after wound closure were excluded, since the initial wound review by a specialist within 3 days was recommended in our hospital policy and wound dehiscence is usually diagnosed in the first week . Also excluded were patients with facial injuries who visited our ED more than once during the study period.…”

“…However, a 2015 survey found that pediatric patients reported significant dissatisfaction after facial wound closure by an emergency physician, which concerns the quality assurance of facial laceration repair by nonspecialists. Another prospective study at a pediatric ED in the United States showed that 8.2% of simple and small superficial facial lacerations repaired by nonspecialists had complications at short‐term follow‐up, which is a higher incidence than for facial trauma specialists (1.4%–5.2%) reported in previous studies …”

Adhesivos de cianoacrilato en cirugía oral y maxilofacial

“…En el cierre de heridas cutáneas faciales con un mínimo de tensión, si bien se describen casos de dehiscencia y cicatriz hipertrófica, las diferencias no serían significativas, con buenos resultados estéticos (19) . Deorukhkar el at (30) , evaluaron en 2015 la utilidad de los ACA en el cierre de heridas faciales superficiales con baja tensión en niños. En ninguno de los casos se observó infección de la herida en el 1º, 3º y 7º día del postoperatorio y sólo uno de los casos mostró dehiscencia de la herida en el 3° día del postoperatorio.…”

“…En ninguno de los casos se observó infección de la herida en el 1º, 3º y 7º día del postoperatorio y sólo uno de los casos mostró dehiscencia de la herida en el 3° día del postoperatorio. En general, no fue necesario inyectar anestésico local y la evaluación estética fue satisfactoria (30) . En la mucosa oral, la calidad de los tejidos, la saliva, la vascularización y las funciones relacionadas con el habla, la masticación y la deglución (27) , influyen en que las suturas se puedan comportar de manera diferente.…”