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Laceration repair using a tissue adhesive in a children's emergency department. Long-term appearance of lacerations repaired using a tissue adhesive. A randomized trial comparing octylcyanoacrylate tissue adhesive and sutures in the management of lacerations. Prospective, randomized, controlled trial of tissue adhesive 2-octylcyanoacrylate vs. Acad Emerg Med. A new tissue adhesive for laceration repair in children.

J Pediatr. Use of octylcyanoacrylate for skin closure in facial plastic surgery. Plast Reconstr Surg. A prospective comparison of octylcyanoacrylate tissue adhesive and suture for the closure of head and neck incisions.

J Otolaryngol. Quinn JV. Tissue adhesives in wound care. Hamilton, Ontario: Decker, Histotoxicity of cyanoacrylate tissue adhesives. Arch Otolaryngol Head Neck Surg. Variable histotoxicity of histoacryl when used in a subcutaneous site. Octylcyanoacrylate tissue adhesive wound repair versus suture wound repair in a contaminated wound model. Antibacterial effect of cyanoacrylate glue. Arch Ophthalmol. Comparison of effects of suture and cyanoacrylate tissue adhesive on bacterial counts in contaminated lacerations.

Antimicrob Agents Chemother. Preclinical test data. Raleigh, N. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.

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Mar 1, Issue. Advantages of Adhesive vs. Sutures Maximum bonding strength at two and one-half minutes Equivalent in strength to healed tissue at seven days post repair Can be applied using only a topical anesthetic, no needles Faster repair time Better acceptance by patients Water-resistant covering Does not require removal of sutures.

TABLE 1. When Can Dermabond Be Used? Contraindications to Use of Skin Adhesives Jagged or stellate lacerations Bites, punctures or crush wounds Contaminated wounds Mucosal surfaces Axillae and perineum high-moisture areas Hands, feet and joints unless kept dry and immobilized. TABLE 2. Steps in Use of Dermabond 1. Apply topical anesthetic as needed. Prepare wound with antiseptic. Appose wound edges. Crush Dermabond vial and invert. Gently brush adhesive over laceration.

Avoid pushing adhesive into wound. Apply three layers of adhesive. TABLE 3. Application of adhesive to chin. Laceration to lower eyebrow. Closed wound with adhesive. Three months after treatment with adhesive. Laceration to chin. Read the full article. Get immediate access, anytime, anywhere.

Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! They need to be removed within days. The specific removal date depends on the location of the stitches or staples. Removal should not be delayed. Reason: will leave skin marks.

For open cuts, call your child's doctor now. General guidelines for re-suturing or re-gluing are listed below: Face Cuts. If a face wound has re-opened, call your doctor now. The cut may need to be re-glued or re-stitched. It does not matter how long it's been since sutures or glue were placed. Body Cuts and Less Than 48 Hours. If the wound is elsewhere on the body, call your doctor now.

The cut may need restitched or glued if gaping open. This is sometimes done if suturing was less than 48 hours ago. Body Cuts and Over 48 Hours Ago. Do not use hydrogen peroxide or alcohol, which can slow healing. If the doctor told you to use a bandage, put on a new bandage after cleaning the cut or if the bandage gets wet or dirty. Prop up the sore area on a pillow anytime you sit or lie down during the next 3 days.

Try to keep it above the level of your heart. This will help reduce swelling. Leave the skin adhesive on your skin until it falls off on its own. This may take 5 to 10 days. Do not scratch, rub, or pick at the adhesive. Do not put the sticky part of a bandage directly on the adhesive. Avoid any activity that could cause your cut to reopen. Be safe with medicines.

Read and follow all instructions on the label. If the doctor gave you a prescription medicine for pain, take it as prescribed. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. Call your doctor or nurse call line now or seek immediate medical care if: You have new pain, or your pain gets worse.

The skin near the cut is cold or pale or changes colour. You have tingling, weakness, or numbness near the cut. The cut starts to bleed. You have trouble moving the area near the cut. You have symptoms of infection, such as: Increased pain, swelling, warmth, or redness around the cut. Red streaks leading from the cut.

Pus draining from the cut.



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