Tensile strength of wound closure with cyanoacrylate glue. 2001

A J Shapiro, and R C Dinsmore, and J H North
General Surgery Service, Department of Surgery, Eisenhower Army Medical Center, Fort Gordon, Georgia 30905, USA.

2-Octyl cyanoacrylate tissue adhesive is increasingly being used for closure of traumatic lacerations. Data regarding the strength of incisions closed with 2-octyl cyanoacrylate are limited. We compared the strength of disruption of closure with glue with that of more conventional methods of wound closure. Segments of fresh porcine skin measuring 3.5 x 10 cm were approximated by one of four methods: 1) 2-octyl cyanoacrylate glue, 2) surgical staples, 3) 0.5 inch Steri-Strips, and 4) interrupted 4-0 poliglecaprone 25 sutures in a subcuticular fashion. Fifteen specimens were used to test each type of closure. The strength of closure was tested on an Instron 4502 tensionometer. The peak force required for disruption of the closure was recorded and the strength of the closure was compared. Staples provided the strongest closure. Skin glue proved superior to Steri-Strips but inferior to stapled closure. The difference between skin glue and suture closure was not statistically significant (P = 0.12). Patterns of failure differed between the groups. Skin glue failed because of disruption of the skin-glue interface. 2-Octyl cyanoacrylate glue provides a wound closure that is similar to closure with an interrupted subcuticular absorbable suture. This study validates the clinical use of skin glue for closure of surgical incisions. The technique should be used with caution in areas of the body that are subject to tension.

UI MeSH Term Description Entries
D003487 Cyanoacrylates A group of compounds having the general formula CH2 Cyanoacrylate
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013552 Swine Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA). Phacochoerus,Pigs,Suidae,Warthogs,Wart Hogs,Hog, Wart,Hogs, Wart,Wart Hog
D013718 Tensile Strength The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001) Strength, Tensile,Strengths, Tensile,Tensile Strengths
D014014 Tissue Adhesives Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses. Adhesive, Tissue,Adhesives, Tissue,Tissue Adhesive
D014947 Wounds and Injuries Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity. Injuries,Physical Trauma,Trauma,Injuries and Wounds,Injuries, Wounds,Research-Related Injuries,Wounds,Wounds and Injury,Wounds, Injury,Injury,Injury and Wounds,Injury, Research-Related,Physical Traumas,Research Related Injuries,Research-Related Injury,Trauma, Physical,Traumas,Wound

Related Publications

A J Shapiro, and R C Dinsmore, and J H North
November 1995, Annals of emergency medicine,
A J Shapiro, and R C Dinsmore, and J H North
March 2008, ANZ journal of surgery,
A J Shapiro, and R C Dinsmore, and J H North
May 2010, Interactive cardiovascular and thoracic surgery,
A J Shapiro, and R C Dinsmore, and J H North
January 2015, The Laryngoscope,
A J Shapiro, and R C Dinsmore, and J H North
June 1971, The American surgeon,
A J Shapiro, and R C Dinsmore, and J H North
July 2019, Wounds : a compendium of clinical research and practice,
A J Shapiro, and R C Dinsmore, and J H North
December 2022, Journal of vascular surgery cases and innovative techniques,
A J Shapiro, and R C Dinsmore, and J H North
January 2003, Journal of basic and clinical physiology and pharmacology,
A J Shapiro, and R C Dinsmore, and J H North
February 2024, Dermatitis : contact, atopic, occupational, drug,
Copied contents to your clipboard!