Wound closure with skin adhesive is a technique used to seal wounds by applying a special medical adhesive, often referred to as tissue glue, directly to the wound edges. This method is typically used for closing superficial lacerations or surgical incisions that are not under significant tension. The adhesive forms a strong bond between the skin edges, promoting healing and reducing the need for traditional sutures or staples. Skin adhesives, such as cyanoacrylate based glues, are designed to be biocompatible, providing a barrier to bacteria while allowing for the natural healing process to occur. The primary causes for using skin adhesive include the need for a quick, effective wound closure with minimal discomfort and the desire to avoid the scarring or discomfort associated with stitches or staples. This technique is often chosen for minor lacerations, surgical incisions, or as a supplementary method for wounds that are difficult to close with traditional methods. Skin adhesives are particularly useful in areas where sutures might be less practical or aesthetically undesirable, such as on the face or in pediatric patients. Symptoms that may lead to the use of skin adhesive include a clean, well-approximated wound with minimal tension or contamination. The procedure is suitable for wounds with well-defined edges that can be easily brought together and held in place with the adhesive. The adhesive is applied in a thin layer over the wound, where it quickly dries and hardens, forming a protective seal. Complications from using skin adhesive are generally rare but can include allergic reactions to the adhesive, irritation, or dermatitis in the area where the glue is applied. In some cases, the adhesive may cause a rash or sensitivity, particularly in individuals with sensitive skin or allergies. There is also a risk of the adhesive failing to adequately close the wound, leading to potential wound dehiscence (opening of the wound) or infection if the wound edges are not properly approximated. Additionally, if the adhesive is not used correctly, it can interfere with the healing process or cause discomfort during removal. To minimize complications, it is essential to ensure that the wound is clean and dry before applying the adhesive and to follow post-application care instructions, including keeping the area clean and avoiding excessive moisture or trauma. Skin adhesive closure is a convenient and effective method for managing certain types of wounds, offering a quick healing solution with minimal scarring when used appropriately.
