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Cesarean Delivery
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
A. Dhanya Mackeen, Meike Schuster
The suture most commonly used in the RCTs showing superiority of sutures was poliglecaprone [262]. No differences in wound complications were noted when comparing skin closure with braided versus monofilament suture when analyzed by actual suture received [268]. Polyglycolic acid sutures have been associated with greater hypertrophic scarring compared to interrupted nylon sutures [269]. Barbed sutures were associated with similar rates of wound dehiscence, infection, and other adverse outcomes compared to 3-0 polydioxanone suture [270]. There were no differences in patient or physician assessments of scars at 8 weeks when comparing skin closure with suture versus with glue [271]. No differences were noted regarding wound complications when comparing tissue adhesive with sterile strips applied after suture closure of the skin incision [272].
Principles of wound care
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
Incised wounds and lacerations can be closed with tapes, sutures or tissue adhesive, the choice depending on factors such as size, depth and site. Tissue adhesive could be suitable for a small scalp wound, due to decreased procedure time and less pain, but should not be used for lacerations of the nostril, mouth or eye, where suturing is preferable to ensure accuracy of alignment.
Injuries in Children
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
The cosmetic result for a wound closed with tissue adhesive is the same as for wound closure achieved with sutures, staples or adhesive strips. However, because of the weaker tensile strength of glues they can be used only on low-tensile, immobile wounds less than 3 cm in length. There is a slight increase in the incidence of wound dehiscence, but all other wound complications are the same.
Tenon's Patch Graft: A Review of Indications, Surgical Technique, Outcomes and Complications
Published in Seminars in Ophthalmology, 2022
Anahita Kate, Sonal Vyas, Rahul Kumar Bafna, Namrata Sharma, Sayan Basu
The addition of an AM layer provides additional tectonic support to the wound and also increases the stability of the graft.27 The epithelium surrounding the perforation should be debrided prior to the placement of the AM. The AM is usually placed basement membrane side up and as a single layer in an overlay fashion. The membrane can be secured using fibrin glue or 10–0 monofilament nylon sutures. An additional AM can be placed over the entire cornea in case of large epithelial defects, in order to aid the healing process. The addition of the amniotic membrane also provides a watertight closure to the otherwise fluid permeable tenon's layer. (b) Tissue adhesive
Assessment of the Retinal Toxicity and Sealing Strength of Tissue Adhesives
Published in Current Eye Research, 2022
Anna Sharabura, John Chancellor, M. Zia Siddiqui, David Henry, Ahmed B. Sallam
Various tissue adhesives have been studied for sealing retinal breaks. An ideal tissue adhesive should work rapidly, have sufficient tensile strength, be non-toxic, improve efficiency, and be cost-effective.14 Each of the discussed adhesives has been used in ophthalmic applications with variable success and side effects. Histoacryl cyanoacrylate has been used to glue retinal tissue to the choroid since as early as 1978.15 Fibrin glues were previously used for macular hole surgery.16 Tisseel fibrin sealant has been used in optic disc pit-associated macular detachment.17 Coleman et al showed that Tisseel fibrin led to reattachment of small retinal tears but reported it was unable to seal large retinal tears.18 Recently, Mudit and Basu (2019) used Tisseel fibrin for RD repairs in 5 patients with RD and had 100% success in primary reattachment.19 While not approved for ophthalmic application by the FDA, cyanoacrylates have been used in ophthalmic applications with explicit patient consent.19,20 ReSure was the first FDA-approved tissue sealant for ophthalmic use, and the Vitagel kit (Orthovita, Inc., PA, USA) is an FDA-approved fibrin glue approved for neurosurgery and ophthalmic surgery applications.21,22
Skin hypersensitivity following application of tissue adhesive (2-octyl cyanoacrylate)
Published in Baylor University Medical Center Proceedings, 2021
Raymond P. Shupak, Sid Blackmore, Roderick Y. Kim
Case reports have emerged detailing adverse local and systemic reactions after tissue adhesive usage. Ricci et al documented a case of diffuse cutaneous allergic reaction to Dermabond that required emergency evaluation and treatment.15 Ghaffar et al presented two cases of contact dermatitis that mimicked a knee implant reaction after orthopedic surgery.16 The reactions presented with pruritus and rash several weeks after surgery. Subsequent patch testing showed significant reactivity to the Dermabond solution. Nigro et al recently evaluated a cohort of patients who underwent breast surgery with cyanoacrylate products.17 Twelve patients developed significant dermatitis reactions. Two patients had previous known allergies to cyanoacrylate. The incidence of allergic response to tissue glues was 14% in their study. Those who experienced reactions were confirmed with scratch testing. The authors cautioned against the use of cyanoacrylate due to the high incidence of adverse skin reactions. In another study, Nakagawa utilized Dermabond Advanced as a final occlusive dressing following breast surgery.18 The incidence of contact dermatitis was calculated to be 7% of study participants. The authors concluded that application of Dermabond Advanced should be avoided in patients who have a history cyanoacrylate sensitivity.