Repair of cutaneous wounds with the use of low cost surgical glue

Abstract

Background: The advantages of the cyanoacrylates in cutaneous synthesis have been often demonstrated in the literature. However, these products have been underutilized in Brazil due to the high costs of the 2-octil-cyanoacrylate. Besides, few studies have been done with the more economically accessible form, the 2-etil-cyanoacrylate, as a cutaneous tissue adhesive. Objective: To evaluate the effectiveness of the closing of cutaneous lesions using ECA. Method: This was a prospective study in which 46 wounds were occluded using the low cost ECA as an alternative to intradermal suture. Results: Excisions (97,8%) and traumatic wounds (2,2%) were treated with 2-etil-cyanoacrylate and deep relaxed sutures as synthesis method. Unaesthetic scars (22%), infection (2,1%), dehiscence (2,1%) and contact allergic dermatitis (2,1%) were the problems we found. There were no cases of necrosis or keloids. The results were considered satisfactory in most cases (97,3%). Conclusions: The use of 2-etil-cyanoacrylate was shown to be safe and with satisfactory cosmetic results in this group of patients. © 2012 by Anais Brasileiros de Dermatologia.