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Related Experiment Videos

Which tissue adhesive for wounds?

N V Doraiswamy1, H Baig, S Hammett

  • 1Department of Paediatric Accident and Emergency, Royal Hospital for Sick Children, Yorkhill, G3 8SJ, Scotland, Glasgow, UK. nanjappachetty.doraiswamy@yorkhill.scot.nhs.uk

Injury
|August 2, 2003
PubMed
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This study compared three tissue adhesives for childhood lacerations. The non-contact application method was found to be more comfortable and preferred by parents and authors.

Area of Science:

  • Pediatric Emergency Medicine
  • Wound Management
  • Biomaterials

Background:

  • Childhood lacerations are common injuries.
  • Traditional wound closure methods can be challenging in pediatric patients.
  • Novel tissue adhesives offer potential advantages in wound care.

Purpose of the Study:

  • To compare the ease of technique, wound healing, satisfaction, merits, and complications of three available tissue adhesives for treating childhood lacerations.
  • To evaluate the differences between contact and non-contact application techniques.

Main Methods:

  • A comparative study involving children with uncomplicated lacerations (<2.5cm, <6h old).
  • Three tissue adhesives were used, with 17 children in each group.
  • Ease of technique, pain during application, parent and author satisfaction, and wound healing were assessed.

Related Experiment Videos

  • Contact and non-contact application techniques were compared.

    • Main Results:

    • Non-contact application was pain-free in 82% of cases versus 56% for contact (P=0.062).
    • Parent satisfaction was high for both techniques (88% contact, 94% non-contact).
    • Author satisfaction was higher with non-contact (94%) versus contact (76%).
    • Indermil was rated the best adhesive; non-contact instillation was more comfortable.

    Conclusions:

    • Tissue adhesives are effective for pediatric lacerations.
    • The non-contact application technique offers improved comfort and satisfaction.
    • Indermil, applied via non-contact droplet instillation, is a favorable option for pediatric wound closure.