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[Utility of octyl 2-cyanoacrylate in pediatric surgery]
M Castañón García-Alix1, M A Sancho Vendrell, F J Parri Ferrandis
1Servicio de Cirugía Pediátrica. Unidad Integrada Hospital Sant Joan de Déu-Clínic. Universidad de Barcelona. España.
Insights
Octyl-2-cyanoacrylate offers a suitable and effective method for pediatric cutaneous repair, outperforming traditional sutures in speed and cost. This topical tissue adhesive simplifies wound closure across various pediatric surgical and emergency cases.
Area of Science:
- Dermatology
- Pediatric Surgery
- Wound Healing
Background:
- Octyl-2-cyanoacrylate is a topical tissue adhesive used for skin wound closure.
- Conventional sutures are the standard for wound repair, but can be time-consuming and costly.
- Pediatric wound management presents unique challenges requiring safe and efficient closure methods.
Purpose of the Study:
- To evaluate the utility and suitability of octyl-2-cyanoacrylate for cutaneous repair in pediatric patients.
- To compare octyl-2-cyanoacrylate with conventional sutures in terms of efficacy, cosmetic outcome, procedure time, and patient comfort.
- To demonstrate the application of this topical adhesive in diverse pediatric dermatological and surgical conditions.
Main Methods:
- Octyl-2-cyanoacrylate was applied to 100 pediatric patients with skin wounds less than 5 cm.
- Patients included those with emergency department wounds (e.g., sharp lacerations) and surgical wounds (e.g., hernia repair, hypospadias repair, cleft lip repair).
- Outcomes were assessed based on efficacy, cosmetic results, procedure duration, material usage, and patient comfort.
Main Results:
- Octyl-2-cyanoacrylate demonstrated ease of use compared to conventional sutures across all applications.
- The procedure time for wound closure using octyl-2-cyanoacrylate was shorter than with conventional sutures.
- The study indicated a potential reduction in the cost per procedure with the use of this topical adhesive.
Conclusions:
- Octyl-2-cyanoacrylate is a viable and effective option for cutaneous repair in pediatric patients.
- The use of octyl-2-cyanoacrylate streamlines wound closure, reducing procedure time and associated costs.
- This topical tissue adhesive offers advantages over conventional sutures in pediatric wound management.
Objective:
The aim this study was to demonstrate the utility and suitability of octyl-2-cianocrylate in cutaneus repair of different conditions in the pediatric population. Octyl-2-cianocrylate is a topical tissular adhesive which can be used on skin and which has been tested in surgical practice as a wound sealant, avoiding the use of conventional sutures.
Material And Methods:
We applied octyl-2-cianocrylate in 100 patients with skin wounds smaller than 5 cm. The patients were distributed as follows: Emergency department: simple sharp wounds in the face and extremities (20 patients); surgical block: surgical wounds in 80 patients with the following conditions: inguinal hernia (20 patients), cryptorchidism (20 patients), umbilical hernia (10 patients), hypospadias (17 patients), post-hypospadias fistula repair (8 patients) and cleft lip (5 patients). The results were analyzed in terms of efficacy, cosmetic result, procedure time, material used, and patient comfort.
Conclusions:
Octyl-2-cianocrylate was easier to use than conventional sutures in all its applications, requiring less time than conventional sutures and therefore lowering the cost per procedure.
