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Split skin grafting on severely damaged skin. A technique using absorbable tissue adhesive
1Department of Dermatology, University Hospital, Queen's Medical Centre, Nottingham, United Kingdom.
The Journal of Dermatologic Surgery and Oncology
|December 1, 1994
Summary
Butyl-2-cyanoacrylate tissue adhesive offers a successful alternative for split skin grafting in patients with severely damaged skin, aiding tumor removal and healing without adverse reactions.
Area of Science:
- Dermatology
- Wound Healing
- Surgical Adhesives
Background:
- Severely damaged skin increases the risk of skin malignancies.
- Suturing is challenging for tumor excision in patients with fragile skin.
Purpose of the Study:
- To assess the efficacy of butyl-2-cyanoacrylate tissue adhesive in split skin grafting for patients with compromised skin.
- To evaluate the safety and biodegradability of the adhesive.
Main Methods:
- The butyl-2-cyanoacrylate technique was applied to 19 patients undergoing split skin grafting for 24 skin tumors.
- Biodegradability was assessed via skin biopsies in two patients.
Main Results:
- Successful split skin graft application was achieved in all participants.
- Butyl-2-cyanoacrylate demonstrated complete absorption within six months.
- No foreign body reactions were observed.
Conclusions:
- Butyl-2-cyanoacrylate is a recommended option for split skin grafting in patients with severely damaged skin.
- The adhesive facilitates successful grafting and is well-tolerated.
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