Sunday, October 28, 2007
13227

DERMABOND®-assisted Primary Closure of Atrophic Skin

Michael Bain, MD, MMS, Emily A. Peterson, MD, and Robert X. Murphy, MD, MS.

DERMABOND® (2-octyl cyanoacrylate, Ethicon, Inc., Somerville, NJ) is a cutaneous adhesive which has been utilized in elective closure of head and neck incisions and closure of skin lacerations in the emergency setting. There exists a population of patients who, for a number of reasons, including age, chronic steroid use, avulsive injuries, and other factors, present to the emergency department with thin skin that lacks sufficient tensile strength to support suture closure. We present a novel technique employing DERMABOND® for closure of skin lacerations in those patients. DERMABOND® is applied 3 mm from the wound margins, allowed to dry, and then serves as a buttress against which sutures may be placed. In conjunction with adherence to surgical standards of wound decontamination and debridement, this technique has provided excellent results without complications.