Published online Dec 31, 2009.
https://doi.org/10.13004/jknts.2009.5.2.57
Efficacy of 2-Octylcyanoacrylate Glue in Minimal Invasive Spine Surgery
Abstract
Objective
Topical 2-Octylcyanoacrylate (Dermabond®, Ethicon, Inc., Somerville, NJ) tissue adhesive glue is an alternative to traditional devices for closing short surgical incisions and laceration wounds. Dermabond provides cosmetic closure and very low infection risks. There were rare published studies using Dermabond® in spine surgery. This study was undertaken to determine the efficacy to use in spine surgery.
Methods
From April 2006 to May 2007, 57 consecutive patients (29 male and 28 female) who was performed spinal surgeries (micro/endoscopic discectomy, microscopic fenestration) in our hospital. Complications related to operative wounds and patient satisfactions were analyzed.
Results
Of 57 patients, 25 underwent microlumbar discectomy, 3 endoscopic lumbar discectomy, 3 lumbar laminectomy, and 26 anterior cervical discectomy. There was no wound infection, 2 wound dehiscence, 1 pruritus itch in the covered site. Mean period for Dermabond® to detach was 2.85 weeks and the length of incision ranged from 0.5 cm to 10 cm. Fifty four of 57 patients want to use the adhesive glue for other wound in the future instead of conventional suture methods.
Conclusion
Our results support that 2-Octylcyanoacrylate is a safe alternative to traditional devices for closing short surgical incisions in operation.
FIGURE 1
Dermabond® (Ethicon, Inc., Somerville, NJ).
FIGURE 2
Photographs of operative scars. A: Surgical procedure. B: Postoperative wound closed with Dermabond® (Ethicon, Inc., Somerville, NJ). C: Completely healing wound in lumbar, respectively. D: The old scar closed by conventional suture method had trace of stitches and suture (arrows).
FIGURE 3
The Graph demonstrates the complaints from group A, B during the period until postoperative 7 day. The survey was taken by an open question 'what is the most making you be discomfort.'
TABLE 1
Patients enrollment criteria
TABLE 2
Patient profile
TABLE 3
Composition of operations
TABLE 4
Surgical complications
TABLE 5
The survey about patients' satisfaction
References
-
Bruns TB, Worthington JM. Using tissue adhesive for wound repair: a practical guide to dermabond. Am Fam Physician 2000;61:1383–1388.
-
-
Cho J, Harrop J, Veznadaroglu E, Andrews DW. Concomitant use of computer image guidance, linear or sigmoid incisions after minimal shave, and liquid wound dressing with 2-octyl cyanoacrylate for tumor craniotomy or craniectomy: analysis of 225 consecutive surgical cases with antecedent historical control at one institution. Neurosurgery 2003;52:832–840.discussion 840-841.
-
-
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, et al. Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev 2002:CD003326.
-
-
Kim HJ, Ha YR, Kim YS, Kim JH, Kim SC, Kim JC, et al. Tissue adhjesive versus simple suture for wound management in children under 5 years of age in the emergency department. J Korean Soc Emerg Med 2003;14:508–513.
-
-
Kim YM, Gupta BK. 2-octyl cyanoacrylate adhesive for conjunctival wound closure in rabbits. J Pediatr Ophthalmol Strabismus 2003;40:152–155.
-
-
Ryu WY, Yoo KW. Comparison of 2-octylcyanoacrylate and suture with 8-0 polyglactin for conjunctival wound closure in rabbits. J Korean Ophthalmol Soc 2005;46:896–903.
-
-
Toriumi DM, O'Grady K. Surgical tissue adhesives in otolaryngology-head and neck surgery. Otolaryngol Clin North Am 1994;27:203–209.
-