The use of tissue adhesion for traumatic laceration repair in the emergency department.
OBJECTIVE
To characterize the role of tissue adhesion as an adjunct in wound closure.


METHODS
Patients were subjectively selected for tissue adhesion and assessed for efficiency, pain, complications, and cost effectiveness.


METHODS
The TEREM Immediate Medical Care Center Emergency Department in Jerusalem, Israel.


METHODS
Patients with traumatic lacerations requiring wound closure.


RESULTS
Lacerations considered appropriate for tissue adhesion tended to involve the scalp, chin, and forehead and were relatively shorter. The complication rate was low. This technique was painless, reduced the need for follow-up care, eliminated the need for local anesthesia and suture-removal visits, and was cost effective. Patients indicated a high level of satisfaction with tissue adhesion.


CONCLUSIONS
Our report indicates that tissue bonding may be a preferred and cost-effective method of repair of appropriate traumatic lacerations in the ED.
Applebaum
J S
JS
Albert Einstein College of Medicine, Bronx, NY.
Zalut
T
T
Applebaum
D
D
D003487:Cyanoacrylates / Q000627:therapeutic use*; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006801:Humans; D012867:Skin / Q000293:injuries*; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000628:therapy
D003487:Cyanoacrylates