Print

Print


HAB has many advantages over conventional suturing including
1) decreased pain to the child
 
2) elimination of the need for suture removal
 
3) ease and rapidity of application
 
4) a short-term cosmetic outcome comparable to conventional suturing
 
Ref: Bruns TB, Simon HK, McLario DJ, et al. Laceration repair using a tissue
adhessive in a children's emergency department. (Pediatrics in press).
Abstract in Arch of Pediatr Adolesc Med April 1995;149:72.
 
It has also been recently shown to cause a long-term cosmetic outcome at 1
year comparable to conventional suturing.  This will be presented at the
SAEM and the APA in May. Simon HK, McLario DJ, Bruns TB, Zempsky WT et al.
 
These studies were done for low tension lessions and the products have not
yet been FDA approved.  Similar products have been approved (bondoderm) as a
device for dental procedures.  Newer glues are coming down the road and
their use may be wider spread.  The use of "Crazy glue should be avoided for
2 reasons.
 
1) it causes added tissue toxicity
 
2) more importantly,  complication rates in our study were similar to those
of conventional suturing because routine wound management was done on all
lacerations.  If crazy glue is used, families will start closing wounds at
home with significant likelihood of complications.
 
 
Harold K. Simon, MD
Emory University School of Medicine
Egleston Children's Hospital
Atlanta, GA
---
 
Hal Simon,MD
Egleston Children's Hospital/Emory University
[log in to unmask]
 
The URL for the PED-EM-L Web Page is:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html