Frequently Asked Questions

What wounds are suitable for closure with tissue adheslves?
Lacerations on the face, torso and extremities that are not greater than 6-10 cm in length. SkinStitch® is especially effective on areas where scarring from conventional sutures is a concern. It should not be used on wounds located near a joint or injurie swith jagged edges (i.e. those that cannot be easily approximated), animal bites, or dense hair growth regions.

Can I ever use SkinStitch® on a joint?
Yes, if you immobilize the joint with a splint or tongue depressor.

May I use SkinStitch® on wounds that are longer than 10 cms?
Your health care professional may make that determination. Doctors with moreexperience may choose to utilize a skin adhesive on wounds longer than 10 cm.Consideration must be given to variables such as depth and location of the wound.Thus, swallow wounds and lacerations not near stress areas will likely benefit fromclosure with a skin adhesive alone.

May I use skin adhesive on wounds deeper than 1/2 cm?
No, but deeper wounds may be closed with SklnStltch® if subcutaneous sutures areused to close the wound first. This will achieve the needed strength to keep the wound closed while healing, but finishing the skin surface with SkinStitch® adhesive will reduce scarring.

What are the most essential elements to remember when using a skin adhesive?
Sanitize the wound according to standard protocol. Approximate edges when wound isdry. Apply a thin layer of skin adhesive beside wound. Pull the adhesive over the woundwith the applicator, as if building a bridge over the wound. Hold for 30 seconds; apply asecond coat (see video for demonstration).

Why should I put on thin layers Instead of one thicker coat?
For optimum strength/performance place 2 to 3 thin layers of SkinStitch® for a stronger finished product. A thick coat may give a burning sensation to the patient. A thick coat will cause the adhesive bond to break down earlier.

If I make an error and glue myself to the patient, what should I do?
Acetone (finger nail polish remover) is the fastest bond breaker. This should onlybe used on non-sensitive parts of the body. On sensitive parts, use an anti-bacterial cream.

What procedure should I use when I want to apply a skin adhesive near the eye?
SkinStitch® is especially valuable in treating wounds near the eyes, but there are a few added safeguards to consider. Place the patient in a horizontal position. Have assistant hold gauze between eye and wound as a dam. If you do not have an assistant, use a ridge of petroleum jelly between wound and eye. This will make it impossible for the skin adhesive to travel, or follow a crease line into the eye. Do not put petroleum jelly on any of the area next to the wound being treated, as this will prevent adhesion.

If there is an accident and the physician glues the patient's eyelids shut what should he/she do?
An ophthalmologically approved antibacterial cream will loosen the bond when gently massaged on the eyelid.

What makes SkinStitch® harden when applied to the skin?
All skin adhesives in the cyanoacrylate family harden on contact with moisture. In the plastic applicator the compound is in a monomeric form, when it comes into contact with anions, especially hydroxyl ions (iri the presence of water) it polymerizes.

Is SkinStitch® the same as Crazy Glue or Super Glue?
No, Crazy Glue or Super Glue are ethyl, or methyl cyanoacrylates. These are more toxic, are not sterile product approved for medical use and will burn when applied.

What is the most common physician error when applying skin adhesive?
There are two errors that are seen over and over again. 1) The adhesive is placed in the wound, instead of beside it. 2) The adhesive is applied too thickly which may cause a slight burning sensation and weakens the bond.

Does SkinStitch® have to be refrigerated?
No, room temperature is fine. However, customers in the southern USA or other extremely warm climates should remember that interior temperatures may rise to levels that can reduce the shelf life of the product. If available, the shelf life is always increased by refrigeration