Efficacy of 2-Octylcyanoacrylate Glue in Minimal Invasive Spine Surgery

Hyun-Jeong Yang; Sang-A Choi; Hee-Ju Lee; Eun-Ah Song; Sae-Moon Oh; Se-Hyuck Park; Byung-Moon Cho; Moon-Kyu Kim

doi:10.13004/jknts.2009.5.2.57

Journal List > J Korean Neurotraumatol Soc > v.5(2) > 1084050

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Yang, Choi, Lee, Song, Oh, Park, Cho, and Kim: Efficacy of 2-Octylcyanoacrylate Glue in Minimal Invasive Spine Surgery

Clinical Article

Journal of Korean Neurotraumatology Society 2009; 5(2): 57-61.

Published online: 31 December 2009

DOI: https://doi.org/10.13004/jknts.2009.5.2.57

Efficacy of 2-Octylcyanoacrylate Glue in Minimal Invasive Spine Surgery

Hyun-Jeong Yang, RN, Sang-A Choi, RN, Hee-Ju Lee, RN, Eun-Ah Song, RN, Sae-Moon Oh, MD, PhD, Se-Hyuck Park, MD, PhD, Byung-Moon Cho, MD, PhD, Moon-Kyu Kim, MD

Department of Neurosurgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.

Address for correspondence: Moon-Kyu Kim, MD. Department of Neurosurgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, 150 Seongnae-gil, Gangdong-gu, Seoul 134-701, Korea. Tel: +82-2-2224-2236, Fax: +82-2-473-7387, moonkyu71@hallym.or.kr

Received 1 June 2009 Revised 13 July 2009 Accepted 18 September 2009

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.

Keywords: 2-Octylcyanoacrylate, Tissue adhesive glue, Dermabond®

Figures and Tables

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

CSF: cerebrospinal fluid

TABLE 2

Patient profile

TABLE 3

Composition of operations

TABLE 4

Surgical complications

^*Lumbar microdiscectomy (1 case), lumbar laminectomy (1 case) One case of those was resutured. ^**Erythematous itch in the covered site

TABLE 5

The survey about patients' satisfaction

ADL: activities in daily living

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