Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Int Wound J. 2023 Jan;20(1):79-84. doi: 10.1111/iwj.13840. Epub 2022 May 11.
Cyanoacrylate (CA) tissue glue is frequently used in various surgical procedures, and it is simple to use and may save time during procedures. We report the use, effectiveness, and postoperative outcomes of patients who have undergone skin graft surgeries in which CA glue was used to stabilise the graft. A retrospective study of patients who underwent skin graft surgeries where CA was used to stabilise the grafts between January 2018 and August 2021 at different medical institutes in Riyadh, Saudi Arabia. The analysis was performed using the Statistical Package for Social Science, version 23.0 (IBM, Armonk, New York). A total of 36 cases were included. Five patients (13.9%) had diabetes. All cases received antibiotics preoperatively. Two types of harvested skin grafts were used: (a) a non-meshed split-thickness skin graft (n = 24, 66.7%), and (b) a meshed split-thickness skin graft (n = 12, 33.3%). The graft uptake outcome was 100% for 32 patients (88.9%). The most common underlying indication of skin grafting was burn 17 (47.2%), in which 5 (13.9%) developed partial graft loss. The percentage of skin grafts taken using CA was high and comparable to other fixation methods. Further studies may be needed to assess the long-term outcomes and cost-effectiveness.
氰基丙烯酸酯(CA)组织胶在各种外科手术中经常使用,使用方便,可能会节省手术时间。我们报告了在沙特阿拉伯利雅得的不同医疗机构中,使用 CA 胶稳定移植物的患者在接受皮肤移植手术后的使用情况、效果和术后结果。这是一项回顾性研究,纳入了 2018 年 1 月至 2021 年 8 月期间使用 CA 胶稳定移植物的患者。分析使用的是社会科学统计软件包,版本 23.0(IBM,纽约州阿蒙克)。共纳入 36 例患者。5 例患者(13.9%)患有糖尿病。所有病例均在术前接受抗生素治疗。使用了两种类型的采集皮肤移植物:(a)非网眼状的刃厚皮片移植(n=24,66.7%),和(b)网眼状的刃厚皮片移植(n=12,33.3%)。32 例患者(88.9%)的移植物吸收率为 100%。皮肤移植的最常见潜在适应证是烧伤 17 例(47.2%),其中 5 例(13.9%)出现部分移植物丢失。使用 CA 胶的皮肤移植物吸收率较高,与其他固定方法相当。可能需要进一步研究来评估长期结果和成本效益。