The use of tissue adhesion for traumatic laceration repair in the emergency department.

Abstract

To characterize the role of tissue adhesion as an adjunct in wound closure. Patients were subjectively selected for tissue adhesion and assessed for efficiency, pain, complications, and cost effectiveness. The TEREM Immediate Medical Care Center Emergency Department in Jerusalem, Israel. Patients with traumatic lacerations requiring wound closure. 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. Our report indicates that tissue bonding may be a preferred and cost-effective method of repair of appropriate traumatic lacerations in the ED.