A simple, inexpensive method for precise application of cyanoacrylate tissue adhesive.

Abstract

The use of cyanoacrylate tissue adhesives is well described in the literature for closure of skin wounds. The main problem with their application in my hands is that the glue tends to flow/run away from the point of application, making precise application difficult even when the supplied plastic tube is used. This problem is inherent to the low viscosity of the adhesive. I hereby describe a simple, inexpensive technique whereby a "blue" needle is fitted to the tip of the Histoacryl tube and used to apply the adhesive in a precise, fine, and predictable manner to the specific area or point required, reducing any "running" of the glue to undesired adjacent areas. A fast, simple, and elegant way of insetting a skin graft using cyanoacrylate glue is also described.