There are different acrylate tissue adhesives which differ
in polymerization and firmness. EPIGLU® is
an ethyl-2-cyanoacrylate. This acrylate polymerizes very quickly
and closes even wound edges which are under tension.
Are tissue adhesives more expensive than a traditional wound treatment with sutures?
The common opinion that tissue adhesives are always more
expensive than sutures is not valid for EPIGLU Ò .
This ethyl-2-cyanoacrylate tissue adhesive is available in
3g tubes which are re-usable. Because of each 3g tube is sufficient
for at least 20 wound treatments the cost per treatment is
lower than for traditional wound treatment with sutures. It
also should be considered that no anesthetic is necessary and
there is no need for a second appointment to remove the stitches.
Is there an infection
risk because EPIGLU® is re-usable?
No, because the application of EPIGLU® is
done with disposable pipettes. Besides of this, the well known
Institute Fresenius has testified that " EPIGLU® provides
no culture medium for germs and even has an inhibitive effect
on existing germs".
Yes, because tissue adhesives are only designed to close the
tissue surface. If because of the situation subcutaneous sutures
are necessary, they have to be done.
Irrespective of the length, all cuts, lacerations and surgical
incisions can be closed with EPIGLU® if
they do not bleed any more, are not infected and not older
than 6 hours. EPIGLU® is
particularly suitable for the treatment of wounds after removal
of skin lesions or excisions (basaliomas, nevi, senile freckles,
keratosis, xanthelasmas, warts, and many others more). EPIGLU® can
also be applied onto the oral mucosa. Avoid the treatment of
big skin abrasions with tissue adhesives!
Because all tissue adhesives peel off easier from the healthy
skin which surrounds the wound, it is safer to apply 2 to 3
thin layers, each overlapping the other, after the primary
wound treatment.
The first layer which was directly applied onto the wound
hardens in approx. 10 seconds. The wound edges are now fixated
already safely. Other layers harden in 2 - 3 minutes - depending
on the thickness. After the primary wound treatment through
a doctor, the other layers can be applied by the medical staff.
Wounds closed with ethyl-2-cyanoacrylate tissue adhesive are
protected from further infection. Also the wound edges are
closely laying side by side for the whole length of the wound
and therefore the healing process is accelerated. Ugly scars
are avoided and according to our experience keloids develop
rarely. In a study 33% of the patients have rated the scar
formation better after adhesion than with sutures.
Why does the patient
feels better after a wound treatment with EPIGLU®?
The patients are much more painless because there are no stitch
channels and no tensile strength pain. 28% of the patients
have judged that they had less pain than after sutures.
To
what should the patient pay attention after he was treated
with EPIGLU®?
The patient can immediately resume the daily personal hygiene
(washing/showering) and is able to work or play again. Never
the less we recommend for children or nervous patients to put
a band-aid over the treated wound, to avoid that the patient
peels off the adhesive layers.
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