Tissue tolerance to cyanoacrylate adhesives for closure of surgical wounds in Trachemys scripta skin.

ABSTRACT

BACKGROUND: The aim of this study was to evaluate the histological tolerance of medical cyanoacrylate adhesives (CAs), butyl-CA and octyl-CA, applied by two different methods in surgical skin incisions of T. scripta. METHODS: A two-trial controlled blind study each one including 12 female adult T. scripta turtles. Two 1-cm long full-thickness surgical skin incisions were made on the dorsal aspect of each hind limb. In trial 1 CAs were applied superficially over the apposed wound edges; each animal's four wounds were closed using butyl-CA, octyl-CA and ethyl-CA or absorbable suture as controls. In trial 2 adhesives were applied holding wound edges everted, and octyl-CA was replaced by a non-sutured control wound. At each time point (2, 7, 14 and 21 days) all wounds from three randomly chosen animals were biopsied. RESULTS: Medical grade CAs did not induce any sign of tissue damage and/or inflammatory reaction attributable to histotoxicity independently of the method of application. Wound dehiscence rate was higher when CAs were applied superficially over the apposed wound edges. CONCLUSIONS: Octyl and butyl-CA are well tolerated by turtles' soft skin but because of their high rate of dehiscence they are not recommended in high tension wounds; use in low tension wounds needs further investigation.