Comparison of tissue adhesive and suturing in the repair of lacerations in the emergency department

Karcioğlu Ö., Göktaş N., COŞKUN F. M., Karaduman S., MENDERES A.

European Journal of Emergency Medicine, vol.9, no.2, pp.155-158, 2002 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 9 Issue: 2
  • Publication Date: 2002
  • Doi Number: 10.1097/00063110-200206000-00010
  • Journal Name: European Journal of Emergency Medicine
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.155-158
  • Keywords: Cosmetic outcome, Emergency department, Histoacryl blue, Laceration repair, Suture, Tissue adhesive
  • Dokuz Eylül University Affiliated: Yes


The objective of this study was to compare the applications of Histoacryl Blue (HAB) and suturing regarding cosmetic outcome, cost and patient and physician satisfaction in the emergency department (ED). A total of 92 consecutive adult patients with lacerations equal to or shorter than 5 cm were enrolled in the study. Patients were randomized to either HAB or suturing. Ten-day and three-month cosmetic outcomes were evaluated via visual analogue scale (VAS) by a blinded surgeon. Cosmetic outcome, cost and patient and physician satisfaction of both groups were compared. Only 52 patients completed the follow-up at three months. Twenty-eight had been repaired with sutures and 24 with HAB. The differences regarding ten-day and three-month cosmetic outcome scales between the patients repaired with HAB and sutures were not statistically significant. Application of HAB resulted in greater satisfaction of the patient and the physician (p =0.007 and p =0.0001, respectively). Costs of HAB were significantly lower than sutures (p =0.0001). It is concluded that HAB is a cheaper method of laceration repair and results in greater satisfaction of both patients and physicians, while cosmetic outcomes were comparable. These results suggest that HAB is a viable alternative to suturing for selected lacerations in the ED. © 2002 Lippincott Williams & Wilkins, Inc.