• Ulus Travma Acil Cer · May 2013

    2-octyl-cyanoacrylate glue for fixation of STSG in genitourinary tissue defects due to Fournier gangrene: a preliminary trial.

    • Nazan Sivrioğlu, Saime Irkören, Ender Ceylan, Ali Murat Sonel, and Eray Copçu.
    • Department of Plastic Surgery, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
    • Ulus Travma Acil Cer. 2013 May 1;19(3):215-8.

    BackgroundIn these reported cases, we observed the outcomes of skin take and wound healing using 2-octyl-cyanoacrylate glue, which was used as tissue glue in the reconstruction of complex genital skin loss due to fournier gangrene.MethodsFifteen patients with Fournier's gangrene were treated in this study. After initial surgical debridement, all defects were repaired using STSG. In this method a thin layer of 2-octyl-cyanoacrylate was dripped on the recipient site immediately before graft application. All wounds were followed up postoperatively and observed for evidence of graft take, seroma or hematoma formation, drainage, and infection. Patient and physician satisfaction were also determined.ResultsGrafts were completely accepted in all fifteen patients. None of the patients had wound infection, seroma, hematoma, or other complications.ConclusionUse of 2-octyl-cyanoacrylate glue (Glueseal) for STSG fixation in complex genital skin defects after Fournier gangrene may be an acceptable alternative to conventional surgical closure with a good cosmetic outcome. Further studies are needed to confirm our initial success with this approach.

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