INTRODUCTION

What is the best type of closure or the best technique for closing wounds? The answer is straightforward: the one that meets the need of the hour. Historically man has utilized his intelligence and the materials that were known to him to close and protect wounds.

Although sutures are considered the “gold standard” for wound closure, they sometimes produce a less favorable result than staples, tapes, and adhesives.

A tissue adhesive is defined as substance used to cause adherence of one tissue to another tissue or a biological tissue to non-tissue surfaces such as prosthesis

The first cyanoacrylates that were widely used were butyl cyanoacrylates. However because of their relatively low strength and brittle nature, their use was limited to simple short, low tension lacerations and surgical incisions.

With the development of octyl-cyanoacrylate, which is a stronger and more flexible alternative the use of TSA’s greatly expanded.

They are non invasive and do not cause pain on application, the TSA may be used without any anesthesia: and sloughs of within 5-10 days.