{"id":69,"date":"2018-10-05T09:14:50","date_gmt":"2018-10-05T16:14:50","guid":{"rendered":"http:\/\/kk.org\/cooltools\/superglue-stitc\/"},"modified":"2018-10-05T09:22:05","modified_gmt":"2018-10-05T16:22:05","slug":"superglue-stitc","status":"publish","type":"post","link":"https:\/\/tkdev.kk.org\/cooltools\/superglue-stitc\/","title":{"rendered":"Superglue Stitches"},"content":{"rendered":"<p>For years midwives have been using over-the-counter superglue to &#8220;suture&#8221; perineal tears after birth. It&#8217;s better than stitches. Veteran backpackers have been known to pack a tiny tube of super glue for emergency repairs of deep cuts in places where there is no doctor. <\/p>\n<p>Superglue is ethyl-cyanoacrylate. While fine for small cuts, it has several weaknesses when used as a substitute for heavy-duty suturing. An improved version, butyl-cyanoacrylate was developed for heavier surgical repairs, and this stuff was used widely in the Vietnam War to patch up soldiers in the field. Butyl-cyanoacrylate is a little more flexible on a wound than commercial superglue, generates fewer toxic byproducts, and is now commonly used by vets to repair animal wounds. You can buy the stuff as 3M <a href=\"http:\/\/www.amazon.com\/gp\/product\/B004C12Q46\/cooltools-20\">Vetbond<\/a> ($22). This is also what midwives have started using. <\/p>\n<p>In 2000, the FDA approved a new version of tissue adhesive for human use, sold as Dermabond. This new composition, octyl-cyanoacrylate, is a longer chain, still more flexible, and possess the yet-unexplained ability to inhibit bacterial growth &#8212; a godsend in surgery. It&#8217;s strong enough that it will likely replace a lot of suturing altogether someday. Small quantities of octyl-cyanoacrylate are sold to non-medicals for &#8220;research purposes&#8221; &#8212; it&#8217;s the genuine stuff, only in dispensers that aren&#8217;t sterilized, and therefore not approved for human use (only animal use). <\/p>\n<p>To use any cyanoacrylate on a wound, keep it on the surface layer of skin, not down in the well of the wound &#8211; imagine you are taping the top of the wound together. The glue sloughs off by itself in time. <\/p>\n<p>Despite all the improvements of cyanoacrylate, small amounts of hardware store superglue will work in a pinch. I know a physician who uses ordinary superglue at home on his kid&#8217;s cuts. A vial of Vetbond would be even better. It&#8217;s dyed blue so you can easily see where it is on the skin and where it is not, and it is made for cuts.<\/p>\n<div class='ctx-module-container ctx_default_placement ctx-clearfix'><\/div><span class=\"ctx-article-root\"><!-- --><\/span>","protected":false},"excerpt":{"rendered":"<p>Handy home and emergency alternative to sutures<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false},"categories":[18],"tags":[1350],"acf":[],"_links":{"self":[{"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/posts\/69"}],"collection":[{"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/comments?post=69"}],"version-history":[{"count":7,"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/posts\/69\/revisions"}],"predecessor-version":[{"id":32240,"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/posts\/69\/revisions\/32240"}],"wp:attachment":[{"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/media?parent=69"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/categories?post=69"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tkdev.kk.org\/cooltools\/wp-json\/wp\/v2\/tags?post=69"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}