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SurgiSeal® FAQ

  
Q:
What Is SurgiSeal?

A:

SurgiSeal is a topical cyanoacrylate skin adhesive that provides the optimal balance between strength and flexibility for closing lacerations, wounds, and surgical incisions.

Q:
Can SurgiSeal be used for all kinds of lacerations and incisions?

A:

SurgiSeal is designed as a topical application for surgical incisions and wounds with approximated edges. It is especially suited for use on lacerations of the torso, limbs, and face. SurgiSeal also can be used in conjunction with subcuticular and/or subcutaneous sutures when these are clinically indicated, as well as with punctures. In Emergency Room situations, the use of SurgiSeal will depend on the type of laceration presented, but it is estimated that upwards of one third of wounds presented in Emergency Room settings could be treated using SurgiSeal. In all cases, the wound edges should have minimal tension and be easily approximated.

Q:
Does SurgiSeal require special training before using?

A:

Although SurgiSeal is very easy to apply, Adhezion strongly urges doctors and other wound care specialists to complete training in the appropriate application of the adhesive before using it in a clinical setting.

Q:
Do wounds require special cleaning or other preparation before being closed with SurgiSeal?

A:

Wounds should be prepared employing the same techniques, including cleaning and debriding, used for wound closure with sutures or other wound closure modalities.

Q:
Is SurgiSeal applied to the skin adjoining the wound?

A:

Adhezion recommends applying the adhesive so that it covers an area at least one-half centimeter on each side of the incision or laceration.

Q:
Will the use of a topical anesthetic at the wound site impact the efficacy of SurgiSeal?

A:

No, using a topical anesthetic at the wound site will have no impact on SurgiSeal’s efficacy.

Q:
Is SurgiSeal’s effectiveness limited to certain areas of the body?

A:

SurgiSeal is effective on lacerations and incisions in areas with low tension and whose edges can be easily approximated: for example, the torso, limbs, and face. Wounds on knees, elbows, and finger joints—although these are areas with increased tension on the wound edges—can be treated with SurgiSeal if the joint is first immobilized.

Q:
Is SurgiSeal appropriate for closing stellate wounds?

A:

In some cases, SurgiSeal can be used effectively on a stellate wound. For example, the edges of the wound should be easily approximated and sections of the wound should be closed. Sutures may be required in conjunction with SurgiSeal to effect an optimal closure of a stellate wound.

Q:
If subsequent treatment of the wound becomes necessary, can SurgiSeal be removed?

A:

Once the wound has been anaesthetized, SurgiSeal can be loosened by applying petroleum jelly or acetone around the edges of the adhesive film and then removed.

Q:
Do wounds closed with SurgiSeal differ cosmetically from those closed with sutures?

A:

Clinical studies have demonstrated that wounds closed with SurgiSeal are similar cosmetically to those closed with traditional wound closure modalities.

Q:
In the event of an accidental misapplication of SurgiSeal on the skin, can it be safely removed?

A:

Yes, within approximately 10 seconds following application, SurgiSeal can be safely removed using gauze.

Q:
What procedure should be followed if SurgiSeal is accidentally introduced into a wound?

A:

To avoid introducing SurgiSeal into a wound, maintain the appropriate eversion of the wound edges and precise wound approximation during application of the adhesive. Patient will naturally extrude small amounts of SurgiSeal that seep into a wound. If a larger amount of SurgiSeal is introduced into a wound, the wound should be debrided immediately following standard wound-cleaning procedures.

Q:
On a comparable wound, is SurgiSeal as effective as sutures and other traditional wound closures?

A:

Yes. For topical closure of wounds, SurgiSeal can effectively replace sutures, skin staples, and skin strips.

Q:
Do patients show a preference between sutures and SurgiSeal?

A:

Patients in clinical trials, when given a choice between sutures and a skin adhesive, show a preference for a skin adhesive. When treated with a skin adhesive, patients express a high level of satisfaction.

Q:
How much SurgiSeal is required to close a wound?

A:

Each application of SurgiSeal contains enough adhesive to close an incision or laceration approximately 8-10 centimeters long. To estimate the amount of SurgiSeal to keep in inventory in an Emergency Room setting, multiply the total number of lacerations presented by one-third, which is the percentage typically treatable using SurgiSeal.

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