Use of N-butyl-2-cyanoacrylate in elective surgical incisions—longterm outcomes

Background: Histoacryl Blue (N-Butyl-2-cyanoacrylate) is a tissue adhesive that has been used clinically for more than 20 years. In the last decade, N-Butyl-2-cyanoacrylate has been used for cutaneous closure of low-tension lacerations in children and adults and has become a preferred method for closure of pediatric facial lacerations in many emergency rooms outside the United States. Many pediatric elective surgical procedures are performed in tension-free areas and may be suitable for closure with a tissue adhesive. In order to assess this approach, a retrospective study was conducted to evaluate the cosmetic outcomes and complications of the application of N-Butyl-2-cyanoacrylate for the approximation of elective surgical incisions in a pediatric population.