Discharge Instructions for Wounds Closed with Skin Glue (Cyanoacrylate)
Patients with wounds closed with skin glue should keep the wound dry for the first 24-48 hours, then can gently cleanse with soap and water, avoid applying topical products, and leave the glue in place until it naturally falls off in 5-10 days.
Immediate Post-Procedure Care
- Keep the wound completely dry for the first 24-48 hours 1
- The skin glue forms a waterproof barrier that protects the wound from contamination 1
- No dressing is required as the glue itself acts as a protective barrier 2
- Avoid touching or picking at the glue as this may cause premature separation 1
Wound Care After 48 Hours
- After 48 hours, the wound site can be gently cleansed with mild soap and clean water 1
- Pat the area dry gently - do not rub vigorously 1
- Showering is permitted after 48 hours, but avoid soaking or scrubbing the wound 1
- Swimming and bathing should be avoided until the glue has naturally fallen off (typically in 5-10 days) 1
Important Restrictions
- Do not apply any ointments, creams, lotions, or other topical products to the glued area as these can dissolve the adhesive 1
- Avoid activities that could cause excessive sweating or friction to the wound area for at least 5-7 days
- Do not scratch, pick, or attempt to remove the glue - it will naturally slough off in 5-10 days 2
- Avoid exposing the wound to direct sunlight for prolonged periods during healing
When to Seek Medical Attention
Return to the emergency department or contact your healthcare provider if:
- The wound edges separate or reopen
- Signs of infection develop, including:
- Increasing redness, warmth, or swelling around the wound
- Increasing pain or tenderness
- Pus or unusual drainage from the wound
- Fever (temperature > 37.5°C) 1
- The glue falls off within the first 48 hours
Advantages of Skin Glue
Skin glue offers several advantages over traditional wound closure methods:
- No need for suture removal appointments
- Waterproof barrier that protects against contamination 3
- Reduced risk of wound dehiscence compared to traditional dressings 4
- Quicker application and less discomfort than sutures 2
Special Considerations
- For wounds on joints or areas with significant movement, minimize stretching or flexing of the area for the first 7-10 days
- Children should be supervised to prevent picking at the glue
- The glue will naturally fall off in 5-10 days as the skin underneath heals 2
Remember that proper wound care significantly reduces the risk of surgical site infections and promotes optimal healing.