AccessDermatologyDxRx Channel

Dermatology Question of the Week: Surgical Skills

This week's question will focus on surgical dermatology.
Go to the profile of Mikael Horissian
Mikael Horissian
Dermatologist, Geisinger Medical Center
Dermatology Question of the Week: Surgical Skills
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A patient has a wound closed with Dermabond however the solution is accidentally applied on an area of skin that did not need closure. What is the best method of removing the bonding agent?

A. Isopropyl alcohol

B. Gauze 

C. Warm water

D. Acetone

 

 Rationale: Dermabond is a sterile liquid adhesive containing 2-octyl cyanoacrylate and can be used for the closure of small wounds or as a superficial closure technique. The adhesive will set quickly, within minutes, therefore caution should be utilized to avoid accidental application to skin, gloves, or equipment. 

 

Correct answer: Acetone is the treatment of choice for removal of Dermabond adhesive.

Incorrect answers:

Isopropyl alcohol, warm, water and gauze are not recommended for the removal of Dermabond adhesive.  

Additional reading at Procedural Dermatology Chapter 16: Suture Closure Materials and Techniques and https://www.accessdata.fda.gov/cdrh_docs/pdf/P960052b.pdf

Go to the profile of Mikael Horissian
Mikael Horissian
Dermatologist, Geisinger Medical Center

I am a general dermatologist practicing at an academic medical center in Danville, PA. I see both adult and pediatric patients and also perform various surgical procedures. I have a special interest in Hidradenitis Suppurativa (HS) and am the founder of our HS specialty clinic where we treat patients medically and surgically (deroofing, excision, staged CO2 excision with marsupialization, Nd:YAG). I am actively involved in resident education and am passionate about medical education. Additional interests include autoimmune bullous disorders, dermatomyositis, and procedural dermatology. 

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