Mar-Med’s Tourni-Cot and Uni-Cot facilitate the use of tissue adhesive products in digit wound repairs.
Clinicians have long sought an efficient method of wound repair that requires little time and minimizes discomfort for their patients, yet produces a good cosmetic outcome. Tissue adhesives provide these benefits, while eliminating the need for suture removal – saving time and cost. Patients readily accept the idea of being “glued” over traditional methods of repair. Tissue adhesives can reduce distress during treatment especially in pediatric patients. Children are even considered to be more cooperative during treatment with tissue adhesive, providing greater opportunity to visualize and inspect the wound.
Digital tourniquets, like Mar-Med’s Tourni-Cot and Uni-Cot provide the conditions necessary to benefit from tissue adhesives. Application of the device forces blood and fluid out of the digit causing effective exsanguination. Once at the base of the digit, the Tourni-Cot and Uni-Cot constrict the vessels to prevent further blood flow for nearly immediate hemostasis. Improvised methods like wrapping a penrose drain around the base of the digit do not provide effective exsanguination. Epinepherine also may constrict vessels, but not provide a bloodless or dry field.
Literature referenced below demonstrates significant support for tissue adhesives. While best suited for small, superficial lacerations, tissues adhesives can also be used on high tension wounds when aided by splints or other closure tools. A novel method (See article below) using tissue adhesives in nail bed repair has also been shown to be signfficantly faster and more efficient than sutures. Mar-Med encourages all clinicians to seek these benefits in wound closure through the use of specialty digit tourniquets like the Tourni-Cot and Uni-Cot.
- A Prospective, Randomized, Controlled Trial of 2-Octylcyanoacrylate Versus Suture Repair for Nail Bed Injuries; Eric J. Strauss, MD, et al.
- Suturing versus conservative management of lacerations of the hand: randomised controlled trial; James Quinn, Steven Cummings, Michael Callaham, Karen Sellers
- Octylcyanoacrylate Tissue Adhesive in the Repair of Pediatric Extremity Lacerations; Amulya K. Saxena, M.D., Gunther H Willital, M.D.