Table 1

Factors dictating advantage or disadvantage of tissue adhesive over sutures, in management of children's lacerations

AdvantagesDisadvantages
Virtually painlessPoor result if applied into wound
No needlestick risk if used as directedHeat discomfort may occur on application
Low costMust avoid contact with eyes
Dressing sloughs off; no need for removalNot proven on areas of tension
Acts as a waterproof dressingNot for use on mucous membranes
No conscious sedation or anaesthetic required if only simple wound toiletMay lead to inadequate wound toilet as sedation or anaesthetic often not used
RapidMay bond, literally, with child