Skin Glue for Deep Wounds: Why Suturing Comes First

Skin glue is useful, but only in the right wound. Deep wounds should be sutured first before applying skin glue.

In this Short, Dr. M. Ram Prabhu explains why improper use of skin glue on deep wounds can cause infection, weak closure, and poor cosmetic results.

When skin glue is appropriate

Skin glue is meant for small, superficial wounds where the deeper layers are already well aligned and there is minimal tension.

Why deep wounds need suturing

Deep cuts need proper layered closure. Suturing restores strength, reduces dead space, supports healing, and helps align the wound edges.

Skin glue may be used after suturing as an additional protective layer, but it should not replace deep closure when deeper tissue is involved.

Risks of using glue incorrectly

Improper use of skin glue on deep wounds can lead to:

• Infection.
• Wound opening.
• Poor alignment.
• Wider or more visible scars.
• Delayed healing.

Key takeaway

Skin glue is not a shortcut for every cut. Deep wounds need proper assessment and suturing before cosmetic sealing is considered.