Dermabond was approved by the FDA in 1998 and is currently one of the options for closing c-section incisions. Women are currently being recruited for trails to compare results between women who’s c-section incision was stapled with those closed using Dermabond. Another trail will compare c-section closures using staples and sutures (stitches).
Essentially Dermabond is a medical grade version of superglue. It dries very fast (10 seconds) and forms a strong waterproof bond.
As the morbidity associated with cesarean delivery, usually results from wound complications, especially infection, and with c-sections accounting for one in every three births in the US, knowing which method of incision closure is most effective is paramount.
Anecdotal evidence indicates that Dermabond works well when used to close c-section incisions. Many women report infection free recovery and small, even scar healing. Sadly in instances of emergency c-section, there is no prior consultation about the method used for closing the incision. When the c-section is elective, we recommend talking to your caregiver about the options available.
One of Dermabond’s advantages is that it seals the incision to both air and water. This allows for immediate bathing and importantly prevents infection-causing bacteria access to wound. At least it does as long as the seal remains intact. Care must still be taken after delivery in regard to physical activity, especially the first 2 weeks. This will itself alleviate potential for the glues seal breaking.
Another advantage over staples and non dissolving stitches, is there is nothing to remove later. The glue will simply break down and fall off by the time it’s job is completely done and the incision has healed. You will though be cleaning up bits of glue from your bed and clothes when this happens!
Another issue that can effect the integrity of the wounds sealing, is the potential for itching. In some cases there can be an allergic reaction to Dermabond, particularly if there is allergy to cyanoacetate and formaldehyde which are the main components of Dermabond. In any case a healing wound usually becomes itchy. If this results in picking or scratching, the glues seal can be broken and the wound itself re-opened.