Cutaneous Coating with Cyanocrilate for Heart Surgery Patients: A Systematic Literature Review

Objective: To compare the effectiveness of conventional cyanoacrylate-based dressings / sutures to reduce mediastinitis in patients undergoing cardiothoracic surgery. Method: Systematic review based on Cochrane Handbook recommendations and PRISMA guide. Randomized controlled trials were sought, without language limitations and year of publication, were searched in the indexed or non-indexed databases, gray literature, Congressional ANAIS, specific bases of the studied subject and references of the references. Results: Were included four studies with 2092 participants, aged 45 to 81 years old, who used cyanoacrylate in sternotomies to reduce postoperative mediastinitis after cardiothoracic surgery. Conclusions: The use of cyanoacrylate-based sealants does not significantly influence the incidence of surgical site infection in general groups. However, the use of cyanoacrylate decreased the incidence of surgical site infection in obese, elderly patients with chronic diseases such as systemic arterial hypertension, diabetes mellitus and vascular diseases.