Park YH, et al. - Researchers performed a comparison of postoperative complication rate, operation time, clinical outcome and patient satisfaction with the wound among two topical skin adhesives (2-octyl cyanoacrylate and n-butyl cyanoacrylate) and conventional nylon skin sutures in Achilles tendon repair surgery. The records 122 consecutive patients (40 patient in nylon skin suture, 43 patients in 2-octyl cyanoacrylate and 39 patients in n-butyl cyanoacrylate) who underwent surgical repair for acute Achilles tendon rupture between 2012 and 2016 were retrospectively reviewed. Findings suggest equivalent efficacy and safety profile but higher patient satisfaction with 2-octyl cyanoacrylate and n-butyl cyanoacrylate topical skin adhesives for skin closure following repair of Achilles tendon rupture vs conventional nylon skin suture. In patients who regard cosmetic outcomes as important, these topical skin adhesives are viable alternatives for wound closure despite the higher cost.