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foreign is a non-invasive alternative to skin sutures and Staples dermabond prineo skin closure system consists of two components a liquid adhesive applicator and a mesh patch B.A Jana Fleener explains proper closure technique with the application of dermabond prineo on the past as far as once the wound was closed we were looking at different types of dressing something that could be occlusive to allow the patient to shower or an occlusive dressing that would help prevent bacteria from forming in or around the incision itself and so when we began hearing about durable and perennial this really did address all of those things is a mesh material that helps spread the forces across an area of the skin so it decreases the tension at the actual incision site and it also was a microbial barrier for us foreign we put the knee in deep flexion and we apply the dermabond perennial so we first apply the mesh and then once that has been applied then we also coat that then w