Cyanoacrylate vs. sutures in clean and clean-contaminated surgical wounds - a randomised control study.

Autor:	Aravind K; Department of Surgical Gastroenterology Surgery, KIMS, Hubballi, Karnataka, India., Sunil CG; Department of General Surgery, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India., Chandrasekar S; Department of Plastic Surgery, AIIMS, New Delhi, India., Shidlingappa SS; Department of Plastic Surgery, KIMS, Hubballi, Karnataka, India., Kamat V; Department of General Surgery, KIMS, Hubballi, Karnataka, India., Kulkarni M; Department of Surgical Gastroenterology Surgery, KIMS, Hubballi, Karnataka, India., Balachandra SP; Department of General Surgery, KIMS, Hubballi, Karnataka, India., Chandran A; Department of Plastic Surgery, Marsleeva Medicity Palai, Kottayam, India., Vaidyanathan R; Trauma Surgery and Critical Care, JPNATC AIIMS, New Delhi, India.
Jazyk:	angličtina
Zdroj:	Innovative surgical sciences [Innov Surg Sci] 2024 Mar 07; Vol. 9 (1), pp. 47-54. Date of Electronic Publication: 2024 Mar 07 (Print Publication: 2024).
DOI:	10.1515/iss-2023-0060
Abstrakt:	Objectives: Various techniques of closure of surgical incisions have been described ranging from various suture materials, staples and tapes to adhesive compounds. Cyanoacrylate is an adhesive compound available for surgical incision closure. Although sutures have been the preferred universal choice for surgical incision closure, glue is gaining popularity in specific places like pediatric injuries, facial injuries, laparoscopic incision closure, etc. This study aimed to compare the results between the application of cyanoacrylate and conventional suturing. Methods: In this randomized control study, patients were divided into two groups of 100 each. The surgical incisions were closed using cyanoacrylate glue in Group A patients and polyamide (EthilonTM 2-0) in Group B patients. Post-operative pain was assessed using Visual Analogue Scale on the first, third, and seventh day. The wounds were evaluated for complications on post-op days 1, 3, 7, and 30 using the ASEPSIS score. Cosmetic outcome was assessed at the end of first month using the Modified Hollander Cosmesis Scale. Results: Post-operative pain was significantly less in the glue group on days 1, 3, and 7. Wound infection with dehiscence occurred in 4 cases (4 %) in Group A and one patient (1 %) in Group B, which was statistically insignificant. There was no significant difference in cosmetic outcomes in either Group. Conclusions: Cyanoacrylate is a good alternative to sutures in skin closure of clean and clean-contaminated surgical wounds. Competing Interests: Competing interests: The authors states no conflict of interest. (© 2024 the author(s), published by De Gruyter, Berlin/Boston.)
Databáze:	MEDLINE
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