n-Butyl-2-cyanoacrylate tissue adhesive (Histoacryl) vs. subcuticular sutures for skin closure of Pfannenstiel incisions following cesarean delivery

Autor: In Yang Park, Ji Young Kwon, Hang Goo Yun
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Physiology
Surgical Wound
lcsh:Medicine
Scars
Body Mass Index
0302 clinical medicine
Suture (anatomy)
Antibiotics
Butyl-2-cyanoacrylate tissue adhesive
Medicine and Health Sciences
Medicine
Cesarean delivery
lcsh:Science
Laparoscopy
030219 obstetrics & reproductive medicine
Multidisciplinary
Skin incision
medicine.diagnostic_test
Antimicrobials
Drugs
Enbucrilate
Physiological Parameters
Obstetric Procedures
Physical Sciences
Female
medicine.symptom
Anatomy
Research Article
Adult
medicine.medical_specialty
Skin Tissue
Materials Science
Surgical and Invasive Medical Procedures
Dermatology
Microbiology
03 medical and health sciences
030225 pediatrics
Adhesives
Microbial Control
Republic of Korea
Humans
Closure (psychology)
Materials by Attribute
Retrospective Studies
Pharmacology
Sutures
business.industry
Cesarean Section
lcsh:R
Body Weight
Biology and Life Sciences
Retrospective cohort study
Surgery
Biological Tissue
lcsh:Q
business
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 9, p e0202074 (2018)
ISSN: 1932-6203
Popis: Background Tissue adhesives are now routinely used for skin closure in various surgeries. This study aimed to evaluate the safety and efficacy of n-butyl-2-cyanoacrylate (NBCA) tissue adhesive in cesarean delivery by comparing it with the safety and efficacy of subcuticular suture closure. Methods and findings A retrospective chart review was undertaken of all patients who underwent cesarean delivery via Pfannenstiel skin incision. During the study period, a total of 209 patients had NBCA (Histoacryl®) closure and 208 patients had suture closure. Wound complications and Vancouver scar scale (VSS) scores were compared between the 2 groups. Results There were no significant differences between the two groups in indications for cesarean deliveries or number of previous cesarean deliveries. Incidences of wound disruption and infection were also similar between the two closure groups (p = 0.322 and 0.997, respectively). The rate of wound complications was 3.4% in the NBCA group and 5.3% in the suture group. All complications healed uneventfully with topical antibiotics or closure strips. VSS scores at 6-8 weeks after operation were not significantly different between the two groups (p = 0.858). These results were corroborated by propensity score-matching analysis. Conclusions NBCA may be a useful skin closure of Pfannenstiel skin incisions after cesarean delivery.
Databáze: OpenAIRE
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