DOI: http://dx.doi.org/10.18203/2349-2902.isj20181608

Comparative study between cyanoacrylate tissue adhesive versus skin sutures in closure of wound in 60 operated cases of open inguinal hernia

Jawansing T. Manza, Rushabh S. Maisuria, Devendra R. Chaudhari, Divyang N. Dave, Yatin B. Gajra, Daxesh P. Patel

Abstract


Background: Today there are numerous methods available for closure of wounds like tissue adhesives, staplers, adhesive tapes and obviously the age old conventional suturing, all of which have their own pros and cons. The aim was to study the complications and results of use of 2-octyl cyanoacrylate on wound healing and compare them without those of conventional suturing.

Methods: Study included 60 operated cases of open inguinal hernia. And comparison was made between cyanoacrylate tissue adhesive and conventional skin suturing in open inguinal hernia.

Results: 1 out of 30 (3.3%) from tissue adhesive group and 2 out of 30(6.7%) develop fever ( P value=1.000). 4 (13.3%) of tissue adhesive and 4 (13.3%)from suturing developed redness (P value=1.000). 4 (13.3%) tissue adhesive and 5 (16.7%) from suturing had discharge (P value=0.718). 2 (6.7%) and 1 (3.3%) developed wound dehiscence from tissue adhesive and suturing respectively (P value=0.554). 1 (3.3%) from tissue adhesive developed edge eversion (P value=0.313). 24 (80%) wounds are cosmetically good in which tissue adhesive was applied and 2(6.7%) in which suturing was done (P value=0.001) which is statistically significant.

Conclusions: Time required for the intraoperative application of cyanoacrylate glue is less than suturing of incision.

Incidence of wound infection was found to be less when wound closure done by cyanoacrylate glue in comparison to suturing. A single linear scar was obtained using cyanoacrylate glue which is cosmetically better than suture scar.  Incidence of wound dehiscence is more in cases of application of cyanoacrylate glue than suturing.


Keywords


2-octyl cyanoacrylate, Inguinal hernia, Skin closure

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References


Vercelli SG, Ferriero F, Sartorio V, Stissi F. How to assess postsurgical scars: a review of outcome measures. Disabil Rehabil. 2009;31(25):2055-63.

Singer AJ, Arora B, Dagum D, Valentine S, Hollander JE. Development and validation of a novel scar evaluation scale. Plastic Reconstrn Surg. 2007;120(7):1892.

Beam JW. Tissue adhesives for simple traumatic lacerations. J Athl Train. 2008;43(2):222-4.

Wu Z, Vakalopoulos ZA, Kroese LF, Boersema GSA, Kleinrensink GJ, Jeekel J et al. Reducing anastomotic leakage by reinforcement of colorectal anastomosis with cyanoacrylate glue. Eur Surg Res. 2013;50(3):255-61.

Bruns TB, Worthington JM. University of Tennessee College of Medicine, Chattanooga, Tennessee. Am Fam Physician. 2000 Mar 1;61(5):1383-8.

Shivamurthy DM, Singh S, Reddy S. Comparison of octyl-2-cyanoacrylate and conventional sutures in facial skin closure. Natl J Maxillofac Surg. 2010 Jan-Jun;1(1):15-9.

Bernard L, Doyle J, Friedlander SF, Eichenfield LF, Gibbs NF, Cunningham BB. A prospective comparison of octyl cyanoacrylate tissue adhesive (dermabond) and suture for the closure of excisional wounds in children and adolescents. Arch Dermatol. 2001;137(9):1177-1180.

Zempsky WT, Zehrer CL, Lyle CT, Hedbloom EC. Economic comparison of methods of wound closure: wound closure strips vs. sutures and wound adhesives. Int Wound J. 2005 Sep;2(3):272-81.

Lloyd NM, Codon RE. The pre-peritoneal approach and illiopubic tract repair of inguinal hernia. Hernia. Philadelphia: JB Lippincott Co;1995:154-180.

Fitzgibbons RJ Jr. Inguinal hernia, Chap 36, Schwartz Principles of surgery, In: Brunicardi C, Anderson DK (Ed.), London: McGraw Hill; 2005:1353-93.

Naik SA. Comparative Study of Primary Skin Closure with Adhesive Skin Glue and Conventional Suture Material in Clean Elective Surgery. Int J Intg Med Sci. 2016;3(8):384-90.

Hasan Z, Gangopadhyay AN, Gupta DK, Srivastava P, Sharma SP. Sutureless skin closure with isoamyl 2-cyanoacrylate in pediatric day-care surgery. Pediatr Surg Int. 2009 Dec;25(12):1123-5.

Coulthard P, Worthington H, Esposito M, Elst M, Waes OJ. Tissue adhesives for closure of surgical incisions. Cochrane Database Syst Rev. 2002;3(6).