DOI: http://dx.doi.org/10.18203/2349-2902.isj20185470

A study on comparison of conventional suturing and tissue adhesive (2-octyl cyanoacrylate) for skin closure in inguinal hernia surgeries

Shanthi Ponnandai Swaminathan, Arun Victor Jebasingh, Anbuselvi Annadurai, Mannar Mannan

Abstract


Background: Wound closure techniques have evolved from suture material to advanced techniques that include skin staplers, skin glue and adhesive tapes. Based on efficacy of advanced suturing techniques patient may be benefited with better cosmesis, lesser postoperative pain, less wound infection and lesser hospital stay. The aim of the study was to compare the results of adhesive glue with suture material in skin closure in hernia surgeries.

Methods: This study involves 100 patients undergoing open inguinal hernia surgery.  In 50 of the patient’s skin closure was done with conventional suturing (3-0 ETHILON) and other 50 patients with tissue glue (2-octyl cyanoacrylate). Observation regarding postoperative pain, skin closure time and scar assessment were made, and their results were compared.

Results: The mean time taken for skin closure in adhesive group was 2.72±1.32minutes and that of suture group was 4.88±1.533minutes. This difference was of great significance with p value of <0.001. The visual analogue scale shows mean value of 5.3±0.68 for suture group and for skin group it was 3.68±0.62. This value was of great significance with p value <0.001. Postoperative pain was comparatively less in tissue glue group. Postoperative scar was analysed with Vancouver scar scale at regular intervals. The mean score for suture group was 8.3±0.8 and for skin glue group it was 2.8±0.75. These differences of score was of great significance with p value <0.001.

Conclusions: Adhesive glue is superior to conventional suturing in clean elective surgeries. It is a safe and an effective method of skin closure with less postoperative pain and better cosmesis of the scar.


Keywords


2-octyl-cyanoacrylate, Adhesive glue

Full Text:

PDF

References


Matin SF. Prospective randomized trial of skin adhesive versus sutures for closure of 217 laparoscopic port-site incisions. J Am Coll Surg. 2003;196(6):845-53.

Quinn J, Wells G, Sutcliffe T, Jarmuske M, Maw J, Stiell I, et al. A randomized trial comparing octyl-cyanoacrylate tissue adhesive and sutures in the management of lacerations. JAMA. 1997;277(19):1527-30.

Sniezek PJ, Walling HW, Debloom III JR, Messingham MJ, Vanbeek MJ, Kreiter CD, et al. A randomized controlled trial of high‐viscosity 2‐octyl cyanoacrylate tissue adhesive versus sutures in repairing facial wounds following Mohs micrographic surgery. Dermatol Surg. 2007;33(8):966-71.

Zempsky WT, Parrotti D, Grem C, Nichols J. Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with Steri Strip™ skin Closures or Dermabond™ tissue adhesive. Pedia Emerg Care. 2004;20(8):519-24.

Ando M, Tamaki T, Yoshida M, Sasaki S, Toge Y, Matsumoto T, et al. Surgical site infection in spinal surgery: a comparative study between 2-octyl-cyanoacrylate and staples for wound closure. Euro Spine J. 2014;23(4):854-62.

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

Souza EC, Fitaroni RB, Januzelli DM, Macruz HM, Camacho JC, Souza MR. Use of 2-octyl cyanoacrylate for skin closure of sternal incisions in cardiac surgery: observations of microbial barrier effects. Current Med Res Opinion. 2008;24:151-5.

Toriumi DM, O'grady K, Desai D, Bagal A. Use of octyl-2-cyanoacrylate for skin closure in facial plastic surgery. Plastic Reconstructive Surg. 1998;102(6):2209-19.

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):1177-80.

Dragu A, Unglaub F, Schwarz S, Beier JP, Kneser U, Bach AD, et al. Foreign body reaction after usage of tissue adhesives for skin closure: a case report and review of the literature. Arch Orthopaedic Trauma Surg. 2009;129(2):167-9.

Coulthard P, Worthington H, Esposito M, Elst M, Waes OJ. Tissue adhesives for closure of surgical incisions. Cochrane Database Syst Rev. 2004;(2):CD004287.

Coulthard P, Esposito M, Worthington HV, van der Elst M, van Waes OJ, Darcey J. Tissue adhesives for closure of surgical incisions. Cochrane Database Sys Rev. 2010;(5).