Comparison of tissue adhesive (N-butyl-2-cyanoacrylate) versus conventional suturing in umbilical hernia surgeries
Keywords:Umbilical hernia, Cyanoacrylate
Background: Umbilical hernia is a common problem encountered mostly in women. Conventional suturing is used as a traditional method for closure of skin in umbilical hernia surgeries. N-butyl-2-cyanoacrylate glue can be used as an alternative where tissue loss is minimal, minimal scarring, no significant bacterial infection and less postoperative pain. The aim of this study was to determine the effectiveness of tissue adhesive in the closure of umbilical skin incisions compared to conventional sutures.
Methods: A prospective study was conducted including 30 patients with umbilical hernia. Patients were allocated into two groups using odd and even method: group A and B. Patients of group A underwent skin closure with topical tissue adhesive and that of group B underwent skin closure with conventional sutures. Skin closure time, postoperative pain, scar assessment using Vancouver scar scale and surgical site infection were recorded. IBS-statistical package for the social sciences (SPSS) 22 version was used to analyse the data.
Results: 57% females and 43% males were included in the study. The age of the patients ranged between 18 and 60 years in both the groups. All patients had chief complaint of swelling in the umbilical area. Group A (tissue adhesive) patients had lesser skin closure time and cosmetically better scar than group B (conventional suturing) patients. Surgical site infection was seen in 2 patients in group B and 1 patient in group A.
Conclusions: Tissue adhesive is superior as compared to conventional suture in terms of skin closure time, cosmesis, postoperative pain and postoperative surgical complications.
Perera AGN, Tavarez MM. 2-Octyl Cyanoacrylate. 2020 Jul 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2021.
Shivamurthy D, Singh S, Reddy S. Comparison of octyl-2-cyanoacrylate and conventional sutures in facial skin closure. Natl J Maxillofac Surg. 2010;1(1):15.
Toriumi DM, O’Grady K, Desai D, Bagal A. Use of octyl‑2‑cyanoacrylatefor skin closure in facial plastic surgery. Plast Reconstr Surg. 1998;102:2200-19.
Elek SD, Conen PE. The virulence of staphylococcus pyogenes for man. A study of the problem of wound infection. Br J Exp Pathol. 1957;38:573.
Brown JK, Campbell BT, Drongowski RA, Alderman AK, Geiger JD, et al. A prospective, randomized comparison of skin adhesive and subcuticular suture for closure of pediatric hernia incisions: cost and cosmetic considerations. J Pediatr Surg. 2009;44(7):1418-22.
Carpendale MTF, Sereda W. The role of percutaneious suture in surgical wound infection. Surgery. 1965;58:672.
Saxena AK, Willital GH. Octylcyanoacrylate tissue adhesive in the repair of pediatric extremity lacerations. Am Surg. 1999;65(5):470.
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.