scholarly journals 970: Improved patient satisfaction with tissue adhesive as compared to sterile strips after cesarean wound closure

2019 ◽  
Vol 220 (1) ◽  
pp. S624-S625
Author(s):  
Lena Braginsky ◽  
Melissa Javellana ◽  
Emily Cleveland ◽  
Deborah Boyle ◽  
Beth A. Plunkett
Keyword(s):  
Patient Satisfaction ◽  
Wound Closure ◽  
Tissue Adhesive

scholarly journals Wound Closure after Thyroid and Parathyroid Surgery: A Meta-Analysis of Randomized Controlled Trials

2018 ◽  
Vol 108 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Y.-H. Huang ◽  
C. Chen ◽  
C.-H. Lee ◽  
E.-W. Loh ◽  
K.-W. Tam
Keyword(s):  
Patient Satisfaction ◽  
Postoperative Pain ◽  
Randomized Controlled Trials ◽  
Wound Closure ◽  
Meta Analysis ◽  
Tissue Adhesive ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Cosmetic Appearance ◽  
Randomized Controlled

Aims: Wound closure after thyroidectomy and parathyroidectomy is associated with patients’ satisfaction, perception of cosmetic appearance, and experience of postoperative pain. Subcutaneous sutures, clips, and tissue adhesive are the three major methods of wound closure. In this study, we conducted a meta-analysis of randomized controlled trials to evaluate the outcomes of these methods. Methods: Relevant studies published before December 2017 were identified from PubMed, Embase, Cochrane Library, Scopus, and the ClinicalTrials.gov registry. Individual effect sizes were standardized, and a meta-analysis was conducted to calculate the pooled effect size by using random-effect models. The primary outcome was the cosmetic appearance, which was evaluated 4 weeks, 6 weeks, and 6 months after surgery. The secondary outcomes were patient satisfaction, postoperative pain, and complications. Results: A total of nine trials with 612 patients were reviewed. No significant difference was observed in patient satisfaction, postoperative pain, and complications among the wound closure methods. However, according to surgeon assessment, the subcutaneous suture method resulted in a significantly more favorable cosmetic appearance than the clip method (mean difference: −1.47, 95% confidence interval: −2.72 to −0.23). Conclusion: In the current study, no differences were found in patient satisfaction and postoperative pain among the subcutaneous suture, clip, and tissue adhesive wound closure methods. However, surgeons provided a more favorable appraisal for the subcutaneous suture method because of the improved cosmetic appearance. The choice of the closure method should be based on surgeon’s preference and cost.

Anti-Infective and Pro-Coagulant Chitosan-Based Hydrogel Tissue Adhesive for Sutureless Wound Closure

2020 ◽  
Vol 21 (3) ◽  
pp. 1243-1253 ◽  
Author(s):  
Xinchen Du ◽  
Yujie Liu ◽  
Hongyu Yan ◽  
Muhammad Rafique ◽  
Shilin Li ◽  
...  
Keyword(s):  
Wound Closure ◽  
Tissue Adhesive

scholarly journals Scarless Wound Closure by a Mussel-Inspired Poly(amidoamine) Tissue Adhesive with Tunable Degradability

ACS Omega ◽  
2017 ◽  
Vol 2 (9) ◽  
pp. 6053-6062 ◽  
Author(s):  
Bo Peng ◽  
Xinyi Lai ◽  
Lei Chen ◽  
Xuemei Lin ◽  
Chengxin Sun ◽  
...  
Keyword(s):  
Wound Closure ◽  
Tissue Adhesive

scholarly journals Treatment of Chronic Posttraumatic Leg Injury Using Autologous Fat Graft

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Fabio Caviggioli ◽  
Francesco Maria Klinger ◽  
Valeriano Vinci ◽  
Guido Cornegliani ◽  
Marco Klinger
Keyword(s):  
Patient Satisfaction ◽  
Surgical Technique ◽  
Wound Closure ◽  
Scar Tissue ◽  
Fat Graft ◽  
Caucasian Woman ◽  
Autologous Fat ◽  
Regenerative Effect ◽  
Autologous Fat Graft

We present the results obtained in a case of a 20-year-old Caucasian woman with a posttraumatic injury “hard-to-heal” of the left leg treated using autologous fat graft. Considering our experience in treatment of chronic posttraumatic ulcers by autologous fat graft, we decided to use this surgical technique to induce a regenerative effect in this young patient. We have had complete wound closure with only a single surgical procedure after 1 month; after the second intervention of autologous fat graft we observed an improvement in the quality of the scar tissue. The patient satisfaction was excellent. The results were long lasting and remained virtually unchanged after 1 year.

scholarly journals Reconstruction of mandibular lip avulsion in a cat using tissue adhesive and standard wound closure – a case report

2019 ◽  
Vol 66 (1) ◽  
pp. 31
Author(s):  
S. P. Rathnayake ◽  
R. A. M. K. Rathnayake ◽  
D. D. N. De Silva
Keyword(s):  
Case Report ◽  
Wound Closure ◽  
Tissue Adhesive

scholarly journals Are Topical Skin Adhesives An Option For Wound Closure Following Musculoskeletal Oncology Surgery? A STROCSS-Compliant Observational Study

2021 ◽  
Author(s):  
Thanapon Chobpenthai ◽  
Thanate Poosiripinyo ◽  
Pakjai Tuntarattanapong ◽  
Pichaya Thanindratarn ◽  
Warayos Trathitephun
Keyword(s):  
Adverse Events ◽  
Wound Closure ◽  
High Viscosity ◽  
Tissue Adhesive ◽  
Drying Time ◽  
Post Operative Pain ◽  
Keloid Formation ◽  
Male Patients ◽  
The Mean ◽  
Musculoskeletal Oncology

Abstract Background:2-octyl cyanoacrylate (2OCA) is a high-viscosity medical-grade tissue adhesive used routinely. However, no studies have evaluated its use in musculoskeletal oncology surgery. Methods:We enrolled 99 patients undergoing musculoskeletal oncology surgery. 2OCA was chosen for wound closure, and it was applied by a specific surgeon for all patients. Drying times for the adhesive were recorded, and photographs were obtained intra-operatively. Post-treatment follow-up constituted queries regarding pain level, and recording incisional dehiscence, wound infection, hematoma, and incisional bleeding. Data collection was performed post-operatively at 48 hours, 5–10 days, 14 days, and 30 days. Other adverse events were documented. Results:2OCA was applied to 110 incisions in 99 patients constituting 62 female patients and 37 male patients. The mean age of patients was 50.41 (±16.83) years; mean incision length was 10.24 (±5.7) cm; and the mean pain score using a visual analogue scale (VAS) was 2.37 on post-operative day 7. The mean drying time was 1.81 (±0.59) minutes; 91 (91%) patients reported excellent and superior satisfaction, and the remaining patients reported “good” (6%) and “fair” (2%) satisfaction. The percentage of dehiscence, hematoma, and keloid formation was considerably low. Conclusion:2OCA was safe in musculoskeletal oncology surgical incisions in this study. The incidence of post-operative adverse events was low. However, some patients developed a hematoma. Post-operative pain was low, and patient satisfaction was high. 2OCA can be a practical alternative to traditional suture closure for skin incisions after musculoskeletal surgery.

scholarly journals Comparison of 2-octyl cyanoacrylate skin adhesive and interrupted polypropylene sutures for wound closure in total ankle arthroplasty

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gun-Woo Lee ◽  
Woo Kyoung Kwak ◽  
Keun-Bae Lee
Keyword(s):  
Patient Satisfaction ◽  
Surgical Site Infection ◽  
Wound Closure ◽  
Wound Dehiscence ◽  
Wound Complications ◽  
Site Infection ◽  
Ankle Arthroplasty ◽  
Suture Group ◽  
Allergic Contact ◽  
Polypropylene Sutures

Abstract Background Adhesive skin materials have increasingly been used in orthopedic surgery. We aimed to compare the efficacy and safety of skin adhesive (2-octyl cyanoacrylate and polymer mesh, Dermabond Prineo) and interrupted polypropylene sutures for wound closure in patients undergoing total ankle arthroplasty (TAA). Methods We prospectively enrolled 107 consecutive patients (108 ankles) undergoing TAA and divided them into two groups: skin adhesive group (36 ankles) and suture group (72 ankles). The primary outcome assessment included wound complications and patient satisfaction for wound cosmesis. The secondary outcome assessment included duration of surgery, length of hospital stay, and the Ankle Osteoarthritis Scale (AOS) pain and disability score. Results There was one case of allergic contact dermatitis, three cases of wound dehiscence, and one case of superficial surgical site infection in the skin adhesive group. Among them, one case each with allergic contact dermatitis and wound dehiscence finally progressed to deep surgical site infection. Three cases of wound dehiscence were also reported in the suture group; however, there was no case of surgical site infection. Patient satisfaction for wound cosmesis was significantly higher in the skin adhesive group than in the suture group (p = 0.001). There was no statistically significant difference between the groups in terms of secondary outcomes (p > 0.05). Conclusions Although the use of Dermabond Prineo showed better patient satisfaction for wound cosmesis, it showed significantly high wound complication rates and no other clinical benefits compared to interrupted polypropylene suture in TAA. Our results suggest that awareness of the possibility of wound complications is necessary when Dermabond Prineo is used in TAA.

scholarly journals Tissue Adhesive for Wound Closure in enhanced-recovery Total Hip Arthroplasty: A Prospective, Randomized and Controlled Study

2020 ◽  
Author(s):  
Xiangpeng Kong ◽  
Minzhi Yang ◽  
Zheng Cao ◽  
Jiying Chen ◽  
Wei Chai ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Wound Closure ◽  
Enhanced Recovery ◽  
The Other ◽  
Tissue Adhesive ◽  
Controlled Study ◽  
Total Hip ◽  
Related Cost ◽  
Patient Reported

Abstract Background: We aimed to present our experience of adopting tissue adhesive as adjunct to standard wound closure in total hip arthroplasty (THA) and evaluate its performance.Methods: From September 2019 to November 2019, we prospectively enrolled consecutive patients who underwent simultaneous bilateral THA in this randomized and controlled study. Standard wound closure was applied on one side of hip and additional tissue adhesive on the other side at random. We collected and analyzed patients’ information, including age, gender, body mass index (BMI), diagnosis, postoperative length of stay (LOS), dressing changes, wound evaluation scores, wound-related cost and complications. Results: Thirty patients with simultaneous bilateral THA were enrolled in this study. During the hospital stay, the dressing change in hips with tissue adhesive was significantly less than that in the other hips (p=0.000). However, the wound-related cost in hips with tissue adhesive was significantly higher (p=0.000). At one-month follow up, patient-reported wound measurement of hips with tissue adhesive was significantly better than the other hips (p=0.004). Seventeen patients preferred tissue adhesive and only five patients preferred standard wound closure. Conclusions: Tissue adhesive could significantly reduce wound drainage and increase patient satisfaction, which can be an ideal adjunct to standard wound closure in enhanced-recovery THA.

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