A Single Blind, Prospective, Randomized Trial Comparing N-Butyl 2-Cyanoacrylate Tissue Adhesive (Indermil) and Sutures For Skin Closure in Hand Surgery

2001 ◽  
Vol 26 (3) ◽  
pp. 264-265
Author(s):  
S. SINHA ◽  
M. NAIK ◽  
V. WRIGHT ◽  
J. TIMMONS ◽  
A. C. CAMPBELL
Keyword(s):  
Randomized Trial ◽  
Wound Closure ◽  
Hand Surgery ◽  
Demographic Characteristics ◽  
Tissue Adhesive ◽  
Skin Closure ◽  
Tissue Viability ◽  
Treatment Groups ◽  
Suture Group ◽  
Single Blind

Fifty patients underwent a variety of hand operations and were randomized for wound closure either with tissue adhesive (Indermil) or sutures. The two treatment groups had similar demographic characteristics and similar outcomes at the 2 and 6 week postoperative assessments which were performed by a designated tissue viability nurse blinded to the method of closure. Five minor wound dehiscences occurred: three in the adhesive group and two in the suture group. No infection occurred in either group. In conclusion, the study demonstrates tissue adhesive is as effective as suture in this type of hand surgery.

scholarly journals A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Rukiyat Adeola Abdus-Salam ◽  
Folasade Adenike Bello ◽  
Oladapo Olayemi
Keyword(s):  
Caesarean Section ◽  
Wound Closure ◽  
Operation Time ◽  
Skin Closure ◽  
Subcuticular Suture ◽  
Wound Closure Techniques ◽  
Patients Satisfaction ◽  
Skin Staples ◽  
Scar Assessment ◽  
Suture Group

This study aimed to compare patients’ satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College Hospital, Ibadan, Nigeria, allocating them to wound closure by skin staples or subcuticular suture. Pain was assessed using the box numeric pain scale. Scar assessments were by patient, research nurse, and independent observers using the visual analogue scale, modified patient observer scar assessment scale, and patient satisfaction scale. Operation time (minutes) was significantly shorter in the staple group, 40.26 (±16.53) compared to 47.55 (±14.55) in the suture group (P=0.025). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (P≤0.001). There was no difference in pain experienced, wound assessment by the participants, and patients’ satisfaction. Participants in the staple group scored higher on both scar assessment scales by the nurse (P=0.044). Cost comparison analysis showed that staple use costs significantly more than suture use (P<0.001). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques.

scholarly journals Skin stapler versus sutures in abdominal wound closure

2017 ◽  
Vol 4 (9) ◽  
pp. 3062
Author(s):  
Fobin Varghese ◽  
Jose Gamalial ◽  
John S. Kurien
Keyword(s):  
Wound Infection ◽  
Wound Closure ◽  
Visual Analogue Score ◽  
P Value ◽  
Skin Closure ◽  
Chi Square ◽  
Skin Staples ◽  
Suture Group ◽  
Study Population

Background: Wound closure is as important as any other action performed by the surgeon. Apart from the need for producing a healthy and strong scar, it is the surgeon’s responsibility to ensure its aesthetically pleasing physical appearance. Skin staples are an alternative to regular sutures in offering this advantage. The present study has helped to highlight the benefits of skin stapler.Methods: Out of the 120 participants, 60 underwent skin closure with Stainless steel skin staples and the remaining 60 with non-absorbable Polyamide mattress sutures randomly. They all received one mandatory dose of pre-operative parenteral antibiotic 1 hour prior to the incision. On the 3rd postoperative day, the wound was evaluated for inflammation, infection and wound gape. Participants were re-evaluated for infection/gape/inflammation during follow-up on 7th day. The wounds were evaluated at 1 months follow up which were rated for cosmesis by Visual Analogue Score. The data was coded and entered in Microsoft excel and then analysed using statistical software SSPS.Results: Study population consisted of 79 males (65.8%) and 41 females (34.2%). Mean age of the study population was 49.35 with an SD 16.739. Wound infection was found to be higher in stapler group (30%) when compared to conventional suture group (11.7%)which was found to be statistically significant with chi-square value 6.114 and p value 0.013. Mean time for closure was significantly shorter in stapler group 4.55 minutes, when compared to suture group (11.22 minutes). Better cosmetic outcome was observed in conventional suture group.Conclusions: Preventing wound infection, especially in abdominal wounds, is of importance as it may lead to wound gaping. Incidence of post-operative wound infection was more with skin staples. Cosmesis is essential and important aspect in this day and age. A cosmetic scar not only gives satisfaction to the patient but also mental ease to the surgeon. Conventional sutures provided better cosmetic result when compared with skin staplers.

scholarly journals Skin Closure in Laparoscopic Living Donor Nephrectomy: Modern Tissue Adhesive versus Conventional Intracutaneous Suture—A Randomized Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7
Author(s):  
Silje Marie Vormdal ◽  
Morten Skauby ◽  
Silje Lonar ◽  
Ole Øyen
Keyword(s):  
Wound Closure ◽  
Randomized Study ◽  
Tissue Adhesive ◽  
Skin Closure ◽  
Time Consumption ◽  
Living Donor Nephrectomy ◽  
Closure Time ◽  
Numerical Scale ◽  
Laparoscopic Trocar

Purpose. To compare the modern tissue adhesive cyanoacrylate (Liquiband) to conventional, intracutaneous suture and dressing, with regard to wound characteristics, time consumption, donors’ self-satisfaction, and cost. Methods. Sixty-four kidney donors, subjected to laparoscopic hand-assisted nephrectomy, were randomly assigned to skin closure either with tissue adhesive (n=32) or suture (n=32). The follow-up assessments were carried out on postoperative days 2, 4 and at departure, evaluated by the use of a previously set numerical scale for rubor, secretion, gaps, oedema, and blisters. Infections and complications/reinterventions were recorded, as well as operative/skin closure time and costs. The donors’ self-satisfaction was evaluated by means of a questionnaire. Results. There were significant results in favour of tissue adhesive regarding wound closure time and the wound characteristics “rubor,” “blisters,” and “oedema.” Although, the wound parameters “secretion” and “gaps” altogether showed a rather evident tendency in favour of suture, partially at significant levels. A low rate of complications/reoperations/infections did not give rise to any significant differences. Conclusion. Our study concludes that gluing is significantly faster, less traumatic by avoiding needle penetrations, but associated with an increased rate of secretion and gaps—presumably depending on gluing technique. Glue seems particularly suitable for small, laparoscopic/trocar incisions.

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

2018 ◽  
Vol 6 (1) ◽  
pp. 188
Author(s):  
Shanthi Ponnandai Swaminathan ◽  
Arun Victor Jebasingh ◽  
Anbuselvi Annadurai ◽  
Mannar Mannan
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Suture Material ◽  
Tissue Adhesive ◽  
P Value ◽  
Skin Closure ◽  
Wound Closure Techniques ◽  
Tissue Glue ◽  
Suture Group ◽  
The Mean

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.

scholarly journals Successful surgical closure of infected abdominal wounds following preconditioning with negative pressure wound therapy

2021 ◽  
Author(s):  
Johanna C. Wagner ◽  
Anja Wetz ◽  
Armin Wiegering ◽  
Johan F. Lock ◽  
Stefan Löb ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Wound Complications ◽  
Skin Closure ◽  
Wound Treatment ◽  
Open Wound ◽  
Wound Therapy ◽  
Significant Difference ◽  
Open Wound Treatment

Abstract Purpose Traditionally, previous wound infection was considered a contraindication to secondary skin closure; however, several case reports describe successful secondary wound closure of wounds “preconditioned” with negative pressure wound therapy (NPWT). Although this has been increasingly applied in daily practice, a systematic analysis of its feasibility has not been published thus far. The aim of this study was to evaluate secondary skin closure in previously infected abdominal wounds following treatment with NPWT. Methods Single-center retrospective analysis of patients with infected abdominal wounds treated with NPWT followed by either secondary skin closure referenced to a group receiving open wound therapy. Endpoints were wound closure rate, wound complications (such as recurrent infection or hernia), and perioperative data (such as duration of NPWT or hospitalization parameters). Results One hundred ninety-eight patients during 2013–2016 received a secondary skin closure after NPWT and were analyzed and referenced to 67 patients in the same period with open wound treatment after NPWT. No significant difference in BMI, chronic immunosuppressive medication, or tobacco use was found between both groups. The mean duration of hospital stay was 30 days with a comparable duration in both patient groups (29 versus 33 days, p = 0.35). Interestingly, only 7.7% of patients after secondary skin closure developed recurrent surgical site infection and in over 80% of patients were discharged with closed wounds requiring only minimal outpatient wound care. Conclusion Surgical skin closure following NPWT of infected abdominal wounds is a good and safe alternative to open wound treatment. It prevents lengthy outpatient wound therapy and is expected to result in a higher quality of life for patients and reduce health care costs.

A COMPARATIVE BIOMECHANICAL STUDY OF THE LOOPED SQUARE SLIP KNOT AND THE SIMPLE SURGICAL KNOT

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 93-99 ◽  
Author(s):  
Surut Jianmongkol ◽  
Geoffrey Hooper ◽  
Weerachai Kowsuwon ◽  
Tala Thammaroj
Keyword(s):  
Ultimate Strength ◽  
Hand Surgery ◽  
Biomechanical Properties ◽  
Biomechanical Study ◽  
Skin Closure ◽  
Significant Difference ◽  
Mode Of Failure ◽  
Repetitive Loading ◽  
Slip Knot

The looped square slip knot was introduced as a technique for skin closure to avoid the use of sharp instruments in suture removal after hand surgery. We compared the biomechanical properties of this knot with the simple surgical square knot. The ultimate strength of the looped square slip knot was significantly (p = 0.015) higher than the simple surgical knot. There was no significant difference between the two knots in mode of failure. Knot slippage or suture breakage did not occur in any samples when testing security by repetitive loading. Therefore, the looped square slip knot is a safe and convenient alternative to the two-throw surgical knot for use in hand surgery.

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