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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2016.143

Type of Article: Original Research

Volume 3; Issue 8: August 2016

Page No.: 384-390

DOI: 10.16965/ijims.2016.143

Comparative Study of Primary Skin Closure with Adhesive Skin Glue and Conventional Suture Material in Clean Elective Surgery

Anantha Raju G S *1, Sundeep. A . Naik .

*1 Assistant Professor, Department of General Surgery, SDM College of Medical Sciences and Hospital , Dharwad, Karnataka, India.

2 Associate Professor, Department of General Surgery, SDM College of Medical Sciences and Hospital , Dharwad, Karnataka, India.

CORRESPONDING AUTHOR ADDRESS: Dr. Anantha Raju G S, Assistant Professor, Department of General Surgery, SDM College of Medical Sciences and Hospital , Dharwad – 580009, Karnataka, India.

ABSTRACT

Introduction: Wound closure techniques have evolved overtime from natural suturing materials to synthetic sutures, absorbable sutures, staples, tapes, and adhesive compounds.

A new technology is surgical adhesives, exemplified by Cyanoacrylate that could provide patients with the option of suture less skin closure.  The aims and objectives of this study was to compare the time consumption, post operative pain, cosmetic appearance and complications of skin closure  between the application of adhesive skin glue and conventional suturing.

Material and Methods: This is a comparative study in which 100 patients were studied in two groups, 50 patients in Adhesive glue group and 50 patients in Subcuticular suturing group.  Informed consent was taken for the study.  Same antibiotic protocol was followed; Injection Cefazolin 1gm single dose given intravenously at the time of anaesthesia.  In both the groups, subcutaneous suturing was done before the closure of skin.  Adhesive skin glue was applied in 3 layers over the operated wound in one group of patients, and subcuticular suturing by Nylon –  Ethilon 00  was done for the other group.

Results: The wounds were  assessed at 3rd, 5th, 7th post-operative days,1st month and 3rd months post operatively using ASEPSIS score. Maximum number of complications such as Seroma, Erythema, Discolouration and Wound dehiscence were noted in Skin suturing group (16% -8 cases). In Adhesive glue group 8% (4 cases) of complications were observed.  The wounds were assessed for Cosmesis on 7th post-operative day using Modified Hollander Cosmesis Scale and in the follow-up of 1st month and 3rd month, the Wound cosmesis was assessed by an independent observer and was scored in Visual Analogue Scale from 0 to 100.  Adhesive Glue group had better cosmetic results compared to Subcuticular skin closure group.

Conclusion: The results from the present study show that the 2-octylcyanoacrylate adhesive glue skin closure is better than subcuticular skin closure.  The use of adhesive glue takes lesser time for skin closure and results in shorter operative period.  It forms a flexible, water resistant sealed skin closure and gives better cosmetic outcome. The postoperative pain is much less compared to traditional skin suturing techniques.  The adhesive glue disappears naturally as incision heals and leaves no mark.  It is non-irritant to skin and complications following adhesive glue application are extremely less.

Key words: 2-octylcyanoacrylate, Adhesive skin glue, Subcuticular suturing, Visual analogue scale, ASEPSIS score.

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