Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. Results of a prospective randomized trial
Surgeons have become increasingly interested in replacing conventional sutures by means of adhesive bonds for the closure of skin wounds. There are several advantages to the use of adhesive bonds compared with the conventional sutures. Between January and August 2001, all the wounds in children afte...
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Veröffentlicht in: | Journal of pediatric surgery 2004-08, Vol.39 (8), p.1249-1251 |
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description | Surgeons have become increasingly interested in replacing conventional sutures by means of adhesive bonds for the closure of skin wounds. There are several advantages to the use of adhesive bonds compared with the conventional sutures.
Between January and August 2001, all the wounds in children after groin surgery were closed with an adhesive,
N-butylcyanoacrylate (Indermil, Locite Corp, ’s-Hertogenbosch, The Netherlands), or with a suture, polyglactin 5-0 (Vicryl), intracutaneously. Fifty Inguinal wounds were treated with Indermil and 50 with Vicryl. Wounds were evaluated for hematoma, infection, dehiscence, or formation of granuloma. A scale from 1 to 10 expressed the cosmesis by patient and surgeon.
The most remarkable difference in wound healing was dehiscence of the wound in 26% of cases in the adhesive group and no dehiscence in the suture group. The cosmesis of the wounds was marked with an 8.6 in the suture group and in the adhesive group with a 6.8.
Wound dehiscence was seen significantly more frequent in the patients in whom the wound was closed with
N-butylcyanoacrylate. The cosmesis of wounds closed with tissue glue was significantly lower then the cosmesis after suturing. Therefore, the authors advise, on the basis of this prospective randomized trial, that surgical wounds in children should be closed with a intracutaneous absorbable suture. |
doi_str_mv | 10.1016/j.jpedsurg.2004.04.013 |
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Between January and August 2001, all the wounds in children after groin surgery were closed with an adhesive,
N-butylcyanoacrylate (Indermil, Locite Corp, ’s-Hertogenbosch, The Netherlands), or with a suture, polyglactin 5-0 (Vicryl), intracutaneously. Fifty Inguinal wounds were treated with Indermil and 50 with Vicryl. Wounds were evaluated for hematoma, infection, dehiscence, or formation of granuloma. A scale from 1 to 10 expressed the cosmesis by patient and surgeon.
The most remarkable difference in wound healing was dehiscence of the wound in 26% of cases in the adhesive group and no dehiscence in the suture group. The cosmesis of the wounds was marked with an 8.6 in the suture group and in the adhesive group with a 6.8.
Wound dehiscence was seen significantly more frequent in the patients in whom the wound was closed with
N-butylcyanoacrylate. The cosmesis of wounds closed with tissue glue was significantly lower then the cosmesis after suturing. Therefore, the authors advise, on the basis of this prospective randomized trial, that surgical wounds in children should be closed with a intracutaneous absorbable suture.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2004.04.013</identifier><identifier>PMID: 15300538</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Absorbable Implants ; Child, Preschool ; Cyanoacrylate tissue adhesive ; Enbucrilate - therapeutic use ; Esthetics ; Female ; Granuloma - epidemiology ; Granuloma - etiology ; Hematoma - epidemiology ; Hematoma - etiology ; hernia inguinalis ; Hernia, Inguinal - surgery ; Humans ; Incidence ; intracutaneous suturing ; Male ; Patient Acceptance of Health Care ; Polyglactin 910 ; Prospective Studies ; Surgical Wound Dehiscence - epidemiology ; Surgical Wound Infection - epidemiology ; Sutures ; Tissue Adhesives - therapeutic use ; wound dehiscence ; Wound Healing</subject><ispartof>Journal of pediatric surgery, 2004-08, Vol.39 (8), p.1249-1251</ispartof><rights>2004 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-7ec09ddd97d3d7f3bb239e4d1b94ea925ddf2ee7b5e22d98b30efd9bb127c86e3</citedby><cites>FETCH-LOGICAL-c364t-7ec09ddd97d3d7f3bb239e4d1b94ea925ddf2ee7b5e22d98b30efd9bb127c86e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346804002647$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15300538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van den Ende, E.D.</creatorcontrib><creatorcontrib>Vriens, P.W.H.E.</creatorcontrib><creatorcontrib>Allema, J.H.</creatorcontrib><creatorcontrib>Breslau, P.J.</creatorcontrib><title>Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. Results of a prospective randomized trial</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Surgeons have become increasingly interested in replacing conventional sutures by means of adhesive bonds for the closure of skin wounds. There are several advantages to the use of adhesive bonds compared with the conventional sutures.
Between January and August 2001, all the wounds in children after groin surgery were closed with an adhesive,
N-butylcyanoacrylate (Indermil, Locite Corp, ’s-Hertogenbosch, The Netherlands), or with a suture, polyglactin 5-0 (Vicryl), intracutaneously. Fifty Inguinal wounds were treated with Indermil and 50 with Vicryl. Wounds were evaluated for hematoma, infection, dehiscence, or formation of granuloma. A scale from 1 to 10 expressed the cosmesis by patient and surgeon.
The most remarkable difference in wound healing was dehiscence of the wound in 26% of cases in the adhesive group and no dehiscence in the suture group. The cosmesis of the wounds was marked with an 8.6 in the suture group and in the adhesive group with a 6.8.
Wound dehiscence was seen significantly more frequent in the patients in whom the wound was closed with
N-butylcyanoacrylate. The cosmesis of wounds closed with tissue glue was significantly lower then the cosmesis after suturing. Therefore, the authors advise, on the basis of this prospective randomized trial, that surgical wounds in children should be closed with a intracutaneous absorbable suture.</description><subject>Absorbable Implants</subject><subject>Child, Preschool</subject><subject>Cyanoacrylate tissue adhesive</subject><subject>Enbucrilate - therapeutic use</subject><subject>Esthetics</subject><subject>Female</subject><subject>Granuloma - epidemiology</subject><subject>Granuloma - etiology</subject><subject>Hematoma - epidemiology</subject><subject>Hematoma - etiology</subject><subject>hernia inguinalis</subject><subject>Hernia, Inguinal - surgery</subject><subject>Humans</subject><subject>Incidence</subject><subject>intracutaneous suturing</subject><subject>Male</subject><subject>Patient Acceptance of Health Care</subject><subject>Polyglactin 910</subject><subject>Prospective Studies</subject><subject>Surgical Wound Dehiscence - epidemiology</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Sutures</subject><subject>Tissue Adhesives - therapeutic use</subject><subject>wound dehiscence</subject><subject>Wound Healing</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkduKFDEQhoMo7uzqKyy58q57c-jD9J3L4qqwIIhehyRV7WbIdNqks6IP4HObMCNeCgUJxVdVf9VPyDVnLWd8uDm0hxUh5fitFYx1bQ0un5Ed7yVveibH52THmBCN7Ib9BblM6cBYSTP-klwUiLFe7nfk9y08YnJPSE1YINEQ6YrR5k0vGHKi2qQQjTYeacpbjkjnglgfUv2HmVYJzmpPf4RcG7iF2kfnIeLS0s-Yst9S5TRdY0gr2q0Oi3qBcHS_EOgWnfavyItZ-4Svz-8V-Xr_7svdh-bh0_uPd7cPjZVDtzUjWjYBwDSChHGWxgg5YQfcTB3qSfQAs0AcTY9CwLQ3kuEMkzFcjHY_oLwib059i5jvGdOmji5Z9P60rhqGcRSiEwUcTqAtqlPEWa3RHXX8qThT1QF1UH8dUNUBVYPLUnh9npDNEeFf2fnkBXh7ArDs-eQwqmQdLhbBxXIdBcH9b8YfJaWfpA</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>van den Ende, E.D.</creator><creator>Vriens, P.W.H.E.</creator><creator>Allema, J.H.</creator><creator>Breslau, P.J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. Results of a prospective randomized trial</title><author>van den Ende, E.D. ; Vriens, P.W.H.E. ; Allema, J.H. ; Breslau, P.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-7ec09ddd97d3d7f3bb239e4d1b94ea925ddf2ee7b5e22d98b30efd9bb127c86e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Absorbable Implants</topic><topic>Child, Preschool</topic><topic>Cyanoacrylate tissue adhesive</topic><topic>Enbucrilate - therapeutic use</topic><topic>Esthetics</topic><topic>Female</topic><topic>Granuloma - epidemiology</topic><topic>Granuloma - etiology</topic><topic>Hematoma - epidemiology</topic><topic>Hematoma - etiology</topic><topic>hernia inguinalis</topic><topic>Hernia, Inguinal - surgery</topic><topic>Humans</topic><topic>Incidence</topic><topic>intracutaneous suturing</topic><topic>Male</topic><topic>Patient Acceptance of Health Care</topic><topic>Polyglactin 910</topic><topic>Prospective Studies</topic><topic>Surgical Wound Dehiscence - epidemiology</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Sutures</topic><topic>Tissue Adhesives - therapeutic use</topic><topic>wound dehiscence</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van den Ende, E.D.</creatorcontrib><creatorcontrib>Vriens, P.W.H.E.</creatorcontrib><creatorcontrib>Allema, J.H.</creatorcontrib><creatorcontrib>Breslau, P.J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van den Ende, E.D.</au><au>Vriens, P.W.H.E.</au><au>Allema, J.H.</au><au>Breslau, P.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. Results of a prospective randomized trial</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>39</volume><issue>8</issue><spage>1249</spage><epage>1251</epage><pages>1249-1251</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Surgeons have become increasingly interested in replacing conventional sutures by means of adhesive bonds for the closure of skin wounds. There are several advantages to the use of adhesive bonds compared with the conventional sutures.
Between January and August 2001, all the wounds in children after groin surgery were closed with an adhesive,
N-butylcyanoacrylate (Indermil, Locite Corp, ’s-Hertogenbosch, The Netherlands), or with a suture, polyglactin 5-0 (Vicryl), intracutaneously. Fifty Inguinal wounds were treated with Indermil and 50 with Vicryl. Wounds were evaluated for hematoma, infection, dehiscence, or formation of granuloma. A scale from 1 to 10 expressed the cosmesis by patient and surgeon.
The most remarkable difference in wound healing was dehiscence of the wound in 26% of cases in the adhesive group and no dehiscence in the suture group. The cosmesis of the wounds was marked with an 8.6 in the suture group and in the adhesive group with a 6.8.
Wound dehiscence was seen significantly more frequent in the patients in whom the wound was closed with
N-butylcyanoacrylate. The cosmesis of wounds closed with tissue glue was significantly lower then the cosmesis after suturing. Therefore, the authors advise, on the basis of this prospective randomized trial, that surgical wounds in children should be closed with a intracutaneous absorbable suture.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15300538</pmid><doi>10.1016/j.jpedsurg.2004.04.013</doi><tpages>3</tpages></addata></record> |
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subjects | Absorbable Implants Child, Preschool Cyanoacrylate tissue adhesive Enbucrilate - therapeutic use Esthetics Female Granuloma - epidemiology Granuloma - etiology Hematoma - epidemiology Hematoma - etiology hernia inguinalis Hernia, Inguinal - surgery Humans Incidence intracutaneous suturing Male Patient Acceptance of Health Care Polyglactin 910 Prospective Studies Surgical Wound Dehiscence - epidemiology Surgical Wound Infection - epidemiology Sutures Tissue Adhesives - therapeutic use wound dehiscence Wound Healing |
title | Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. Results of a prospective randomized trial |
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