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
Hauptverfasser: van den Ende, E.D., Vriens, P.W.H.E., Allema, J.H., Breslau, P.J.
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container_end_page 1251
container_issue 8
container_start_page 1249
container_title Journal of pediatric surgery
container_volume 39
creator van den Ende, E.D.
Vriens, P.W.H.E.
Allema, J.H.
Breslau, P.J.
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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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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