The advantages of cyanoacrylate wound closure in circumcision.
Summary of "The advantages of cyanoacrylate wound closure in circumcision."
To compare 2-octyl-cyanoacrylate (2-octyl-CA) glue with polyglytone 6211 sutures in circumcision wound closure on the basis of operative time, safeness, postoperative pain and cosmesis. PATIENTS AND
The boys who would undergo circumcision in 18-month period (n = 137) were grouped into two. In Group 1 (n = 64), 6/0 polyglytone 6211 sutures, and in Group 2 (n = 73), 2-octyl-CA glue were used for wound closure. Durations of anesthesia, surgical procedures and postoperative pain, and pain scores on the 2nd and 48th postoperative hours were determined. A classification system was constructed to evaluate cosmesis, intraoperative and postoperative bleeding. Quantitative differences were assessed by Mann-Whitney U and Student's t tests, and qualitative analyses were performed by χ (2) test. p was considered as significant at less than 0.05.
The pain scores of the groups were comparable. Durations of anesthesia, surgical procedures and postoperative pain were significantly shorter (p < 0.05); and cosmesis, intraoperative and postoperative bleeding status were significantly better in Group 2 (p < 0.05).
2-Octyl-CA seems to be a good alternative to the conventional suturing technique in circumcision wound closure with shorter operation time, ease of appliance, improved safeness, better cosmesis and shorter duration of postoperative pain.
Department of Pediatric Surgery, Kocaeli University Medical Faculty, Eski İstanbul Yolu 10.km, Umuttepe, Kocaeli, Turkey, firstname.lastname@example.org.
This article was published in the following journal.
Name: Pediatric surgery international
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20941598
- DOI: http://dx.doi.org/10.1007/s00383-010-2741-z
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Medical and Biotech [MESH] Definitions
The application of a vacuum across the surface of a wound through a foam dressing cut to fit the wound. This removes wound exudates, reduces build-up of inflammatory mediators, and increases the flow of nutrients to the wound thus promoting healing.
Methods to repair breaks in tissue caused by trauma or to close surgical incisions.
A method of stopping internal bleeding or blood flow, or the closure of a wound or body cavity, achieved by applying pressure or introducing an absorbent liquid, gel, or tampon.
Methods to repair breaks in abdominal tissues caused by trauma or to close surgical incisions during abdominal surgery.
The tendency to perceive an incomplete pattern or object as complete or whole. This includes the Gestalt Law of Closure.