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The advantages of cyanoacrylate wound closure in circumcision.

Summary of "The advantages of cyanoacrylate wound closure in circumcision."


PURPOSE:
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
METHODS:
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.
RESULTS:
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).
CONCLUSION:
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.

Affiliation

Department of Pediatric Surgery, Kocaeli University Medical Faculty, Eski İstanbul Yolu 10.km, Umuttepe, Kocaeli, Turkey, elemenlevent@hotmail.com.

Journal Details

This article was published in the following journal.

Name: Pediatric surgery international
ISSN: 1437-9813
Pages:

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