COMPARATIVE STUDY BETWEEN 2 BUTYL CYANOACRYLATE VERSUS CONVENTIONAL SUTURES IN SKIN CLOSURE OF INGUINAL HERNIA PATIENTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 11
Abstract
BACKGROUND Skin sutures are known as the signature of a surgeon. However, in recent times conventional suturing is being replaced by newer methods of skin closure. The commonest of them being skin staples. There are numerous other methods available like adhesives tapes and adhesive glues. Skin staples gained popularity due to the less time needed to apply the staples and the cost was comparative to the sutures used. Use of adhesive glue was restricted due to the cost. This study was designed to compare the outcomes between conventional suture closure and 2-butyl cyanoacrylate glue closure of skin after inguinal hernia surgery. MATERIALS AND METHODS This was a prospective case-controlled study with a sample size of 50 done in Pondicherry Institute of medical sciences over a period of 18 months. Patients between the ages of 25 to 70 undergoing elective inguinal hernia surgery were included in this surgery. Patients with recurrent inguinal hernia and who had features of strangulation were excluded. RESULTS The mean age in suture group was 48.24 and in skin glue group it was 47.92. 2 out of 25 (8%) in glue group and 7 out of 25 (18%) in the sutures group had erythema and induration 48 hours after surgery. 1 (4%) patient had serous discharge with partial wound dehiscence in glue group while there was none in suture group. 2 butyl cyanoacrylate was costlier by Rs. 120 than sutures per wound. CONCLUSION The use of tissue adhesive was associated with shorter closure time. Pain was much less in patients for whom skin closure was performed using skin glue and as such comparatively less analgesics were required post operatively. Glue was marginally costly than conventional sutures.
Authors and Affiliations
Aju James Ashok, Jacob Jayakar Raju Mandapati, Nirmal Kumar Palaniappan
Keywords
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- EP ID EP615527
- DOI 10.18410/jebmh/2019/173
- Views 61
- Downloads 0
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