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Octylcyanoacrylate skin closure in laparoscopy
Michael J Sebesta1, Jay T Bishoff
1Department of Urology/MCSU, Wilford Hall Medical Center, 2200 Bergquist Drive, Suite 1, Lackland AFB, TX 78326, USA.
Journal of Endourology
|January 28, 2004
Summary
Octylcyanoacrylate (Dermabond) offers a faster and more cost-effective method for closing laparoscopic trocar sites compared to traditional sutures. This surgical glue significantly reduces operative time and expenses while maintaining comparable wound complication rates.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Wound Closure Techniques
Background:
- Octylcyanoacrylate (Dermabond) is a tissue adhesive used for surgical skin incisions.
- Subcuticular sutures are a common method for closing laparoscopic trocar sites.
Purpose of the Study:
- To compare the efficacy and cost-effectiveness of octylcyanoacrylate versus subcuticular sutures for laparoscopic trocar site closure.
- To evaluate closure times, complication rates, and associated costs.
Main Methods:
- A randomized study involving 59 patients and 228 trocar sites.
- Sites were closed using either 4-0 absorbable suture or octylcyanoacrylate.
- Data collected included closure time, materials used, postoperative complications, and estimated costs.
Main Results:
- Octylcyanoacrylate closure was significantly faster (3.7 minutes) than suture closure (14 minutes).
- Wound complications were similar between the two groups.
- Octylcyanoacrylate closure was more cost-effective ($198) compared to suture closure ($497).
Conclusions:
- Octylcyanoacrylate provides a rapid and effective method for laparoscopic port-site skin closure.
- This technique offers significant cost savings and reduces operative time by over 9 minutes per case.