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Wound approximation with tissue glue in circumcision
Keramettin Ugur Ozkan1, Murat Gonen, Tayfun Sahinkanat
1Department of Pediatric Surgery, Kahramanmaras Sutcuimam University Medical Faculty, Kahramanmaras, Turkey. ozekan@hotmail.com
Insights
Tissue glue is a feasible alternative for pediatric circumcision wound closure, showing comparable healing outcomes to sutures. This method also resulted in improved cosmetic appearance and shorter operation times.
Area of Science:
- Pediatric Surgery
- Wound Healing
- Surgical Adhesives
Background:
- Circumcision is a common pediatric surgical procedure.
- Wound closure methods aim to minimize complications and optimize healing.
- Tissue glue presents a potential alternative to traditional suturing techniques.
Purpose of the Study:
- To evaluate the feasibility of using cyanoacrylate tissue glue for approximating circumcision wounds in children.
- To compare the efficacy and safety of tissue glue versus sutures in pediatric circumcision.
Main Methods:
- A prospective randomized trial involving 30 boys (aged 1-10 years) undergoing circumcision.
- Comparison of wound approximation using cyanoacrylate tissue glue versus interrupted 5/0 plain catgut sutures.
- Postoperative assessment of wounds at 1 day, 3 days, 1 week, and 1 month for inflammation, infection, bleeding, dehiscence, and cosmetic appearance.
Main Results:
- No significant differences were observed between tissue glue and suture groups regarding wound inflammation, infection, bleeding, or dehiscence.
- The tissue glue group demonstrated superior cosmetic outcomes.
- Operation time was significantly shorter in the tissue glue group.
Conclusions:
- Cyanoacrylate tissue glue is a feasible and effective alternative for wound approximation in pediatric circumcision.
- Tissue glue offers advantages in terms of cosmetic results and surgical efficiency.
Background:
To assess the feasibility of using tissue glue in the approximation of circumcision wounds in children.
Patients And Methods:
A prospective randomized trial was carried out on 30 boys (age, 1-10 years) admitted to the Kahramanamaras Sutcuimam University Medical Faculty, Turkey. The results of wound approximation in circumcision with cyanoacrylate tissue glue and suturing with interrupted 5/0 plain catgut were compared. The operations were carried out by the same surgeon using an identical technique. The wounds were assessed 1 day, 3 days, 1 week and 1 month postoperatively.
Results:
There was no difference between the two groups in the rates of wound inflammation, infection, bleeding and dehiscence, although cosmetic appearance was better in the tissue glue group. The operation time was also shorter in this group.
Conclusion:
Using tissue glue for wound approximation in circumcision is a feasible alternative.
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