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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
Summary
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.