A prospective comparison of tissue glue versus sutures for circumcision

Arunachalam, P. S.; King, P. A.; Orford, Jillian

doi:10.1007/s00383-002-0893-1

Cited by 32 publications

(13 citation statements)

References 2 publications

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“…showed that 2-octyl cyanoacrylate is cosmetically superior and its operative time is significantly less in comparison to suture group. [12] In opposition to this, Cheng and Saing concluded that tissue glue has no significant advantage over suturing and time taken was longer in tissue glue group. [13] Recently Jonathan et al .…”

Section: Discussionmentioning

confidence: 99%

Sutureless circumcision - An Indian experience

Tiwari

Kumar

et al. 2011

Indian J Urol

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Context:Traditionally, circumcision wounds are closed by absorbable sutures. However, certain alternative methods are also being utilized to overcome the shortcomings of the conventionally used method for circumcision wound closuring. In the current study, the use of tissue glue ((iso amyl 2-cyanoacrylate) has been compared with traditional suturing for the approximation of circumcision wounds. In our study, both the methods were found to be comparable with significantly less time consumed in glue group.Aims:The purpose of the present study has been to compare directly cyanoacrylate as a better alternative to conventional suture material in terms of cosmetic result, time consumed and incidence of infection (comparative study).Materials and Methods:The results of all the patients seen in outpatient department for circumcision were included in this study. The study was conducted from Aug 2009 to May 2010. The tissue glue (iso amyl 2-cyanoacrylate) was compared to sutures as a method of wound approximation in circumcision.Results:Tissue glue group has been observed to have less wound inflammation, bleeding or hematoma rate and was cosmetically superior as compared to suture group; however, none of these findings could reach statistically significant level. The mean time taken for circumcision was 14.2 min (SD 2.42), when tissue glue was used for wound approximation. However, it was 24.4 min (SD 5.06) in case of the use of sutures. This difference was found as highly significant (P value < 0.001). However, regarding postoperative pain no significant reduction was observed when glue was used.Conclusions:This study showed that the use of tissue glue in comparison to sutures is having the following advantages: Cosmetically superiorLess time consuming All other parameters measured were nearly the same and statically insignificant.

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Section: Discussionmentioning

confidence: 99%

Sutureless circumcision - An Indian experience

Tiwari

Kumar

et al. 2011

Indian J Urol

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“…[ 3 4 5 6 7 ] Parent satisfaction with wound cosmesis was recorded at the same time on a 100-mm VAS (0 = worst scar, 100 = best scar). [ 4 8 9 10 11 ]…”

Section: Methodsmentioning

confidence: 99%

Evaluation of isoamyl 2-cyanoacrylate tissue adhesive in management of pediatric lacerations: An alternative to suturing

Devrukhkar

Hegde

Khare

et al. 2015

Ann Maxillofac Surg

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Aims:A study was conducted to evaluate the benefits of cyanoacrylate tissue adhesive as an alternative to suturing in management of pediatric lacerations.Materials and Methods:A total of 7 patients were evaluated and followed for 3-month. The wound was evaluated on 1st, 3rd, and 7th postoperative day for swelling, infection, gaping and pain and at 1st and 3rd postoperative month for scar evaluation. The evaluation was based on different superficial facial wound repairs (i.e., low tension) with an average length <3 cm; and if the surgeon subjectively felt that subcuticular sutures were justified to reduce wound tension, then these were used. Isoamyl 2-cyanoacrylate glue was applied over lacerated wound margins after cleaning the wound and holding together for 15 s by means of tissue holding forceps.Statistical Analysis:Statistical analysis was done using Chi-square test after collection of data. Mean and standard error were estimated from the sample.Results:The mean total time taken for skin closure was 1–2.5 min. There was no wound infection in any of the cases; only one case showed wound dehiscence on 3rd postoperative day. The cosmetic was better as there were no suture marks.Conclusion:Isoamyl 2-cyanoacrylate can be considered as excellent “no needle” alternative for closure of selected pediatric lacerations, those that are short, clean and under low tension.

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“…The only disadvantage of these sutures is that they may leave stitch marks along the suture line. Recently, tissue glue application for wound closure has been reported as a new alternative for circumcision 1–4 . Although some investigators stated that tissue glue has no extra advantage to suturing, 4 others believed tissue glue has a superior cosmetic results 3,5 …”

Section: Introductionmentioning

confidence: 99%

Wound approximation with tissue glue in circumcision

Özkan

Gönen²,

Şahinkanat³

et al. 2005

Int J of Urology

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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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A prospective comparison of tissue glue versus sutures for circumcision

Cited by 32 publications

References 2 publications

Sutureless circumcision - An Indian experience

Sutureless circumcision - An Indian experience

Evaluation of isoamyl 2-cyanoacrylate tissue adhesive in management of pediatric lacerations: An alternative to suturing

Wound approximation with tissue glue in circumcision

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