A Randomized, Controlled Study Comparing Two Standardized Closure Methods of Laparoscopic Port Sites

Abstract

Laparoscopic port sites closed with octyl-cyanoacrylate tissue adhesive had fewer complications and better cosmetic appearance than suture closure has.

Randomized clinical trial of a new cyanoacrylate flexible tissue adhesive (Adhflex) for repairing surgical wounds

“…Scores were statistically similar for the two methods in terms of researcher satisfaction with wound closure time and practical use, patient‐perceived satisfaction, overall comfort, being able to bathe or shower soon after surgery, dressing changes, hygiene issues, and overall patient satisfaction. These findings coincide with results of previously published studies evaluating the use of cyanoacrylate adhesives similar to Adhflex …”

“…A further comparative study between sutures and cyanoacrylate was published by Chen et al, reporting better results for wounds closed using the adhesive in terms of erythema and cosmetic appearance . These findings, together with the results of this study, suggest that cyanoacrylate, and specifically Adhflex, is a safe alternative to conventional sutures for closure of abdominal incisions.…”

“…No differences were found in either treatment group in terms of dehiscence or infections, and cosmetic outcomes were similar . Furthermore, Chen concluded that wounds closed with adhesive had a lower incidence of erythema and a better cosmetic appearance …”

“…Some studies have reported similar cosmetic outcomes for sutures and cyanoacrylates, whereas others suggest better cosmetic outcomes for the adhesives . The Holander wound evaluation score was often used in these studies.…”

“…The debate remains open on the use of cyanoacrylates for closing surgical wounds. Based on the results of clinical trials, some researchers advocate their use, whereas others report better outcomes with conventional sutures . Nonetheless, most found no difference in the cosmetic outcome of wounds repaired using either method .…”