Tissue adhesives for closure of surgical incisions

Abstract

Sutures were significantly better than tissue adhesives for minimising dehiscence and were found to be significantly faster to use. Although surgeons may consider the use of tissue adhesives as an alternative to other methods of surgical site closure in the operating theatre they must be aware that adhesives may take more time to apply and that if higher tension is needed upon an incision, sutures may minimise dehiscence. There is a need for more well designed randomised controlled trials comparing tissue adhesives and alternative methods of closure. These trials should include people whose health may interfere with wound healing and surgical sites of high tension.

RETRACTED: The outcome of sutured wounds compared with tissue adhesive for paediatric wound closure: A meta‐analysis

“…The cosmetic outcomes of wounds repaired with TA and sutures, as reported by the clinicians, were comparable. Similar findings were found in a meta‐analysis of adult subjects 30 . It is crucial to take into account the pronounced disparity amongst investigations in relation to technique and timing of cosmesis valuation when interpreting our results for cosmetic outcomes.…”

RETRACTED: The outcome of sutured wounds compared with tissue adhesive for paediatric wound closure: A meta‐analysis

“…The cosmetic outcomes of wounds repaired with TA and sutures, as reported by the clinicians, were comparable. Similar findings were found in a meta‐analysis of adult subjects 30 . It is crucial to take into account the pronounced disparity amongst investigations in relation to technique and timing of cosmesis valuation when interpreting our results for cosmetic outcomes.…”

A randomised clinical trial to compare octyl cyanoacrylate with absorbable monofilament sutures for the closure of laparoscopic cholecystectomy port incisions

“…This result is complying with a recent Cochrane review . Authors concluded that there was evidence in favour of using tissue adhesives for surgeons' valuation of cosmetic appearance.…”

Skin Closure Techniques After Cardiac Implantable Electronic Device Implantation and Their Impact on Pocket Complications: A Systematic Review and Meta‐Analysis

“…These adhesives provide rapid wound closure, form a microbial barrier, and eliminate the need for suture removal, potentially improving patient comfort and procedural efficiency (Singer et al 2008). In dermatologic and plastic surgery settings, cyanoacrylate adhesives have demonstrated outcomes comparable to sutures with respect to wound healing and infection rates (Coulthard et al 2010). Our findings extend these observations to CIED procedures, suggesting that tissue adhesives may represent a safe and practical alternative for device pocket closure.…”

RETRACTED: The outcome of sutured wounds compared with tissue adhesive for paediatric wound closure: A meta‐analysis

“…The cosmetic outcomes of wounds repaired with TA and sutures, as reported by the clinicians, were comparable. Similar findings were found in a meta‐analysis of adult subjects 30 . It is crucial to take into account the pronounced disparity amongst investigations in relation to technique and timing of cosmesis valuation when interpreting our results for cosmetic outcomes.…”

A randomised clinical trial to compare octyl cyanoacrylate with absorbable monofilament sutures for the closure of laparoscopic cholecystectomy port incisions

“…This result is complying with a recent Cochrane review . Authors concluded that there was evidence in favour of using tissue adhesives for surgeons' valuation of cosmetic appearance.…”

Skin Closure Techniques After Cardiac Implantable Electronic Device Implantation and Their Impact on Pocket Complications: A Systematic Review and Meta‐Analysis

“…These adhesives provide rapid wound closure, form a microbial barrier, and eliminate the need for suture removal, potentially improving patient comfort and procedural efficiency (Singer et al 2008). In dermatologic and plastic surgery settings, cyanoacrylate adhesives have demonstrated outcomes comparable to sutures with respect to wound healing and infection rates (Coulthard et al 2010). Our findings extend these observations to CIED procedures, suggesting that tissue adhesives may represent a safe and practical alternative for device pocket closure.…”

RETRACTED: The outcome of sutured wounds compared with tissue adhesive for paediatric wound closure: A meta‐analysis

“…The cosmetic outcomes of wounds repaired with TA and sutures, as reported by the clinicians, were comparable. Similar findings were found in a meta‐analysis of adult subjects 30 . It is crucial to take into account the pronounced disparity amongst investigations in relation to technique and timing of cosmesis valuation when interpreting our results for cosmetic outcomes.…”

A randomised clinical trial to compare octyl cyanoacrylate with absorbable monofilament sutures for the closure of laparoscopic cholecystectomy port incisions

“…This result is complying with a recent Cochrane review . Authors concluded that there was evidence in favour of using tissue adhesives for surgeons' valuation of cosmetic appearance.…”

Skin Closure Techniques After Cardiac Implantable Electronic Device Implantation and Their Impact on Pocket Complications: A Systematic Review and Meta‐Analysis

“…These adhesives provide rapid wound closure, form a microbial barrier, and eliminate the need for suture removal, potentially improving patient comfort and procedural efficiency (Singer et al 2008). In dermatologic and plastic surgery settings, cyanoacrylate adhesives have demonstrated outcomes comparable to sutures with respect to wound healing and infection rates (Coulthard et al 2010). Our findings extend these observations to CIED procedures, suggesting that tissue adhesives may represent a safe and practical alternative for device pocket closure.…”