Wound approximation with tissue glue in circumcision

Abstract

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.

Bipolar scissors circumcision is a safe, fast, and bloodless procedure in children

“…New trends in technology applied to this procedure continue to evolve and will probably focus in laser application [24], ultrasound scalpel [25], and skin glue [26,27] to avoid sutures, but at the present time, bipolar scissors circumcision is the safest and a fast and bloodless successful procedure recommended for pediatric patients. In our Department, based on the data revealed in this report, we have changed the conventional scalpel circumcision technique to bipolar scissors approach.…”

Sutureless, bloodless, safe new circumcision technique

“…15,16 In this study, the range of operative time between 3 and 10 minutes which is shorter than the traditional circumcision and then other technique of Sutureless circumcision. In 2005 Ozkan KU and Gonen M reported an average operative time 19.8 minutes with the use of tissue glue and 16 minutes with suturing and explain that the application of glue takes a longer time.…”

“…In 2005 Ozkan KU and Gonen M reported an average operative time 19.8 minutes with the use of tissue glue and 16 minutes with suturing and explain that the application of glue takes a longer time. 16 Fraser ID and Goede AC, reported an operative time of 11.4 minutes for Sutureless circumcision versus 13.8 minutes for the conventional technique using suture. 17 In present study, no application of tissue adhesive or suturing was done and this can explain the shorter operative time in this study.…”

Male Circumcision: An Appraisal of Current Instrumentation

“…Unlike infant circumcisions, sutures/stitches or wound staples are usually needed for men and older children, although use of synthetic tissue adhesives such as 2-octyl-cyanoacrylate (Dermabond) (Cheng & Saing, 1997;Subramaniam & Jacobsen, 2004;Ozkan et al, 2005;Elmore et al, 2007;Elemen et al, 2010;Lane et al, 2010;D'Arcy & Jaffry, 2011) have proven to be effective alternatives. These are safe, easy to use, reduce operating time, lower postoperative pain and give a better cosmetic appearance (Ozkan et al, 2005;Elmore et al, 2007). Excellent cosmetic results were reported for all of 346 patients aged 14 to 38 months using electro-surgery, which presents a bloodless operative field (Peters & Kass, 1997).…”