A prospective, randomized study of tissue adhesive Versus standard wound closure technique for Laparoscopic abdominal procedure
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Date
2007-05
Authors
Nor Huda Mat Ali
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia
Abstract
o compare the effecti veness of cyanoacrylate ti ssue adhes ive vv ith convent ional suture in closing laparoscopic abdominal incision. Design: Prospecti ve, randomized controlled study Setting: Gynaecology ward of Hospital Tengku Ampuan Afzan. Kuantan from April 2005 ti ll November 2006. Participants: 64 patients for laparoscopi c abdominal procedure Methodology: Pati ents were chosen based on inclusion and exclusion criteria . They were then randomly assigned to recci\"C either ti ssue adhesi\·e or suture. Main outcome measure: Time taken for skin closure. Post operative day one. Complications such as haematoma formation, wound infection .wound dehiscence as well as patient" s satisfaction. Result: Sixty four patients were recruited into the study: 32 m suture group and 32 in tissue adhesive group. Both groups were comparable with respect to age. parity. education level. type of occupation and number of hol es. There was a significant difference in the time taken for skin clos ure (suture: 7.0±4.2 . ti ssue aclhesivc:4.3± 1.0, p=0.002). No difference in Day I post operative pain (suture:3.8±2.0. ti ssue adhesive:4.3± 1.7.p=0.344). No patients were reported to have any haematoma at either day 7 and clay 21 . No significant difference in wound in fect ion and wound dehiscence at day 7 and clay 21 in each groups. Patients sati sfa ction was also comparable in either group (suture: 8.4± 1.5, tissue adhesive:8.0± 1.8 p=0.26 ). There was a sioniticant difference in skin apposi tion at day 7 (suture:8. 1±0.7. tissue acl hesive:7.3± 1.2 0 p=O.OO 1 ). However no eli fference in skin apposit ion at clay 2 1.
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Keywords
Laparoscopy