title: Prospective randomized blind controlled trial comparing sutures, tape, and octylcyanoacrylate tissue adhesive for skin closure after phlebectomy.
abstract: BACKGROUND
  The patient's view of the outcome after phlebectomy is mainly dependent on the cosmetic result.
  
  
  OBJECTIVE
  To compare 5-0 monofilament sutures with tapes and tissue adhesive for wound closure after varicose vein surgery.
  
  
  METHODS
  Seventy-nine patients undergoing varicose vein surgery were prospectively randomized in three groups (tissue adhesive, sutures, tape) for skin closure and compared. The follow-up 1 year postoperatively was done by a senior dermatologist who was blinded in the method of skin closure.
  
  
  RESULTS
  The cosmetic outcome showed little advantage for the suture group. Taping the incisions is faster than suturing them but without significance; closure with tissue adhesive takes nearly the double of time. The closure for one incision with tissue adhesive is 40 times more expensive than with tapes and 14 times more expensive than with sutures.
  
  
  CONCLUSIONS
  This study failed to demonstrate an advantage of tissue adhesive and tapes over monofilament sutures for skin closure after phlebectomy.
authors.affiliation: Second Surgical Department and Ludwig Boltzmann Institute for Surgical Laparoscopy, Linz, Austria. andreas.shamiyeh@aon.at
authors.forename: A
authors.initials: A
authors.lastname: Shamiyeh
authors.forename: P
authors.initials: P
authors.lastname: Schrenk
authors.forename: T
authors.initials: T
authors.lastname: Stelzer
authors.forename: W U
authors.initials: WU
authors.lastname: Wayand
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001458:Bandages / Q000191:economics; D003487:Cyanoacrylates / Q000627:therapeutic use*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011182:Postoperative Care / Q000379:methods*; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D013536:Suture Techniques / Q000191:economics; D014014:Tissue Adhesives / Q000191:economics / Q000627:therapeutic use*; D014648:Varicose Veins / Q000601:surgery*; D014945:Wound Healing
chemical_list: D003487:Cyanoacrylates; D014014:Tissue Adhesives; C100832:octyl 2-cyanoacrylate