[Cyanoacrylate compared with traditional surgery in tension-free incision closure].
OBJECTIVE
To investigate the efficiency of cyanoacrylate in closing tension-free incisions in out-patient surgery compared with traditional suturing methods.


METHODS
A single, blind, clinical study was carried out on 60 patients divided into two groups. Group 1 (n = 30) received one or two drops of cyanoacrylate directly on the incision. Control (Group 2) (n = 32) received traditional nylon suturing. Both groups were evaluated after 21 days of incision closing. Statistical differences in baseline characteristics between study treatment groups were assessed with chi 2 and t tests. All p values are two-sided.


RESULTS
There was no significant difference between the two groups in age, gender, or incision length. Length of time for surgical incision to close was less in Group I, significant difference p < 0.0001. There was also a significant difference in aesthetics in Group I. There was no significant difference in any remaining variable, such as suture dehiscence and adequate border coaption.


CONCLUSIONS
Our study showed cyanoacrylate to be more efficient and advantageous in closing of incisions in out-patient surgery than traditional suturing methods. Although we do not pretend to substitute these methods, we recommend the use of cyanoacrylate in closing tension-free incisions in certain patients following rules of usage and practiced by experts.
Orozco-Razón
Luis Fernando
LF
Unidad de Investigación Médica en Epidemiología Clínica, Hospital General de Zona con Medicina Familiar 1, Instituto Mexicano del Seguro Social, Colima Col.
Millán-Guerrero
Rebeca O
RO
Vera-Rodríguez
Sandra E
SE
D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D002648:Child; D003487:Cyanoacrylates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013529:Surgical Wound Dehiscence; D013536:Suture Techniques; D013537:Sutures
D003487:Cyanoacrylates