Is adhesive paper-tape closure of video assisted thoracoscopic port-sites safe?
Video assisted thoracoscopic surgery (VATS) is used in lung surgery for diagnostic, staging, curative and palliative purposes. The port-sites are usually sutured with dissolvable sutures. The use of adhesive paper-tape for port-site closure was assessed by a prospective randomised double-blind control trial comparing sutured to adhesive paper-tape closure. The following outcomes were assessed: incidence of clinically significant pneumothorax, wound healing using the ASEPSIS score, patient's comfort (pain score using a visual analog score), the time difference between the two techniques of wound closure and cost savings. Thirty patients were recruited in each group. No clinically significant pneumothoraces occurred in either group. There were no significant differences between the two groups in terms of immediate post-operative pain scores, wound cosmesis and wound complications. It was quicker to close the wound with adhesive paper-tape with a mean time of closure per unit length of wound of 9.3 and 2.2s/mm for the groups, respectively. The cost for wound closure (per patient) was $0.8 for the adhesive paper-tape group and $4.00 for the sutures.
Luckraz
Heyman
H
Cardiothoracic Unit University Hospital of Wales, Cardiff CF14 4XW, United Kingdom. HeymanLuckraz@aol.com
Rammohan
Kandadai S
KS
Phillips
Mabel
M
O'Keefe
Peter A
PA
D000269:Adhesives; D000328:Adult; D000368:Aged; D001458:Bandages / Q000191:economics; D017046:Cost Savings; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D010209:Paper; D011182:Postoperative Care / Q000191:economics / Q000379:methods; D011446:Prospective Studies; D013537:Sutures / Q000191:economics; D020775:Thoracic Surgery, Video-Assisted; D013997:Time Factors; D014945:Wound Healing
D000269:Adhesives