Coaptive film versus subcuticular suture: comparing skin closure time following identical, single-session, bilateral limb surgery in children.
BACKGROUND
This study is a randomized controlled trial comparing skin closure time between coaptive film and subcuticular monocryl sutures in children undergoing identical single session, bilateral limb multiple soft tissue releases.


METHODS
Eight children less than 18 years of age (mean 14.5) with cerebral palsy underwent identical, single session bilateral multiple soft tissue releases in the lower limb from August 2005 to March 2007. There were 50 incisions in all in which 25 incisions were closed with 4-0 intracuticular monocryl sutures and 25 were closed with coaptive film (Steri Strip S; 3M company). Time taken for closure using either technique was recorded. A blinded plastic surgeon used a visual analog scale to assess the cosmetic results at the end of a 3 month follow-up.


RESULTS
The average length of incisions closed with coaptive film was almost identical to the corresponding incision on the contralateral limb that was closed with subcuticular monocryl suture (4.45 and 4.81 cm, P=0.66). The average time for skin closure using monocryl sutures was 167.04 seconds compared with the average time of 79.36 seconds when using coaptive film (P <0.0001). There was no significant difference in the cosmetic results or the number of wound complications using either technique.


CONCLUSIONS
Coaptive film is an attractive and cost-effective option for skin closure after pediatric surgery.


CONCLUSIONS
The time saved, comparable cosmetic results and lack of complications makes coaptive film an attractive option for skin closure in the pediatric age group.
Rebello
Gleeson
G
Department of Pediatric Orthopedics, Massachusetts General Hospital for Children, Boston, MA 02114, USA. grebello@partners.org
Parikh
Ravi
R
Grottkau
Brian
B
D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology / Q000601:surgery*; D003362:Cost-Benefit Analysis; D062109:Dermatologic Surgical Procedures; D005121:Extremities / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016037:Single-Blind Method; D012867:Skin / Q000378:metabolism; D013536:Suture Techniques / Q000191:economics; D013537:Sutures / Q000191:economics; D013997:Time Factors; D014014:Tissue Adhesives / Q000191:economics / Q000627:therapeutic use*; D014945:Wound Healing
D014014:Tissue Adhesives