title: Sutureless skin closure with isoamyl 2-cyanoacrylate in pediatric day-care surgery.
abstract: Importance of day-care surgery in pediatric age group is ever increasing and nowadays bulk of surgery is performed as a day-care procedure. Day-care procedure requires short intra-operative period and less postoperative complications. The introduction of tissue adhesive has been received enthusiastically since they may result in equivalent tensile strength-improved cosmetic appearance of the scar and lower infection rate when compared to sutures, staples and adhesive tape. We have used isoamyl 2-cyanoacrylate as a tissue adhesive for skin closure in day-care surgery. Novocryl is ideal for such procedure as it is a sterile, inert, non-toxic, biocompatible and bacteriostatic liquid topical skin adhesive containing isoamyl 2-cyanoacrylate formulation. We applied isoamyl 2-cyanoacrylate glue in 100 patients over skin cut margin after stitching subcutaneous tissue. Skin margin were held together by means of skin hook for 1-2 min. The cosmesis was better as there were no suture marks or lumpiness. There were no major complications in our study. Thus, isoamyl 2-cyanoacrylate can be considered as an alternative to skin suturing in the pediatric day-care surgery.
authors.affiliation: Department of Pediatric Surgery, IMS, BHU, Varanasi, India. drzaheerhasan@yahoo.com
authors.forename: Zaheer
authors.initials: Z
authors.lastname: Hasan
authors.forename: Ajay N
authors.initials: AN
authors.lastname: Gangopadhyay
authors.forename: Dinesh K
authors.initials: DK
authors.lastname: Gupta
authors.forename: Punit
authors.initials: P
authors.lastname: Srivastava
authors.forename: S P
authors.initials: SP
authors.lastname: Sharma
mesh_terms: D000287:Administration, Topical; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003487:Cyanoacrylates / Q000008:administration & dosage*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D003487:Cyanoacrylates; C043913:isoamyl 2-cyanoacrylate