title: Sutureless closure of Operative Skin Wounds.
abstract: Good tissue union and cosmetically acceptable scar is vital for ideal surgical practice. Since their discovery in 1949, cyanoacrylate compounds have evoked interest as being the ideal "tissue glue". Several different forms of this compound have been developed in order to eliminate tissue toxicity. In this article, we have described a technique of sutureless closure of operative skin wounds and compared it to closure of skin with silk. Inter-group comparison was carried out with respect to the time required for closure, rate of infection, cosmesis and patient acceptance. N-butyl 2-cyanoacrylate was used for sutureless skin closure in 100 patients and compared with skin closure with sutures. The time taken to close the wounds with cyanoacrylate was found to be significantly less, the cosmetic outcome better and patient acceptability higher than when sutures were used.
authors.affiliation: Consultant and Head, Department of Surgery, Armed Forces Medical College, Pune - 411 040.
authors.forename: B M
authors.initials: BM
authors.lastname: Nagpal
authors.affiliation: Graded Specialist (Surgery), 179 Military Hospital, C/o 99 APO.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Kumar
authors.affiliation: Graded Specialist (Surgery), 162 Military Hospital, C/o 99 APO.
authors.forename: G S
authors.initials: GS
authors.lastname: Nagi
authors.affiliation: Ex-Associate Professor, Department of Surgery, Armed Forces Medical College, Pune - 411 040.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Singh
keywords: N-butyl 2-cyanoacrylate; Skin closure