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Archivos de Medicina de Urgencia de México

2009, Number 2

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Arch Med Urg Mex 2009; 1 (2)

Effectiveness between cyanoacrylate vs conventional suturing for the closure and repair of superficial wounds by trauma

Montes OVÁ, Cruz SR, Chávez BC

Language: Spanish
References: 15
Page: 51-54
PDF size: 94.87 Kb.


ABSTRACT

Objective: To demonstrate the effectiveness of cyanoacrylate for closure of wounds by trauma and thus determine what is best for the management of superficial wounds in the skin by trauma, conventional polypropylene suture or the use of cyanoacrylate. Methods: Comparative study with 30 patients with superficial wounds on the skin caused by trauma, divided into two groups. The Group 1 was managed with cyanoacrylate, the Group 2 was managed with conventional suturing. Evaluated in the study: age,gender, size of the wound, the wound site, wound dehiscence, coaptation of the edges of the wound, the wound aesthetics, time of completion of the procedure. We performed wound management to patients in two groups were assigned the same random and underwent the procedure for the type of group. To establish the difference between the two groups we use the χ2 test, considering a p-value ‹ 0.05 statistically significant. Results: The age, gender, size of the wound, the distribution of the wounds in the body, dehiscence coaptation and no significant statistical difference. In terms of time and the aesthetic differences were statistically significant (p values ‹ 0.001 and p = 0.010 respectively), with benefits for the Group 1. Conclusions: The method of closure of superficial wounds in the skin with cyanoacrylate, a method is reliable, secure, easy to learn, which gives a better appearance and is done in much less time than with conventional suturing.


REFERENCES

  1. Toriumi DM, Watson D. Cyanoacrylate tissue adhesives for superficial skin closure [Facial Plastic Surgery] Curren opinion in Otolaryngology–Head & Neck Surgery 1999; 7 (4): 214.

  2. Penoff JMD. The Plastic Surgery Educational Foundation DATA Committee. Skin Closures Using Cyanoacrylate Tissue Adhesives. Plastic and Reconstructive Surgery 1999; 103 (2): 730-731.

  3. Orozco RLF. Cianoacrilato comparado con cirugía tradicional en zonas libres de tensión. Gac Med Mex 2002; 138 (6): 505-509.

  4. My. Carral NJ, Gueorguievna RG, Rodríguez SV, Sebazco PC, Cañizares GME, Montero GT, Alfonso AL. Efectos locales de la aplicación del n-butil 2-cianoacrilato en la microcirugía vascular experimental. Rev Cubana Med Milit 2006: 35 (3).

  5. Thomas BB, Robinson BS, Smith RJ, Kile DL, Timothy PD, Sullivan KM, Quinn JV. New tissue adhesive for laceration repair in children. The Journal of Pediatrics 1998; 132(6): 1067-1070.

  6. Quinn J, Wells G, Sutcliffe T, Jarmuske M, Jennifer M, Stiell I, Johns P. Tissue adhesive versus suture wound repair at 1 year: Randomized clinical trial correlating early, 3-month, and 1-year cosmetic outcome annals of emergency medicine 1998; 32 (6): 645-649.

  7. Richard FE. Tissue adhesives-revisited annals of emergency medicine. 1998; 31 (1): 106-107.

  8. Knott PD, Zins JE, Banbury J, Risal D, Randall JY, Francis P. A comparison of dermabond tissue adhesive and sutures in the primary repair of the congenital cleft lip. Annals of Plastic Surgery 2007; 58 (2): 121-125.

  9. Castañón GM, Alix MA, Vendrell FJS, Ferrandis BP, Vela LSV, Aparicio XG, Tarrado CME, Muñoz FL, Morales F. Utilidad del adhesivo tisular 2-octil cianoacrilato en cirugía pediátrica. An Pediatr (Barc) 2003; 59: 548-551.

  10. Ota K, Mizuno K, Ueno A, Inou T. Clinical experience with ethyl 2-cyanoacrylate adhesive in vascular surgery. In: International symposium of cyanoacrylates. Viena: Abstract Book; 1986: 185-189.

  11. Shapiro AJ, Dinsmore RC, North JH Jr. Tensile strength of wound closure with cyanoacrylate glue. Am Surg 2001; 67 (11): 1113-1115.

  12. Marcovich R, Williams AL, Rubin MA. Comparison of 2-octylcyanoacrylate adhesive, fibrin glue, and suturing for wound closure in the porcine urinary tract. Urology 2001; 57 (4): 806-810.

  13. Peacock E Jr. Cicatrización y cuidados de las heridas. En: Principios de cirugía. Schwartz SS. Daly FG (eds). Séptima edición, México: McGraw-Hill: 2000: 267-286.

  14. Alio JL, Mollet ME, García JC. Use of cyanoacrylate tissue adhesive in small incision cataract surgery. Ophthal Surg Laser 1996; 27: 270-274.

  15. Reghel LF. Cyanoacrylate tissue adhesive and facial lacerations. BMJ 1989; 299: 1217-1218.




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