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2016, Number 2

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Revista Cubana de Salud Pública 2016; 42 (2)

Use of tissue adhesives for the wound closure in medical practice

Monteagudo AAR, Mora DI, Jiménez PRE, Tamargo BTO, Hidalgo CT, Gutierrez RÁR

Language: Spanish
References: 32
Page: 306-317
PDF size: 341.67 Kb.


ABSTRACT

Introduction: Tissue adhesives generate, based on its characteristics, a waterproof film that once spread over the surgical wound, can keep wound edges together until cicatrization, all of which helps to decrease the infection risk. The use of tissue adhesives in medicine allows making complex surgical procedures simpler in addition to making the patient feel more comfortable.
Objective: To identify the areas of medical practice where the surgical wound closure with adhesives exhibits better results.
Methods: Descriptive study with analysis decision design; a decision tree was created to compare two possible alternatives: use of tissue adhesives in adults and in pediatrics. Information was taken from literature through revision of medical database in the period of January 2002 to December 2012. Twenty five studies (15.4 %), which were valid for estimating the odds of complications and successes of each wound closure option.
Results: The use of tissue adhesives in adults showed the best results with high probabilities of being successful (0.99) in closing skin and mucosa wounds, mainly in the head and the neck. The probabilities for success in pediatrics were 0.96 and it is better used in thorax and abdomen surgery.
Conclusions: Use of tissue adhesives in adults and children provide high success probabilities for the closure of wounds in the skin and in the mucosa, although their use in adult people is the best choice.


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