This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Randomized study of the effectiveness of closing laparoscopic trocar wounds with octylcyanoacrylate, adhesive papertape or poliglecaprone. BJS 2002; 89: 1370-1375.
Published: 2nd December 2002
Authors: S. Maartense, W. A. Bemelman, M. S. Dunker, C. de Lint, E. G. J. M. Pierik, O. R. C. Busch et al.
Background
Several methods for skin closure are used, i.e. sutures, adhesive papertape and tissue adhesives. Little is known about the efficacy of these techniques in laparoscopic surgery. This study was performed to analyse the efficacy of octylcyanoacrylate, a new tissue adhesive, adhesive papertape and poliglecaprone for wound closure in laparoscopy.
Method
From May 2000 to September 2001, 140 patients were included in a prospective randomized trial. Wounds were closed with octylcyanoacrylate (n = 48), adhesive papertape (n = 42) or poliglecaprone (n = 50). Closing time, wound infection, cosmetic results and costs were evaluated. A time–motion analysis was also performed.
Results
The patients in the three groups were well matched for age, gender and body mass index. Closing times per wound were 26, 33 and 65 s respectively for adhesive papertape, octylcyanoacrylate and poliglecaprone (P < 0·001). Cosmetic results, as scored by the patients, were no different. The number of actions required to close each wound was 5·7, 8·3 and 21·0 for octylcyanoacrylate, adhesive papertape (P = 0·05 versus octylcyanoacrylate) and poliglecaprone (P < 0·01 versus octylcyanoacrylate and adhesive papertape) respectively. Octylcyanoacrylate was significantly more expensive than poliglecaprone and adhesive papertape.
Conclusion
Closure with adhesive papertape was the fastest method. The smallest number of actions required to close a wound was with octylcyanoacrylate. Adhesive papertape was the most cost‐effective. © 2002 British Journal of Surgery Society Ltd
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