Efficacy of cyanoacrylate glue in operative wound closure

Abstract

Background: Amongst all the causes wound disruption, suture material plays a very significant role and the surgeon’s interest therefore in this subject is obvious. In surgery the choice of suture material has been largely empirical. One learns the art and craft of surgery from one’s chief and tendency is to use the suture material used by him. The objective of the study was to study the efficacy of cyanoacrylate glue in operative wound closure. Methods: This comparative study of efficacy of cyanoacrylate glue in operative wound closure was carried out at S. R. T. R. Government medical college, Ambajogai, Maharashtra, India for a period of two years. The study consisted of 100 patients all of whom underwent elective surgical procedures. They were divided into two groups: in group I patients (n = 50) cyanoacrylate glue was used for wound closure and in group II patients (n = 50) the wound was closed with interrupted silk sutures. Results: 54 were males and 46 were females. The most common operative procedure in this study was appendicectomy (28%). Maximum numbers of patients i.e. 42 were seen in the age group of 21-30 years. Time taken in the closure of wound by cyanoacrylate in group I was considerably lesser than the time taken in the closure of wound by silk suture in group II. The incidence of wound infection or dehiscence was also significantly lower in group I. The incidence of dehiscence in group I was 4% compared to 8% in group II. Conclusions: Use of cyanoacrylate glue was found to be more effective and conventional suturing.