English

Abstract

Apart from traditional Traditionally suturing for wound closure, other options for wound closure like staples, adhesive tapes and tissue adhesives came into existence and are gaining popularity in clinical practice in recent times. There is an increasing amount of literature supporting the use of TAs for various minor lacerations, including a number of randomized controlled trials (RCTs). Even though TAs are ideal choice for resource poor settings like India, studies documenting the efficacy of tissue adhesives, especially in pediatric population are rare from India. AIMS & OBJECTIVE: To study the efficacy of wound healing, occurrence of complications and cost of treatment following cellular Adhesive (Histoacryl) use in children with laceration wounds. METHODOLOGY: The study was a cross sectional study, conducted in outpatient setting of department of pediatrics , in a tertiary care teaching hospital, between June 2011 to December 2012. RESULTS: A total of 62 children were included in the study. Clean wounds constituted 93.5% of the wounds. Average amount of glue required was 3 to 4 drops. Majority wounds (91.9%) started healing well by the third day of follow-up and they healed well after 7 days. The final outcome was good in 88.7% of the subjects and fair in 3.2% of the subjects. Only 11.3% of participants had some complication. The quantity of tissue adhesive glue used per cm of wound surface was 1.77 drops and the expenditure incurred per cm of wound surface was 44.5 INR. CONCLUSIONS: Tissue adhesive glue is effective method of wound closure in pediatric laceration wounds. The complication rates and the need for antibiotic is very minimal with tissue adhesive glue use and it is very economical way of wound closure in pediatric laceration wounds.