Affiliation:
1. Assistant Professor, Department of Surgery, BGS GIMS Bangalore, Karnataka.
2. Assistant Professor, Department of Cardiothoracic Surgery, Sri Jayadeva institute of Cardiovascular Sciences and Research, Bangalore, Karnataka.
Abstract
BACKGROUND: Suturing has been the commonest method of surgical wound closure that is being practiced because of good results of skin
closure. With adhesive glue being an alternative for skin closure which is less time consuming, comfortable, without the risk of needle prick injury
and leaves behind a cosmetically acceptable scar. OBJECTIVES: The aim of this study is to compare subcuticular suturing versus adhesive glue
for skin closure in thyroidectomy with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence
and cosmesis. MATERIALAND METHODS: This prospective study of 100 cases of skin closure using subcuticular suturing versus adhesive in
thyroidectomy was carried out at BGS Global institute of medical science and Hospital, Bangalore with the aim of comparing suturing versus
adhesive glue, with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis.
RESULT: 100 patients divided into 2 groups, randomly underwent subcuticular suturing and adhesive glue skin closure. Post- operative pain was
less in glue group (p value <0.001) and wound complications were comparable in both groups. CONCLUSION: Octylcyanoacrylate provides an
effective and reliable means of skin closure and yields similar cosmetic results as with subcuticular skin sutures. The incidences of wound
complications are comparable in both the groups. However the severity of postoperative pain is lesser in the adhesive group.
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