Use of tissue adhesives versus sutures on minor surgery for incision closure: randomized controlled trial

Abstract

Sutures, staples and adhesive tapes have been used for many years as methods of wound closure, but tissue adhesives have entered clinical practice more recently Closure of wounds with sutures enables the closure to be meticulous, but the sutures may show tissue reactivity and can require removal. Tissue adhesives offer the advantages of an absence of risk of needlestick injury and no requirement to remove sutures later. Initially, tissue adhesives were used primarily in emergency room settings, but this review looks at the use of tissue adhesives in the operating room/theatre where surgeons are using them increasingly for the closure of surgical skin incisions Nowadays, Minor surgery represents almost 40% of all surgical procedures developed during the care process of Plastic Surgery.This type of surgery includes procedures such as the removal of skin lesions for pathological analysis result as basal cell carcinoma, squamous cell carcinoma, melanomas, lipomas, small skin tags, xanthelasmas, naevus, sebaceous cyst, seborrheic wart, readjustment of previous scars.The proportion of wound breaking (dehiscence), the wound infection, the cosmetic appearance, the patient satisfaction, the description of costs of procedures are also analysed in order to provided-up data of the effects of both different techniques for incision closure. Finally this study aims optimize the resources and the time on Minor Surgery Objectives: To determine the effects of tissue adhesives compared withconventional skin closure techniques for the closure of surgicalwounds Methods: 332 patients admitted to Hospital doctor Josep Trueta and Hospital Santa Caterina to perform a Minor Surgery procedure. Patients will be divided in two groups and one of those followings interventions for closure of surgical incisions on minor surgery will be used: 1.Tissue Adhesives 2.Conventional skin closure (sutures).The main goal of study is to determine of effectiveness of tissue adhesives compared with conventional skin closure techniques. Finally the proportions of wound breaking (dehiscence), the wound infection, the cosmetic appearance, the patient satisfaction, the description of costs of procedures are also determined