A Randomised Control Trial To Compare Octyl 2- Cyanoacrylate Versus Conventional Suturing Of Port Site Skin Closure In Laparoscopic Appendicectomy For 1 Year

Abstract

Background and Objectives Several methods are used for the skin closure of trocar wound. Skin incision closure using adhesives glues is one of the recent and advanced method. This study was aimed to compare port site wound closure using octyl-2-cyanoacrylate with conventional suture in patients undergoing laparoscopic appendicectomy with regard to complications, time taken for wound closure and cosmetic outcome. Methodology The present one year randomized controlled trial was done in the Department of General Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum. A total of 60 patients who underwent laparoscopic appendicectomy from January 2013 to December 2013 were divided into two groups of 30 each based on Opaque envelope method. In Group A, port site wound closure was done using with octyl 2- cyanoacrylate and in Group B the same was carried out with non-absorbable sutures. Results In the present study 66.67% in group A and 50% in group B were males (p=0.190). The mean age in group A was 26.96 ± 6.80 years compared to 30.30 ± 9.69 years in group B (p=0.129). The clinical characteristics of the study population in group A and B were comparable (p>0.050). The mean surgical time in group A was significantly less compared to group B (123.30 ± 22.46 vs 186.90 ± 21.49 minutes; p<0.001) The complications including erythema, warmth, tenderness, drainage and infection were comparable in group A and B at all the three follow ups (p>0.050). The Hollander Cosmesis score was optimal (score of 6) in majority of the patients with group A as well as group B at all the follow ups (p>0.050). Conclusion and interpretation Overall, the wound closure using octyl-2-cyanoacrylate requires significantly less time for skin closure and results in shorter operative time and the wound complications and cosmetic outcome using octyl-2-cyanoacrylate are comparable with conventional suture.