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Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea

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Author(s)
Kyeong Eui KimYu Ra JeonSung Uk BaeWoon Kyung JeongSeong Kyu Baek
Keimyung Author(s)
Bae, Sung UkJeong, Woon KyungBaek, Seong Kyu
Department
Dept. of Surgery (외과학)
Journal Title
J Minim Invasive Surg
Issued Date
2024
Volume
27
Issue
1
Keyword
AppendectomyWound closure techniquesSurgical tapeLaparoscopyTreatment outcome
Abstract
Purpose:
This study was performed to evaluate the safety and feasibility of skin adhesives and to compare postoperative and cosmetic outcomes after wound closure in single-port laparoscopic appendectomy (SPLA) between skin adhesives and steri-strips.

Methods:
This was a single-center retrospective study. We included 22 and 47 patients in whom skin adhesive and steri-strips were used respectively, for skin closure after subcuticular suturing in SPLA between August 2014 and 2020. The patient scar assessment questionnaire (PSAQ) was completed postoperatively to assess postoperative cosmetic outcomes.

Results: On the postoperative day, patients in whom skin adhesive was used had significantly lower numeric rating scores than in whom steri-strips were used (2.8 ± 0.8 vs. 3.9 ± 0.8, p < 0.001). The frequency of analgesic administration within 24 hours and between 24 and 48 hours after surgery was significantly lower in the skin adhesive group compared to the wound closure strip group (1.4 ± 0.8 vs. 2.7 ± 1.2, p = 0.013 and 0.2 ± 0.4 vs. 0.7 ± 0.9, p = 0.002, respectively). In the PSAQ, “satisfaction with appearance” and “satisfaction with symptoms” subitem scores were significantly lower in patients in whom skin adhesive was used (11.3 ± 3.0 vs. 15.1 ± 4.5, p = 0.006 and 6.5 ± 1.8 vs. 9.5 ± 3.3, p = 0.003), whereas, “appearance” and “consciousness” subitems revealed no statistically significant differences between the groups.

Conclusion:
Liquid skin adhesive closures seem to be safe and feasible and cause less postoperative pain, resulting in greater patient satisfaction with postoperative scars than wound closure strip closure after subcuticular suturing in SPLA.
Keimyung Author(s)(Kor)
배성욱
정운경
백성규
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2234-5248
Source
https://www.e-jmis.org/journal/view.html?pn=vol&uid=720
DOI
10.7602/jmis.2024.27.1.14
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45380
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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