Quality of Scar Cosmesis After Surgical Wound Closure With Tissue Adhesive Cyanoacrylate

Hyder Ali, Samia Tasleem, Mujtuba Pervez Khan, Waqas Sami

Abstract

Objective

To assess the cosmetic appearance and frequency of optimal surgical wound closure using skin adhesive, the cyanoacrylate.

Study design

An experimental study.

Place & Duration of study

Department of Plastic and Reconstructive Surgery, Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, from May 2018 to May 2019.

Methodology

Patients undergoing elective plastic surgery for wound closure with surgical skin incision of 5cm or less as measured by a standard centimeter scale were included in this study. After the completion of procedure, care was taken to achieve adequate hemostasis. Wounds were cleaned and dried thoroughly. Patients were followed up and photographed at 1st, 2nd, 6th and 12th weeks and quality of scar was assessed by modified Hollander Wound Evaluation Score (HWES).

Results

A total of 377 patients were included. The average age of the patients was 40.93±8.361 year. There were 150 (39.79%) male and 227 (60.21%) female. Frequency of optimally clean wound with cosmetically optimal wound closure after surgery using skin adhesive at 6thweek postoperative was observed in 91.51% (345/377).

Conclusion

Topical tissue adhesives offer a fast and better cosmic skin closure for appropriately selected wounds.

Key words

Wound closure, Skin adhesive, Cyanoacrylate.