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급성충수돌기염의 단일 절개에 대해 사용한 피부접착제의 미용 및 임상적 결과에 대한 후향적 연구

Cosmetic and Clinical Outcomes of Skin Adhesives in Single-Site Wounds for Acute Appendicitis: A Retrospective Study

Journal of Surgical Infection 2020년 5권 2호 p.40 ~ 45
전유라, 배성욱,
소속 상세정보
전유라 ( Jeon Yu-Ra ) - Keimyung University School of Medicine Department of Medicine
배성욱 ( Bae Sung-Uk ) - Keimyung University School of Medicine Keimyung University Dongsan Hospital Department of Surgery

Abstract


Objectives: While skin adhesives have been shown to produce fewer wound complications and a better cosmetic result compared to trans- or only subcutaneous sutures, However, limited data are available on the clinical outcomes and cosmetic consequences of scarring in patients undergoing single-port laparoscopic appendectomy. Herein, we report our initial experience of skin adhesives in single-site wounds for acute appendicitis.

Methods: The study group included 20 adult patients who underwent a single-port laparoscopic appendectomy for acute appendicitis between December 2018 and July 2020. The patients completed the patient scar assessment questionnaire postoperatively for the assessment of cosmetic outcomes.

Results: The median total operation time was 78 minutes (37-123 minutes), and a drainage tube was placed in 3 patients (15.0%). The pain scores measured on postoperative day 0 and 1 using the numeric rating scale were 2 (1-2) and 2 (2-4), respectively. The median total length of incision was 2.0-cm (2.0-3.0-cm), and median time to soft diet initiation and length of stay were 12 hours (6-28 hours) and 49 days (30-72 days), respectively. Three patients (15.0%) developed postoperative complications: one experienced superficial surgical site infection (5.0%), one ileus (5.0%), and one voiding difficulty (5.0%). Eleven patients responded to the telephone questionnaire and the median scores of the appearance, consciousness, satisfaction with appearance subscales, and total score were 13 (10-20), 6 (6-14), 13 (8-19), 7 (5-14), and 40 (29-66).

Conclusion: Skin adhesives on single-site wounds for acute appendicitis can be safe and feasible. Further large-scale comparative studies are needed to prove the advantages of this procedure.

키워드

Laparoscopy; Appendicitis; Surgical tape; Natural orifice endoscopic surgery

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