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Surgical skin adhesive bond is safe and feasible wound closure method to reduce surgical site infection following minimally invasive colorectal cancer surgery

Annals of Surgical Treatment and Research 2020년 99권 3호 p.146 ~ 152
Lee Chul-Seung, Han Seung-Rim, 계봉현, 배정훈, Koh Woo-Ree, 이인규, 이도상, 이윤석,
소속 상세정보
 ( Lee Chul-Seung ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
 ( Han Seung-Rim ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
계봉현 ( Kye Bong-Hyeon ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
배정훈 ( Bae Jung-Hoon ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
 ( Koh Woo-Ree ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
이인규 ( Lee In-Kyu ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
이도상 ( Lee Do-Sang ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
이윤석 ( Lee Yoon-Suk ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery

Abstract


Purpose: Minimally invasive colorectal surgery had reduced the rate of surgical site infection. The use of surgical skin adhesive bond (2-octyl cyanoacrylate) for wound closure reduces postoperative pain and provides better cosmetic effect compared to conventional sutures or staples. But role of surgical skin adhesive bond for reducing surgical site infection is unclear. Our objective in this study was to evaluate the role of surgical skin adhesive bond in reducing surgical site infection following minimally invasive colorectal surgery.

Methods: We performed a retrospective analysis of 492 patients treated using minimally invasive surgery for colorectal cancer at Seoul St. Mary's Hospital, the Catholic University of Korea. Of these, surgical skin adhesive bond was used for wound closure in 284 cases and skin stapling in 208. The rate of surgical site infection including deep or organ/space level infections was compared between the 2 groups.

Results: The rate of superficial surgical site infection was significantly lower in the group using skin adhesive (P = 0.024), and total costs for wound care were significantly lower in the skin adhesive group (P < 0.001).

Conclusion: This study showed that surgical skin adhesive bond reduced surgical site infection and total cost for wound care following minimally invasive colorectal cancer surgery compared to conventional skin stapler technique. Surgical skin adhesive bond is a safe and feasible alternative surgical wound closure technique following minimally invasive colorectal cancer surgery.

키워드

Cyanoacrylates; Octyl 2-cyanoacrylate; Surgical stapling; Surgical wound infection; Tissue adhesives

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