Universität zu Köln

Buchweitz, Olaf, Frye, Christian, Moeller, Claus Peter, Nugent, Wolfgang, Krueger, Eckart, Nugent, Andreas, Biel, Peter and Juergens, Sven (2016). Cosmetic outcome of skin adhesives versus transcutaneous sutures in laparoscopic port-site wounds: a prospective randomized controlled trial. Surg. Endosc., 30 (6). S. 2326 - 2332. NEW YORK: SPRINGER. ISSN 1432-2218

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Abstract

Background In an elective laparoscopic surgery, the cosmetic outcome becomes increasingly important. We conducted a study to evaluate the cosmetic outcome 3 months after a laparoscopic procedure and compared skin adhesive (SA) versus transcutaneous suture (TS). Methods A randomized, controlled, prospective study was conducted at a single study centre in Hamburg, Germany. Seventy-seven patients undergoing laparoscopic surgery with two lower abdominal port sites met the study requirements. It was decided randomly which port site would be closed with SA. The opposite site was closed with TS. Wounds were assessed after 7-12 days and after 3 months. Cosmetic outcome was measured by a visual analogue scale (VAS) completed by the patient, by the Hollander wound evaluation scale (HWES) and by the judgement of blinded investigators. Results Seventy-seven subjects were randomized. Complete data from the 3-month follow-up visit were available from 56 patients (72.7 %). The VAS scale ranged from 0 to 100 mm with 0'' representing the best possible cosmetic outcome. Median satisfaction was 2 mm in the TS group and 3 mm in the SA group. The mean was high in both groups 4.6 (s = 13.1) versus 3.8 mm (s = 4.6). The outcome was neither clinically nor statistically significant. Cosmetic outcome was assessed by an investigator, and the HWES showed no difference. In regard to complications, no difference was found between SA and TS, either. Conclusions In conclusion this study demonstrated that closure of laparoscopic port-site wounds leads to equivalent outcomes whether SAs or TSs are used. Complications are rare in both methods. Thus, SAs seem to be a valid alternative to sutures in laparoscopic surgery. Registration site: www.clinicaltrials.gov.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Buchweitz, Olaf UNSPECIFIED UNSPECIFIED UNSPECIFIED Frye, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Moeller, Claus Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Nugent, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Krueger, Eckart UNSPECIFIED UNSPECIFIED UNSPECIFIED Nugent, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Biel, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Juergens, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-273290
DOI:	10.1007/s00464-015-4474-5
Journal or Publication Title:	Surg. Endosc.
Volume:	30
Number:	6
Page Range:	S. 2326 - 2332
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2218
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TISSUE ADHESIVE; CLINICAL-TRIAL; TROCAR WOUNDS; CLOSURE; CHOLECYSTECTOMY; OCTYLCYANOACRYLATE; CYANOACRYLATE; PAPERTAPE; INCISIONS; SURGERY Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27329