LiquiBand? Surgical S topical adhesive versus sutures for the closure of laparoscopic wounds. A randomized controlled trial

摘要

Cyanoacrylate adhesives offer the surgeon and patient an alternative to subcuticular suturing. LiquiBand? Surgical S (LBSS) is a new formulation with a blend of monomeric n -butyl and 2-octyl cyanoacrylates. In this study, the effectiveness, safety, and clinical utility of LBSS was compared to Vicryl? sutures for the closure of laparoscopic incisions. This was a prospective randomized study of LBSS skin adhesive versus Vicryl? sutures for the topical closure of laparoscopic surgical incisions. Subjects were asked to return at 2?weeks postsurgery to report complications and adverse events. Wounds were evaluated for apposition and cosmesis using a modified Hollander Wound Evaluation Scale (HWES). The Shapiro–Wilk test of normality was done. Independent-samples T test, Mann Whitney U test, and chi-square test were used to compare variables between the two wound closure methods. A total of 114 subjects participated in this trial completing all aspects of the study. Fifty-five subjects received sutures for topical wound closure, with 59 subjects receiving LBSS. Surgeons were found to be satisfied with 100?% of all applications using the LBSS device. One hundred percent of wounds closed with sutures and 98.9?% wounds closed with LBSS achieving an optimal HWES of 0. There was no statistical difference in cosmesis or complications for either method. Closure with LBSS was significantly faster by a mean of 2?min. LiquiBand? Surgical S is as good as sutures for the closure of laparoscopic wounds in terms of cosmesis and complications with the added benefit of being significantly faster.