Use of 2-octyl cyanoacrylate together with a self-adhering mesh (Dermabond? Prineo?) for skin closure following abdominoplasty: An open, prospective, controlled, randomized, clinical study

摘要

Background: Abdominoplasty is one of the most commonly performed procedures in plastic surgery. The appearance of the scar is a major factor that contributes to the aesthetic outcome of the procedure and depends largely on the technique of wound closure. The new Prineo? wound closure system was introduced to combine the effectiveness of 2-octyl cyanoacrylate (Dermabond?) together with a self-adhering mesh. Methods: Fifty-two women and eight men aged between 21 and 65 years who were scheduled for abdominoplasty were included in the study. The total operating times after abdominoplasty of the traditional wound closure technique and the Prineo?-type wound closure technique were compared. Furthermore, an analysis comparing the cost of the two methods was performed. Two weeks after surgery the wounds were examined and graded using the Hollander Cosmesis Scale. At the 6- and 12-month follow-ups, the aesthetic outcome of the abdominal scar was evaluated using the Vancouver Scar Scale. Twelve months after surgery, the patients were asked to answer their part of the Patient Scar Assessment Scale. Results: The mean total operating time for the new skin closure system was statistically significantly shorter than that of intradermal sutures. The mean price difference per patient was 104.27? (134.79$) in favor of Prineo?. The Hollander Cosmesis Scale indicated a significantly more favorable overall result with Prineo? at 2 weeks after surgery. The Vancouver Scar Scale demonstrated a better cosmetic outcome in favor of Prineo? 6 and 12 months after surgery. The Patient Scar Assessment Scale scores 12 months after surgery indicated that the patients noted significantly less pain, thickness, and irregularity with Prineo?. Conclusion: Based on our results, we conclude that Prineo? is a safe and effective substitute for superficial skin closure, with good cosmetic results and no increase in wound complications. The use of Prineo? decreases operative time and cost and enhances the patient's postoperative comfort. Level of Evidence I: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.