Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Surgeons, Patients Prefer Adhesives to Sutures

Dermatol Surg; ePub 2017 Jun 6; Bartenstein, et al

Cyanoacrylate tissue adhesives produce cosmetic outcomes that are not statistically significantly different than sutures, according to a recent study. Furthermore, they are associated with fast application, easy wound care, and patient satisfaction. 71 patients scheduled for skin cancer excision were included in this prospective, randomized, single-blind study. Cosmetic appearance was assessed by a masked panel of dermatologists and plastic surgeons who evaluated digital photographs. Secondary outcomes were assessed by nursing recordings and patient and surgeon evaluations. They found:

  • There was no significant difference in wound appearance (Visual Analog Scale: p=.4693, modified Hollander Wound Evaluation Score: p=.6413) between adhesives and sutures.
  • It was faster and easier for a surgeon to use adhesives, and subjects spent less time caring for and were more satisfied by wounds sealed with adhesives than sutures.

Bartenstein DW, Cummins DL, Rogers GS. A prospective, randomized, single-blind study comparing cyanoacrylate adhesives to sutures for wound closure in skin cancer patients. [Published online ahead of print June 6, 2017]. Dermatol Surg. doi:10.1097/DSS.0000000000001200.

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