Abstract

Background: Skin closure technique should be technically easy, acceptable, speedy and economical.  However, the use of GLUE is increasing in clinical practice. In this study we compared the conventional suturing and cyanoacrylate glue techniques in terms of time efficacy, post-operative pain, wound complications, cosmesis.
Methods: A  prospective observational study was conducted on 100 patients comparing tissue glue and sutures in primary wound closures following elective surgeries in the Department of General Surgery at KIMS KARAD (December 2020 to june 2022).
Results: The patients in the two groups were analyzed using Independent t test, and results were formulated. Glue consumed less time for application with a mean of 2.83 minutes when compared to sutures (4.97 minutes). Glue gave best results in terms of less post-operative pain. Mean VAS score calculated at 0,12,24,48,72 hrs was 3.59,3.80,3.20,2.87,2.10 and at 7 days was 1.13. The wound ASEPSIS score calculated on 3rd , 5 th , and 7th day. Cosmesis score on 7th day, 1 st month and 5th month was calculated using modified hollander and VAS cosmesis scale. Mean score with glue was 0.82,2.76 and 3.12 respectively. All the above proved statistical significance with p value <0.05.
Conclusions: Skin glue gives the best results in terms of less post-operative pain, wound asepsis, better cosmesis . The concept of tissue glue is a safe, attractive, and effective alternate over other conventional methods of wound closures following elective surgeries.