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Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement
- Source :
- Journal of vascular and interventional radiology : JVIR. 28(1)
- Publication Year :
- 2016
-
Abstract
- Purpose To compare early outcomes of skin closure with octyl cyanoacrylate skin adhesive versus subcuticular suture closure. Materials and Methods Over a 7-month period, 109 subjects (28 men and 81 women; mean age, 58.6 y) scheduled to undergo single-lumen implantable venous port insertion for chemotherapy were randomly assigned to skin closure with either octyl cyanoacrylate skin adhesive or absorbable subcuticular suture after suturing the deep dermal layer. Subjects were followed for episodes of infection or dehiscence within 3 months of port implantation. At 3 months, photographs of the healed incision were obtained and reviewed by a plastic surgeon in a blinded fashion who rated cosmetic scar appearance based on a validated 10-point cosmesis score. Results Of subjects, 54 were randomly assigned to skin adhesive, and 55 were randomly assigned to subcuticular suture. No subjects had incision dehiscence. Infection rates at 3 months were similar between groups (2.1% vs 4.0%; P = 1.0). The mean cosmesis scores were 4.40 for skin adhesive and 4.46 for subcuticular suture ( P = .898). The superficial skin closure time was 8.6 minutes for suture versus 1.4 minutes for skin adhesive ( P Conclusions Scar cosmesis and patient outcomes did not significantly vary between skin adhesive versus subcuticular suture, although skin closure time was significantly less with skin adhesive.
- Subjects :
- Male
medicine.medical_specialty
Catheterization, Central Venous
Time Factors
Visual analogue scale
Dehiscence
030218 nuclear medicine & medical imaging
03 medical and health sciences
chemistry.chemical_compound
Cicatrix
0302 clinical medicine
Port (medical)
Catheters, Indwelling
Suture (anatomy)
Surgical Wound Dehiscence
medicine
North Carolina
Central Venous Catheters
Humans
Surgical Wound Infection
Radiology, Nuclear Medicine and imaging
Cyanoacrylates
Prospective Studies
Wound Healing
integumentary system
business.industry
Suture Techniques
Cosmesis
Equipment Design
Middle Aged
Surgery
Plastic surgery
Octyl cyanoacrylate
Treatment Outcome
chemistry
030220 oncology & carcinogenesis
Catheter-Related Infections
Female
Tissue Adhesives
Cardiology and Cardiovascular Medicine
Wound healing
business
Subjects
Details
- ISSN :
- 15357732
- Volume :
- 28
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of vascular and interventional radiology : JVIR
- Accession number :
- edsair.doi.dedup.....7161514d3865b78ce870c4c39e27aea5