Skin Glue for Wounds Closure in Brain Surgery: Our Updated Experience.
Adult
Aged
Brain Diseases
/ surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neurosurgical Procedures
/ adverse effects
Patient Satisfaction
Postoperative Complications
/ psychology
Retrospective Studies
Skin
Surgical Wound Infection
/ etiology
Tissue Adhesives
/ therapeutic use
Treatment Outcome
Visual Analog Scale
Wound Healing
/ physiology
Brain
Cosmetic
Cyanoacrylate
Infection
Polymer
Wound
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
30
07
2018
revised:
02
10
2018
accepted:
03
10
2018
pubmed:
20
10
2018
medline:
3
1
2019
entrez:
19
10
2018
Statut:
ppublish
Résumé
Traditional wound closure techniques include skin sutures and metal clips. Cyanoacrylate has good neovascularization, epithelialization, and antimicrobial activity properties and a fast application procedure. This study presents our long-term experience. We retrospectively selected 362 patients who underwent brain surgery from January 2007 to March 2017. Exclusion criteria were applied for repeat surgeries, emergency/posttraumatic procedures, wound infections, wounds longer than 16 cm, skull base cases, and postoperative patients who stayed in the intensive care unit more than 1 day. We collected data from 250 cases of supratentorial procedures and 112 cases of infratentorial procedures. The median wound length was 11 cm (range, 4-15 cm); the median age was 51 years. We followed-up all patients for 1, 3, and 12 months focusing on wound complications, cosmetic results, based on the Hollander Wound Evaluation Scale (HWES), and patient satisfaction using a visual analog scale. Cosmetic results were very good (HWES score of 5-6) in 99.5% of cases at 12 months. Patient satisfaction reached almost 100% at 12 months. We experienced 2 cases of wound dehiscence and 2 others with poor cosmetic results. The main complaint was a feeling of discomfort, during the first 2 weeks after surgery, because of the dried glue along the wound's edges. With additional research, we can confirm that cyanoacrylate glue may be a valid and useful alternative to traditional techniques for wound closure in brain surgery, carrying several advantages. However, a randomized controlled trial with a large number of patients is warranted to confirm our findings.
Sections du résumé
BACKGROUND
BACKGROUND
Traditional wound closure techniques include skin sutures and metal clips. Cyanoacrylate has good neovascularization, epithelialization, and antimicrobial activity properties and a fast application procedure. This study presents our long-term experience.
METHODS
METHODS
We retrospectively selected 362 patients who underwent brain surgery from January 2007 to March 2017. Exclusion criteria were applied for repeat surgeries, emergency/posttraumatic procedures, wound infections, wounds longer than 16 cm, skull base cases, and postoperative patients who stayed in the intensive care unit more than 1 day. We collected data from 250 cases of supratentorial procedures and 112 cases of infratentorial procedures. The median wound length was 11 cm (range, 4-15 cm); the median age was 51 years. We followed-up all patients for 1, 3, and 12 months focusing on wound complications, cosmetic results, based on the Hollander Wound Evaluation Scale (HWES), and patient satisfaction using a visual analog scale.
RESULTS
RESULTS
Cosmetic results were very good (HWES score of 5-6) in 99.5% of cases at 12 months. Patient satisfaction reached almost 100% at 12 months. We experienced 2 cases of wound dehiscence and 2 others with poor cosmetic results. The main complaint was a feeling of discomfort, during the first 2 weeks after surgery, because of the dried glue along the wound's edges.
CONCLUSIONS
CONCLUSIONS
With additional research, we can confirm that cyanoacrylate glue may be a valid and useful alternative to traditional techniques for wound closure in brain surgery, carrying several advantages. However, a randomized controlled trial with a large number of patients is warranted to confirm our findings.
Identifiants
pubmed: 30336296
pii: S1878-8750(18)32316-7
doi: 10.1016/j.wneu.2018.10.023
pii:
doi:
Substances chimiques
Tissue Adhesives
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e940-e946Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.