Closure of laparoscopic trocar site wounds with cyanoacrylate tissue glue:A simple technical solution

Cyanoacrylate-based tissue glue has been widely used for many years around the world, and was recently approved for use in the United States, mainly f or skin cuts and lacerations. Other applications were described, in differe nt surgical situations. Although ideal for small, clean incisions, its use in laparoscopic surgery is currently limited. Over a year period, 100 patie nts with more 250 trocar site wounds had their wounds glued using histoacry l. Infection rate was extremely low (one case), and partial dehiscence of t he wound happened in two patients, where wound edge approximation was not o ptimal. Cosmetic results were excellent and patient satisfaction was high, as no sutures had to be removed. Glue application is easy and quick, with n o risk of needle sticks, and it is a viable option for laparoscopic wound c losure.