D. Rosin et al., Closure of laparoscopic trocar site wounds with cyanoacrylate tissue glue:A simple technical solution, J LAP ADV A, 11(3), 2001, pp. 157-159
Citations number
22
Categorie Soggetti
Surgery
Journal title
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A
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.