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Revista Cubana de Cirugía

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2011, Number 2

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Revista Cubana de Cirugía 2011; 50 (2)

Effectiveness of the Tisuacryl® as tissue adhesive for closure of cutaneous wounds in laparoscopy surgery

Roque GR, López MAB, Pereira FJG, Torres PR, Guerra BRM, Barreras GJ
Full text How to cite this article

Language: Spanish
References: 7
Page: 179-186
PDF size: 116.08 Kb.


Key words:

Laparoscopy surgery, Tisuacryl®, surgical wounds.

ABSTRACT

INTRODUCTION. One of the more beneficial uses of laparoscopy procedures in surgery is to decrease the morbidity related to surgical trauma. It is known that the use of the Tisuacryl® tissue adhesive for closure of cutaneous wounds favors the hemostasis, a fast tissue recovery and decrease of postsurgical edema avoiding complications including infection and tissue reaction to a foreign body. The aim of present research was to assess the effectiveness and safety of Tisuacryl® for synthesis of approaches in patients operated on by minimally invasive methods without the need of to apply sutures.
METHODS. A tissue adhesive was applied in 100 patients came to National Center of Minimal Access Surgery to undergo different surgical procedures. Among the variables to assess the effectiveness and safety of treatment were the wound dehiscence, appearance of infection, wound synthesis time and scar esthetics. Patients were assessed during the immediate postoperative period and in external consultation at 7 and 21 days after surgery.
RESULTS. Excellent results were achieved as regards the coping and the wounds' esthetics. Also, patients were satisfied with the use of this material and there were not infections.
CONCLUSIONS. Results of present research demonstrated that the Tisuacryl® may be used with a high level of effectiveness for closure of 5 mm and 10 mm wounds in laparoscopy surgery to replace sutures.


REFERENCES

  1. Silva Leal N, Fernández Massó JN, Gálvez Góngora RL, Herrera Villena J, Mayelín Guerra R. Eficacia y seguridad del adhesivo tisular Tisuacryl en el cierre de la piel de la episiotomía. Biomecánica. 2003;11:53-58.

  2. Roque González R, García Gutiérrez A, Guerra Bretaña RM, Roque Zambrana F, Leal Mursulí A, Cruz Gómez A. Adhesivos tisulares en Cirugía. Rev Cubana Cir. 2006;45(3-4):6-13.

  3. Pérez M, Fernández I, Márquez D, Guerra RM. Use of n-butyl cyanoacrylate in oral surgery. Biological and clinical evaluation. Art Org. 2000;24:241-3.

  4. Guerra Bretaña RM, Pérez Álvarez M, Roque González R. Efectividad del adhesivo tisular Tisuacryl en el cierre de heridas cutáneas. Rev Cubana Med Gen Int. [seriada en Internet] 2005;21(1-2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252005000100010&lng=es&nrm=iso&tlng=es

  5. Farion KJ, Russell KF, Osmond MH, Hartling L, Klassen TP, Durec T, Vandermeer B. Review Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev. 2002;(3):CD003326.

  6. Beam JW. Tissue adhesives for simple traumatic lacerations. J Athl Train. 2008;43(2):222-4.

  7. Sonmez, K, Bahar B, Karabulut R, Gulbahar O, Poyraz A, Turkyilmaz Z, Sancak B, Basaklar AC. Effects of different suture materials on wound healing and infection in subcutaneous closure techniques. B-ENT. 2009;5(3):149-52.




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Revista Cubana de Cirugía. 2011;50