How do you close the surgical incision?

Topic overview

Randomized trial comparing three skin closure methods in pediatric surgery found tissue adhesive produced slightly poorer cosmesis at 6 weeks versus sutures alone or sutures with tape, though differences didn't persist long-term. Parent satisfaction and complication rates were similar across all closure techniques.

Key takeaways

Tissue adhesive showed poorer cosmesis at 6 weeks vs sutures alone or sutures+tape, but difference did not persist long-term
Parent-rated cosmesis and satisfaction were equivalent across all closure methods (sutures, sutures+tape, sutures+adhesive)
Wound complication rates were similar across techniques with only 1 dehiscence and no infections in 314 wounds
Combination closure (sutures+tape or sutures+adhesive) offers no cosmetic advantage over sutures alone in pediatric surgery

Keywords

Wound Closure Tissue Adhesive Pediatric Surgery Surgical Incision Cosmesis Suture Techniques

Hashtags

#PediatricSurgery #WoundClosure #SurgicalTechnique #ClinicalTrial

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