Wound infection rate between isoamyl-2-cyanoacrylate and subcuticular polyamide suture for skin closure in elective surgical procedures

Traditionally, needle skin suturing with suture material is used because of its cost effectiveness. In traditional skin closure with suture material, patients experience more pain during post operative period, patients cannot have a shower and patients have to come for suture removal. Even after healing, there will be track marks of suture. Chances of wound infection are higher with needle skin suturing than with closure using adhesive glue. This was a comparative study in which patients were studied in two groups. One group comprised of incision closure with subcuticular 3-0 polyamide suture material and the other group comprised of closure with 2 - octylcyanoacrylate adhesive glue. For all patients, subcutaneous sutures were applied to relieve tension, close dead space and appose wound edges, and then the wound was closed by subcuticular stitches using polyamide 3-0 or using Isoamyl-2-cyanoacrylate. Complications noted on 3rd day for the adhesive glue group are 2 seromas, 1 erythema amounting to 12% of the group. At the same time complications noted for subcuticular skin suturing group are 3 seromas, 2 erythemas amounting to 20% of the group. This indicates that incidence of complications on 3rd day was 8% more in subcuticular skin suturing group than in adhesive glue group.