소아비뇨기과 관혈적 수술 시 피부봉합제로 사용된 Octyl-2-Cyanoacrylate (Dermabond$^{TM}$)의 효용성 |
이한이, 민선호, 김광명 |
1서울대학교 의과대학 비뇨기과학교실 2서울대학교 의과대학 비뇨기과학교실 3서울대학교 의과대학 비뇨기과학교실 |
Analysis of Octyl-2-Cyanoacrylate as a Dressing Material after Pediatric Urological Procedures |
Hahn-Ey Lee, Sun Ho Min, Kwang Myung Kim |
1Division of Pediatric Urology, Seoul National University College of Medicine 2Division of Pediatric Urology, Seoul National University College of Medicine 3Division of Pediatric Urology, Seoul National University College of Medicine |
Received: September 22, 2012; Revised: September 26, 2012. Accepted: October 17, 2012. |
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ABSTRACT |
Purpose: We aimed to evaluate the efficacy of Octyl-2-cyanoacrylate (Dermabond$^{TM}$) as a topical skin adhesive for pediatric urologic open surgery. Methods: From August 2010 to August 2011, we retrospectively evaluated pediatric patients who underwent urologic open surgery at our institution. A total of 128 pediatric patients with 210 incisions used Dermabond$^{TM}$ for skin closure. Results : We divided the 128 patients into 3 groups according to type of surgery. Group 1 underwent hydrocelectomy (55 cases, 41.3%), Group 2 underwent orchiopexy (43 cases, 32.3%), Group 3 underwent penoplasty (35 cases, 26.4%). One hundred and twenty eight patients who underwent 133 surgeries in total, with a total of 210 incisions visited our outpatient department postoperatively, and a total of 5 wound complications (2.3%) occurred, but were simple inflammations and no dehiscence was observed. When analyzed according to groups, no wound problems occurred in Group 1 (0/55, 0%), one occurred in Group 2 (1/43, 2.3%) and four cases occurred in Group 3 (4/35, 11.4%) respectively. When re-analyzed according to wound locations, one occurred in an inguinal wound (1/120, 0.83%), none occurred in scrotal wounds (0/55, 0%), and four occurred in penile wounds (4/35, 11.4%). In Group 3, the incidence of penile wounds was significantly increased compared to other groups (P=0.008). All 5 wound problems were inflammatory and healed at an average of 13.8 days (13-15 days) with antibiotic ointment application only. Conclusion : Dermabond$^{TM}$ is feasible and safe topical skin adhesive alternative to standard skin suture in pediatric urologic surgery. However, further research about its efficacy and safety could be valuable in the future. |
Key words:
Octyl-2-cyanoacrylate (Dermabond$^{TM}$) | Urologic Surgical Procedures | Male | Tissue adhesives |
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