Skip to main content
SpringerLink
Log in

Wound closing method with 2‑octyl cyanoacrylate after single-incision laparoscopic surgery for colorectal cancer

  • original article
  • Published:
European Surgery Aims and scope Submit manuscript

Summary

Background

The use of 2‑octyl cyanoacrylate (CA) for the umbilical wound after single-incision laparoscopic surgery (SILS) for colorectal cancer has not been described.

Methods

A consecutive experience of SILS for colorectal cancer is presented. Three hundred sixty-four patients (172 women) were treated with SILS for colorectal cancer between December 2010 and December 2015. Our institution introduced CA in September 2012. The data of patients treated with CA were compared to a historical group who underwent standard sutured skin closure with thin adhesive strips (AS) at our institution. The Centers for Disease Control and Prevention criteria were used for the diagnosis of superficial surgical site infection (SSI).

Results

Of these 364 patients, 20 patients (5.5%) were converted to laparotomy including the extension of the skin incision longer than 3 cm. In 344 patients completed with SILS, CA was used in 247 patients. Superficial SSI occurred in two patients (0.81%) with CA and one (1.03%) with AS. No patients completed with SILS suffered wound dehiscence in this series. There were no significant differences in wound-related complication rate between the two groups.

Conclusions

CA provides sufficient wound closure in SILS for colorectal cancer. SILS with CA has the possibility to provide a lower superficial SSI rate in patients with colorectal cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Tang R, Chen HH, Wang YL, Changchien CR, Chen JS, Hsu KC, Chiang JM, Wang JY. Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2809 consecutive patients. Ann Surg. 2001;234:181–9.

    Article  CAS  Google Scholar 

  2. Itani KM, Wilson SE, Awad SS, Jensen EH, Finn TS, Abramson MA. Ertapenem versus cefotetan prophylaxis in elective colorectal surgery. N Engl J Med. 2006;355:2640–51.

    Article  CAS  Google Scholar 

  3. Chow A, Marshall H, Zacharakis E, Paraskeva P, Purkayastha S. Use of tissue glue for surgical incision closure: a systematic review and meta-analysis of randomized controlled trials. J Am Coll Surg. 2010;211:114–25.

    Article  Google Scholar 

  4. Tajirian AL, Goldberg DJ. A review of sutures and other skin closure materials. J Cosmet Laser Ther. 2010;12:296–302.

    Article  Google Scholar 

  5. Watanabe T, Itabashi M, Shimada Y, Tanaka S, Ito Y, Ajioka Y, Hamaguchi T, Hyodo I, Igarashi M, Ishida H, Ishihara S, Ishiguro M, Kanemitsu Y, Kokudo N, Muro K, Ochiai A, Oguchi M, Ohkura Y, Saito Y, Sakai Y, Ueno H, Yoshino T, Boku N, Fujimori T, Koinuma N, Morita T, Nishimura G, Sakata Y, Takahashi K, Tsuruta O, Yamaguchi T, Yoshida M, Yamaguchi N, Kotake K, Sugihara K, Japanese Society for Cancer of the Colon and Rectum. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2014 for treatment of colorectal cancer. Int J Clin Oncol. 2015;20:207–39.

    Article  Google Scholar 

  6. Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N. Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev. 2002; https://doi.org/10.1002/14651858.cd003326.

    Article  PubMed  Google Scholar 

  7. Collin TW, Blyth K, Hodgkinson PD. Cleft lip repair without suture removal. J Plast Reconstr Aesthet Surg. 2009;62:1161–5.

    Article  CAS  Google Scholar 

  8. Cho J, Harrop J, Veznadaroglu E, Andrews DW. Concomitant use of computer image guidance, linear or sigmoid incisions after minimal shave, and liquid wound dressing with 2‑octyl cyanoacrylate for tumor craniotomy or craniectomy: analysis of 225 consecutive surgical cases with antecedent historical control at one institution. Neurosurgery. 2003;52:832–40.

    Article  Google Scholar 

  9. Lee KW, Sherwin T, Won DJ. An alternate technique to close neurosurgical incisions using octyl cyanoacrylate tissue adhesive. Pediatr Neurosurg. 1999;31:110–4.

    Article  CAS  Google Scholar 

  10. Leung GY, Peponis V, Varnell ED, Lam DS, Kaufman HE. Preliminary in vitro evaluation of 2‑octyl cyanoacrylate (Dermabond) to seal corneal incisions. Cornea. 2005;24:998–9.

    Article  Google Scholar 

  11. Lee J, Singletary R, Schmader K, Anderson DJ, Bolognesi M, Kaye KS. Surgical site infection in the elderly following orthopaedic surgery. Risk factors and outcomes. J Bone Joint Surg Am. 2006;88:1705–12.

    Article  Google Scholar 

  12. Scott GR, Carson CL, Borah GL. Dermabond skin closures for bilateral reduction mammaplasties: a review of 255 consecutive cases. Plast Reconstr Surg. 2007;120:1460–5.

    Article  CAS  Google Scholar 

  13. Wilson AD, Mercer N. Use of Dermabond in cleft lip repair. J Plast Reconstr Aesthet Surg. 2010;63:1064–5.

    Article  Google Scholar 

  14. Quinn JV, Osmond MH, Yurack JA, Moir PJ. N‑2 butyl cyanoacrylate: risk of bacterial contamination with an appraisal of its antimicrobial effects. J Emerg Med. 1995;13:581–5.

    Article  CAS  Google Scholar 

  15. Bhende S, Rothenburger S, Spangler DJ, Dito M. In vitro assessment of microbial barrier properties of Dermabond topical skin adhesive. Surg Infect (Larchmt). 2002;3:251–7.

    Article  Google Scholar 

  16. Esemuede IO, Gabre-Kidan A, Fowler DL, Kiran RP. Risk of readmission after laparoscopic vs. open colorectal surgery. Int J Colorectal Dis. 2015;30:1489–94.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Mizonokuchi Hospital, Teikyo University School of Medicine, 5-1-1 Futago, Takatsu-ku, 213-8507, Kawasaki, Japan

    Yasumitsu Hirano MD, PhD, FACS

  2. Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, 910-8526, Fukui, Japan

    Yasumitsu Hirano MD, PhD, FACS, Chikashi Hiranuma MD, PhD, Kenji Douden MD, PhD & Masakazu Hattori MD, PhD

Authors
  1. Yasumitsu Hirano MD, PhD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chikashi Hiranuma MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kenji Douden MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masakazu Hattori MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yasumitsu Hirano MD, PhD, FACS.

Ethics declarations

Conflict of interest

Y. Hirano, C. Hiranuma, K. Douden, and M. Hattori declare that they have no competing interests.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hirano, Y., Hiranuma, C., Douden, K. et al. Wound closing method with 2‑octyl cyanoacrylate after single-incision laparoscopic surgery for colorectal cancer. Eur Surg 51, 27–30 (2019). https://doi.org/10.1007/s10353-018-0562-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10353-018-0562-9

Keywords

Search

Navigation