Wound
Conditions
Keywords
Colectomy, Closure, Wound, Dermabond, Propen
Brief summary
2-octylcyanoacrylate (2-OCA) has been used extensively in clinical practice in trauma, plastic surgery, orthopaedic surgery, emergency medicine and paediatrics. Most studies on 2-OCA to date have focused on closure of short wounds, and only one has included closure of abdominal wounds in the context of general surgery. Here, the investigators will look at the results of closure of abdominal wounds in patients undergoing elective colectomies with 2-OCA, which is commercially available to us, versus closure with skin staples, which is the current standard technique of skin closure employed in the Department of Colorectal Surgery, Singapore General Hospital. The primary objective was to measure effectiveness of 2-OCA in 2 respects - the adequacy of wound healing and cosmesis, and the incidence of superficial wound infection.
Interventions
Application of 2 layers of Dermabond to abdominal wounds after closure of deep layers
Skin closure with skin staples
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing elective colectomies for benign or malignant conditions * Midline vertical incisions or skin crease incisions * Above the age of 21 years old * Able to make own valid informed decisions
Exclusion criteria
* Patients undergoing surgery for recurrent or metastatic disease * Surgery for surgical emergencies such as acute abdomen or bleeding * Known allergy to DERMABOND ProPen Tissue Adhesive or any of its constituents (cyanoacrylate or formaldehyde) * Patients on immunosuppression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound healing | 3 months |
| Patient satisfaction | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Superficial surgical site infections | 3 months |
| Time taken for wound closure | Intraoperative |
Countries
Singapore