The Sutureless Circumcision – An Alternative To The Standard Technique
Sutureless Circumcision
Keywords:
2-octyl cyanoacrylate, suture less circumcision, adhesive glue skin closureAbstract
Introduction: Circumcision is a commonly performed surgery. Surgeons have become increasingly interested in the use of adhesive bonds. Recent advances have been made in the use of tissue glu in the circumcision. In this study, we used 2-octul cyanoacrylate for closing circumcision wounds and we have reported our experience. Material & Methods: this was a prospective non-prospective preliminary clinical study involving 30 patients where 2-octyl cyanoacrylate was used as a tissue adhesive for wound closure after formal formal circumcision at of our department. Result: In this study, there is significant less pain. There is 10% (3 cases) of complication are observed. The wound cosmesis score on 90th post-operative day is optimal except in one patient of woud separation. Conclusion: The comparison with criterions of time taken for skin closure
References
1. David L.Gollaher Circumcision:A History Of The World’s Most Controversial Surgery New York:Basic Books;2000
2. Circumcision. An Encyclopaedia Britanica Company-Merriam Webster.Available at: http://www.merriam-webster.com/ medical/ circumcision
3. Elder,Jacks.â€Anomalies Of The Penis And Urethraâ€In:Richard E. Behrman,et al Nelson Textbook Of Paediatrics,17th ed. Philadelphia: Saunders;2003.P 1812-6.
4. Khairi A.,El-Kholi N., Tolba M.,Ismail T.,Dwaba M.,Hafez M.,et al plastibell circumcision;evaluation of a technique in 800 cases.Egyption journal of surgery 2005;1:1
5. David Peleg, Ann Steiner The Gomco Circumcision: Common Problems And Solutions Am Fam Physician1998;58;891-8
6. Reynolds RD Use of the Mogen clamp for neonatal Circumcision. Amer Fam physician1996;54:177-82,
7. Cheng W, Saing H.A prospective randomized study of wound approximation with tissue glue in Circumcision in children J Paediatr Child Health 1997;33-515-6.
8. US Food And Drug Administration.FDA Dermabond Approval Order.Available at
http://www.accessdata.fda.gov/cdrh_docs/pdf/p960052.pdf
9. Coover HW,Joyner FB,Shearer NH,Wicker TH.Chemistry and performance of cyanocylate adhesives J Soc Plast Surg Eng 1959;15:413-7
10. A.M.K Rickwood Medical indications for Circumcision .BJU International 1997;1:45-51
11. Soh CR ,NB Sb Lim SL.Dorsal penile nerve block.Paediatr Anaesth 2003;13:329-33
12. Telgrarsky B.Karovic D Wassermann O , Ogibovicova E, Csomor D, Koppl J et.al. Penile block in children ,our first experience Bratisl Lek Listy 2006;107:320-2.
13. Holman JR Lewis EL ,Ringler RL “Neonatal circumcision techniques†American Family Physician 1995:52;511-8,519-20
14. Kelly BD Lundon DJ,Timlin ME,Sheikh M,Nusrat NB,D’Arcy FT ,et,al.Paediatric sutureless Circumcision --an alternative to the standard technique. Pediatr Surg Ing 2012;28:308-8.
15. DeLoach LJ, Higgins MS, Caplan AB Stiff JL.The visual analogue scale in the immediate postoperative period :intrasubject variability and correlation with a numeric scale.Anesth Analg 1998;86:102-6
16. Bodian,Carol A., Freedman,Gordon,Hossain, Sabera,et al.The Visual Analogue Scale for pain:Clinical Significance in Postprerative Patients. Anesthesiology 2001:1356-61
17. Wilson AP,Weavill C,Burridge J,Kelsey MC.The use of the wound scoring method ‘ASEPSIS†in postperative wound survellance.J Hosp Infact 1990;16-:297-309
18. Zhang Zhong-tao,zhang Hong-wei,Fang Xue-dong,Wang Li-ming,Li Xiao-xi,Li Ya-fen ,et al.Original article Cosmetic outcome and surgical site infection rates of antibacterial absorbable (Polyaction 910) suture compared to Chinese Medical Journal 2011;124:719-24
19. Singer AJ,Thode HC Jr.A review of the literature on octylcyanoacrylate tissue adhesive.Am J Surg 2004;187:1758-62
20. Kaye JD,Kalisvaart JF,Cuda SP,Elmore JM,Cerwinka WH ,Kirsch AJ.Suture less and scalpel-free Circumcision—more rapid, Less expensive and better ?J Urol 2010;184:1758-62
21. Mertz PM,Davis SC,Cazzaniga AL,Drosou A,Eaglstein WH. Barrier and antibacterialproperties of 2-octyl cyanoacrylate deried wound tretment films.J Cutan Med Surg 2003;7:1-6
22. I.D.Fraser ,A.C.Goede .Suture less circumcision. BIU International 2002;90:467-468
23. Cantu S Jr.phimosis and paraphimosis .eMedicine Journal [serial online].2001 Available at: http://emedicine.medscape.com/ article/777539-overview
24. Quinn J.Wells G,Sutcliffe T,et al.A randomized trial comparing octylcyanoacrylate tissue Adhesive and sutures in the managenent of lacerations.JAMA 1997;277;1527-30.
25. Matin SF.Prospective randomized trial of skin adhesive sutures for closure of 217 laproscopic port-site incisions.J Am Coll Surg2003;196:845-53
26. James M Elmore Edwin A Smith,Andrew J Kirsch.Suture less circumcision using 2-octyl cyanoacrylate (Dermabond): appraisal after 18-month experience. Urology 2007:4:803-6
27. Zempsky WT, Grem C, Nicols J, Parrotth D. Prospective comparison of cosmetic outcomes of simple facial lacerations closed with Steri-
Strips or Dermabond. Acad Emerg Med 2001;8;438-9.
28. Singer AJ, Nable M, Cameau P, Singer DD, McClain SA. Evaluation of a new liquid oclusive dressing for excisional wounds. Wound Repair Regen 2003;102:181-7.
29. Toriumi DM, O’Grady K, Desai D, Bagal A. Use of octyl-2-cyanoacrylate for skin closure in facial plastic surgery. Plast Reconstr Surg 1998;102:2209-19.
30. Navin Jallali, Amyn Haji, Cristooher J.E. Watson. A Prospective Randomized Trial Comparing 2-Octyl Cyanoacrylate to Convetional Suturing in Closur of Laparoscopic Cholecystectomy Incision. Journal of Laparoendoscopic & Advanced Surgical Techniques 2004;14:209-11.
31. Bailey RC et al. Suture less, Scalpel-less Circumcision: Faster , Cheaper and better. Lancet 2007;369:643-56
2. Circumcision. An Encyclopaedia Britanica Company-Merriam Webster.Available at: http://www.merriam-webster.com/ medical/ circumcision
3. Elder,Jacks.â€Anomalies Of The Penis And Urethraâ€In:Richard E. Behrman,et al Nelson Textbook Of Paediatrics,17th ed. Philadelphia: Saunders;2003.P 1812-6.
4. Khairi A.,El-Kholi N., Tolba M.,Ismail T.,Dwaba M.,Hafez M.,et al plastibell circumcision;evaluation of a technique in 800 cases.Egyption journal of surgery 2005;1:1
5. David Peleg, Ann Steiner The Gomco Circumcision: Common Problems And Solutions Am Fam Physician1998;58;891-8
6. Reynolds RD Use of the Mogen clamp for neonatal Circumcision. Amer Fam physician1996;54:177-82,
7. Cheng W, Saing H.A prospective randomized study of wound approximation with tissue glue in Circumcision in children J Paediatr Child Health 1997;33-515-6.
8. US Food And Drug Administration.FDA Dermabond Approval Order.Available at
http://www.accessdata.fda.gov/cdrh_docs/pdf/p960052.pdf
9. Coover HW,Joyner FB,Shearer NH,Wicker TH.Chemistry and performance of cyanocylate adhesives J Soc Plast Surg Eng 1959;15:413-7
10. A.M.K Rickwood Medical indications for Circumcision .BJU International 1997;1:45-51
11. Soh CR ,NB Sb Lim SL.Dorsal penile nerve block.Paediatr Anaesth 2003;13:329-33
12. Telgrarsky B.Karovic D Wassermann O , Ogibovicova E, Csomor D, Koppl J et.al. Penile block in children ,our first experience Bratisl Lek Listy 2006;107:320-2.
13. Holman JR Lewis EL ,Ringler RL “Neonatal circumcision techniques†American Family Physician 1995:52;511-8,519-20
14. Kelly BD Lundon DJ,Timlin ME,Sheikh M,Nusrat NB,D’Arcy FT ,et,al.Paediatric sutureless Circumcision --an alternative to the standard technique. Pediatr Surg Ing 2012;28:308-8.
15. DeLoach LJ, Higgins MS, Caplan AB Stiff JL.The visual analogue scale in the immediate postoperative period :intrasubject variability and correlation with a numeric scale.Anesth Analg 1998;86:102-6
16. Bodian,Carol A., Freedman,Gordon,Hossain, Sabera,et al.The Visual Analogue Scale for pain:Clinical Significance in Postprerative Patients. Anesthesiology 2001:1356-61
17. Wilson AP,Weavill C,Burridge J,Kelsey MC.The use of the wound scoring method ‘ASEPSIS†in postperative wound survellance.J Hosp Infact 1990;16-:297-309
18. Zhang Zhong-tao,zhang Hong-wei,Fang Xue-dong,Wang Li-ming,Li Xiao-xi,Li Ya-fen ,et al.Original article Cosmetic outcome and surgical site infection rates of antibacterial absorbable (Polyaction 910) suture compared to Chinese Medical Journal 2011;124:719-24
19. Singer AJ,Thode HC Jr.A review of the literature on octylcyanoacrylate tissue adhesive.Am J Surg 2004;187:1758-62
20. Kaye JD,Kalisvaart JF,Cuda SP,Elmore JM,Cerwinka WH ,Kirsch AJ.Suture less and scalpel-free Circumcision—more rapid, Less expensive and better ?J Urol 2010;184:1758-62
21. Mertz PM,Davis SC,Cazzaniga AL,Drosou A,Eaglstein WH. Barrier and antibacterialproperties of 2-octyl cyanoacrylate deried wound tretment films.J Cutan Med Surg 2003;7:1-6
22. I.D.Fraser ,A.C.Goede .Suture less circumcision. BIU International 2002;90:467-468
23. Cantu S Jr.phimosis and paraphimosis .eMedicine Journal [serial online].2001 Available at: http://emedicine.medscape.com/ article/777539-overview
24. Quinn J.Wells G,Sutcliffe T,et al.A randomized trial comparing octylcyanoacrylate tissue Adhesive and sutures in the managenent of lacerations.JAMA 1997;277;1527-30.
25. Matin SF.Prospective randomized trial of skin adhesive sutures for closure of 217 laproscopic port-site incisions.J Am Coll Surg2003;196:845-53
26. James M Elmore Edwin A Smith,Andrew J Kirsch.Suture less circumcision using 2-octyl cyanoacrylate (Dermabond): appraisal after 18-month experience. Urology 2007:4:803-6
27. Zempsky WT, Grem C, Nicols J, Parrotth D. Prospective comparison of cosmetic outcomes of simple facial lacerations closed with Steri-
Strips or Dermabond. Acad Emerg Med 2001;8;438-9.
28. Singer AJ, Nable M, Cameau P, Singer DD, McClain SA. Evaluation of a new liquid oclusive dressing for excisional wounds. Wound Repair Regen 2003;102:181-7.
29. Toriumi DM, O’Grady K, Desai D, Bagal A. Use of octyl-2-cyanoacrylate for skin closure in facial plastic surgery. Plast Reconstr Surg 1998;102:2209-19.
30. Navin Jallali, Amyn Haji, Cristooher J.E. Watson. A Prospective Randomized Trial Comparing 2-Octyl Cyanoacrylate to Convetional Suturing in Closur of Laparoscopic Cholecystectomy Incision. Journal of Laparoendoscopic & Advanced Surgical Techniques 2004;14:209-11.
31. Bailey RC et al. Suture less, Scalpel-less Circumcision: Faster , Cheaper and better. Lancet 2007;369:643-56
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Published
2013-06-30
How to Cite
Parekh, D., & Sanghavi, D. (2013). The Sutureless Circumcision – An Alternative To The Standard Technique: Sutureless Circumcision. National Journal of Integrated Research in Medicine, 4(3), 83–87. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2186
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