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Journal of Minimally Invasive Surgery 2024; 27(2): 74-75
Published online June 15, 2024
https://doi.org/10.7602/jmis.2024.27.2.74
© The Korean Society of Endo-Laparoscopic & Robotic Surgery
Is liquid skin adhesive safe and feasible for skin closure in single-port laparoscopic appendectomy?
Hyun Gu Lee 
Correspondence to : Hyun Gu Lee
Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea
E-mail: 02230006@khnmc.or.kr
https://orcid.org/0000-0001-5736-7645
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
In the field of minimally invasive surgery, advancements in wound closure techniques significantly impact patient outcomes. Effective wound closure is critical to ensure proper healing and minimize complications such as infections, wound dehiscence, and unsatisfactory cosmetic results. Modern wound closure techniques, including wound closure strips and liquid skin adhesives, have complemented traditional ones (sutures and staples). Although wound closure strips are easy to apply and noninvasive, their efficacy can be influenced by factors such as skin tension and moisture, which may affect the adhesion and integrity of the closure. On the other hand, liquid skin adhesives, such as cyanoacrylate-based adhesives, form a strong, flexible bond over the wound, creating a barrier that is impermeable to water and bacteria.
A recent study entitled “Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea” compared liquid skin adhesive and wound closure strips use after subcuticular suturing [1]. In this study, the authors found that compared to the wound closure strip group, the liquid skin adhesive group had a comparable complication rate, higher patient scar assessment questionnaire scores, and a lower pain score. The ease of care and reduced discomfort associated with this method were significant factors contributing to greater patient satisfaction. Similar to previous studies demonstrating the safety of liquid adhesives [2,3], this study also found that liquid skin adhesives did not increase the risk of surgical site infection.
Some surgeons are still reluctant to use liquid skin adhesives for abdominal surgeries susceptible to wound contamination (colorectal surgery or appendectomy) because these adhesives may impede the drainage of infected fluid. Nevertheless, there is an expected future increase in the use of skin adhesives as more published studies demonstrate their safety in minimally invasive abdominal surgery. Further prospective studies with larger sample sizes are needed to confirm their safety.
Notes
Conflict of interest
The author has no conflicts of interest to declare.
Funding/support
None.
REFERENCES
- Kim KE, Jeon YR, Bae SU, Jeong WK, Baek SK. Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea. J Minim Invasive Surg 2024;27:14-22.
- Soni A, Narula R, Kumar A, Parmar M, Sahore M, Chandel M. Comparing cyanoacrylate tissue adhesive and conventional subcuticular skin sutures for maxillofacial incisions--a prospective randomized trial considering closure time, wound morbidity, and cosmetic outcome. J Oral Maxillofac Surg 2013;71:2152.e1-8.
- Lee CS, Han SR, Kye BH, et al. Surgical skin adhesive bond is safe and feasible wound closure method to reduce surgical site infection following minimally invasive colorectal cancer surgery. Ann Surg Treat Res 2020;99:146-152.
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Editorial
Journal of Minimally Invasive Surgery 2024; 27(2): 74-75
Published online June 15, 2024 https://doi.org/10.7602/jmis.2024.27.2.74
Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.
Is liquid skin adhesive safe and feasible for skin closure in single-port laparoscopic appendectomy?
Hyun Gu Lee
Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
Correspondence to:Hyun Gu Lee
Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea
E-mail: 02230006@khnmc.or.kr
https://orcid.org/0000-0001-5736-7645
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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In the field of minimally invasive surgery, advancements in wound closure techniques significantly impact patient outcomes. Effective wound closure is critical to ensure proper healing and minimize complications such as infections, wound dehiscence, and unsatisfactory cosmetic results. Modern wound closure techniques, including wound closure strips and liquid skin adhesives, have complemented traditional ones (sutures and staples). Although wound closure strips are easy to apply and noninvasive, their efficacy can be influenced by factors such as skin tension and moisture, which may affect the adhesion and integrity of the closure. On the other hand, liquid skin adhesives, such as cyanoacrylate-based adhesives, form a strong, flexible bond over the wound, creating a barrier that is impermeable to water and bacteria.
A recent study entitled “Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea” compared liquid skin adhesive and wound closure strips use after subcuticular suturing [1]. In this study, the authors found that compared to the wound closure strip group, the liquid skin adhesive group had a comparable complication rate, higher patient scar assessment questionnaire scores, and a lower pain score. The ease of care and reduced discomfort associated with this method were significant factors contributing to greater patient satisfaction. Similar to previous studies demonstrating the safety of liquid adhesives [2,3], this study also found that liquid skin adhesives did not increase the risk of surgical site infection.
Some surgeons are still reluctant to use liquid skin adhesives for abdominal surgeries susceptible to wound contamination (colorectal surgery or appendectomy) because these adhesives may impede the drainage of infected fluid. Nevertheless, there is an expected future increase in the use of skin adhesives as more published studies demonstrate their safety in minimally invasive abdominal surgery. Further prospective studies with larger sample sizes are needed to confirm their safety.
Notes
Conflict of interest
The author has no conflicts of interest to declare.
Funding/support
None.
References
- Kim KE, Jeon YR, Bae SU, Jeong WK, Baek SK. Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea. J Minim Invasive Surg 2024;27:14-22.
- Soni A, Narula R, Kumar A, Parmar M, Sahore M, Chandel M. Comparing cyanoacrylate tissue adhesive and conventional subcuticular skin sutures for maxillofacial incisions--a prospective randomized trial considering closure time, wound morbidity, and cosmetic outcome. J Oral Maxillofac Surg 2013;71:2152.e1-8.
- Lee CS, Han SR, Kye BH, et al. Surgical skin adhesive bond is safe and feasible wound closure method to reduce surgical site infection following minimally invasive colorectal cancer surgery. Ann Surg Treat Res 2020;99:146-152.
