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Journal of the Korean Society of Pediatric Nephrology 2012;16(2): 115-120. doi: https://doi.org/10.3339/jkspn.2012.16.2.115
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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