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Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement.

Publication ,  Journal Article
Martin, JG; Hollenbeck, ST; Janas, G; Makar, RA; Pabon-Ramos, WM; Suhocki, PV; Miller, MJ; Sopko, DR; Smith, TP; Kim, CY
Published in: J Vasc Interv Radiol
January 2017

PURPOSE: To compare early outcomes of skin closure with octyl cyanoacrylate skin adhesive versus subcuticular suture closure. MATERIALS AND METHODS: Over a 7-month period, 109 subjects (28 men and 81 women; mean age, 58.6 y) scheduled to undergo single-lumen implantable venous port insertion for chemotherapy were randomly assigned to skin closure with either octyl cyanoacrylate skin adhesive or absorbable subcuticular suture after suturing the deep dermal layer. Subjects were followed for episodes of infection or dehiscence within 3 months of port implantation. At 3 months, photographs of the healed incision were obtained and reviewed by a plastic surgeon in a blinded fashion who rated cosmetic scar appearance based on a validated 10-point cosmesis score. RESULTS: Of subjects, 54 were randomly assigned to skin adhesive, and 55 were randomly assigned to subcuticular suture. No subjects had incision dehiscence. Infection rates at 3 months were similar between groups (2.1% vs 4.0%; P = 1.0). The mean cosmesis scores were 4.40 for skin adhesive and 4.46 for subcuticular suture (P = .898). The superficial skin closure time was 8.6 minutes for suture versus 1.4 minutes for skin adhesive (P < .001). CONCLUSIONS: Scar cosmesis and patient outcomes did not significantly vary between skin adhesive versus subcuticular suture, although skin closure time was significantly less with skin adhesive.

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Published In

J Vasc Interv Radiol

DOI

EISSN

1535-7732

Publication Date

January 2017

Volume

28

Issue

1

Start / End Page

111 / 116

Location

United States

Related Subject Headings

  • Wound Healing
  • Treatment Outcome
  • Tissue Adhesives
  • Time Factors
  • Suture Techniques
  • Surgical Wound Infection
  • Surgical Wound Dehiscence
  • Prospective Studies
  • Nuclear Medicine & Medical Imaging
  • North Carolina
 

Citation

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Martin, J. G., Hollenbeck, S. T., Janas, G., Makar, R. A., Pabon-Ramos, W. M., Suhocki, P. V., … Kim, C. Y. (2017). Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement. J Vasc Interv Radiol, 28(1), 111–116. https://doi.org/10.1016/j.jvir.2016.08.009
Martin, Jonathan G., Scott T. Hollenbeck, Gemini Janas, Ryan A. Makar, Waleska M. Pabon-Ramos, Paul V. Suhocki, Michael J. Miller, David R. Sopko, Tony P. Smith, and Charles Y. Kim. “Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement.J Vasc Interv Radiol 28, no. 1 (January 2017): 111–16. https://doi.org/10.1016/j.jvir.2016.08.009.
Martin JG, Hollenbeck ST, Janas G, Makar RA, Pabon-Ramos WM, Suhocki PV, et al. Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement. J Vasc Interv Radiol. 2017 Jan;28(1):111–6.
Martin, Jonathan G., et al. “Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement.J Vasc Interv Radiol, vol. 28, no. 1, Jan. 2017, pp. 111–16. Pubmed, doi:10.1016/j.jvir.2016.08.009.
Martin JG, Hollenbeck ST, Janas G, Makar RA, Pabon-Ramos WM, Suhocki PV, Miller MJ, Sopko DR, Smith TP, Kim CY. Randomized Controlled Trial of Octyl Cyanoacrylate Skin Adhesive versus Subcuticular Suture for Skin Closure after Implantable Venous Port Placement. J Vasc Interv Radiol. 2017 Jan;28(1):111–116.
Journal cover image

Published In

J Vasc Interv Radiol

DOI

EISSN

1535-7732

Publication Date

January 2017

Volume

28

Issue

1

Start / End Page

111 / 116

Location

United States

Related Subject Headings

  • Wound Healing
  • Treatment Outcome
  • Tissue Adhesives
  • Time Factors
  • Suture Techniques
  • Surgical Wound Infection
  • Surgical Wound Dehiscence
  • Prospective Studies
  • Nuclear Medicine & Medical Imaging
  • North Carolina