Frequency of Wound Discharge and Scar Cosmesis in Patients with Tissue Adhesive Skin Closure in Inguinal Hernia

Abstract

Objective: To determine the frequency of wound discharge and scar cosmesis in patients with tissue adhesive skin closure in inguinal hernia.

Study Design: Descriptive longitudinal study

Place & Duration: Jinnah postgraduate medical centre, Department of General surgery, from 4^th February 2018 to 3^n:1 August 2018

Material and Methods: Total 231 patients underwent inguinal hernia surgery . Absorbable sutures were used to close up the wounds. Tissue adhesive was used for the apposition of skin. Cosmesis was categorized as average, good and excellent. Only excellent was labeled as acceptable. Descriptive statistics were calculated. Stratification was done and post­stratification chi square test was applied. P-value less than 0.05 was taken as significant.

Results: The mean age of study subjects was 43.92±10.17 years. The wound discharge was observed in 10.8% cases. The acceptable comsesis was observed in 91.3% cases. Good outcome was observed in 5.2% cases and average outcome was observed in 3.5% cases. As per results of categories of cosmesis the acceptable cosmesis was observed in 211 cases. Non acceptable cosmesis was observed in 8.7% cases.

Conclusion: 2-cyanoacrylate was found to be an effective and a reliable method of wound closure, yielding acceptable cosmetic results.