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KMID : 1147420200050020040
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Journal of Surgical Infection
2020 Volume.5 No. 2 p.40 ~ p.45
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Cosmetic and Clinical Outcomes of Skin Adhesives in Single-Site Wounds for Acute Appendicitis: A Retrospective Study
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Jeon Yu-Ra
Bae Sung-Uk
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Abstract
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Objectives: While skin adhesives have been shown to produce fewer wound complications and a better cosmetic result compared to trans- or only subcutaneous sutures, However, limited data are available on the clinical outcomes and cosmetic consequences of scarring in patients undergoing single-port laparoscopic appendectomy. Herein, we report our initial experience of skin adhesives in single-site wounds for acute appendicitis.
Methods: The study group included 20 adult patients who underwent a single-port laparoscopic appendectomy for acute appendicitis between December 2018 and July 2020. The patients completed the patient scar assessment questionnaire postoperatively for the assessment of cosmetic outcomes.
Results: The median total operation time was 78 minutes (37-123 minutes), and a drainage tube was placed in 3 patients (15.0%). The pain scores measured on postoperative day 0 and 1 using the numeric rating scale were 2 (1-2) and 2 (2-4), respectively. The median total length of incision was 2.0-cm (2.0-3.0-cm), and median time to soft diet initiation and length of stay were 12 hours (6-28 hours) and 49 days (30-72 days), respectively. Three patients (15.0%) developed postoperative complications: one experienced superficial surgical site infection (5.0%), one ileus (5.0%), and one voiding difficulty (5.0%). Eleven patients responded to the telephone questionnaire and the median scores of the appearance, consciousness, satisfaction with appearance subscales, and total score were 13 (10-20), 6 (6-14), 13 (8-19), 7 (5-14), and 40 (29-66).
Conclusion: Skin adhesives on single-site wounds for acute appendicitis can be safe and feasible. Further large-scale comparative studies are needed to prove the advantages of this procedure.
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KEYWORD
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Laparoscopy, Appendicitis, Surgical tape, Natural orifice endoscopic surgery
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