Chen-Sheng Huang ,Chih-Cheng Luo *
Background: We herein report our experience for using Ethyl-2-Cyanoacrylate (2-ECA;Epiglu) for skin closure after circumcision.
Methods: From July 2011 to June 2014, 167 patients (mean age 6.3 years) underwent circumcision using 2-ECA for skin closure. The circumcision was performed using a sleeve technique. No stay sutures was done for the first 30 patients and four quadrant stay sutures were applied on the circumferential suture line for the last 147 patients; two thin layers of 2-ECA were applied to the incision and allowed to dry. The duration of skin closure time using 2-ECA and postoperative complications were evaluated.
Results: The skin closure time using 2-ECA average 2.8minutes for the first 30 patients, and less than 2 minutes for the last 147 patients. At a mean follow-up of 16 months (range 5 to 30), four postoperative complications had occurred. Two patients developed bleeding that required a visit to the emergency room by holding pressure. There were three postoperative complications of wound dehiscence following an early postoperative erection. One wound without stay sutures required insertion of the sutures in the emergency room; another two wounds with stay sutures only required a further application of glue. The cosmetic outcomes have been subjectively better than those with standard using interrupted sutures.
Conclusion: A sutureless circumcision closure using 2-ECA is a safe, fast and satisfied cosmesis; but we think the adolescent age group is not recommended, and merit four quadrant stay sutures not only to make the glue application easier also prevent severe wound dehiscence.