Comparison of Leukosan SkinLink with surgical suture for traumatic laceration repair: A randomized controlled trial

Hyeongtae Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Jae Guk Kim, In Young Kim, Minji Kim, Hyeongtae Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Jae Guk Kim, In Young Kim, Minji Kim

Abstract

Background: Leukosan SkinLink (LS), which combines non-woven textile strips and tissue adhesive, offers the advantage of atraumatic treatment while effectively shortening the procedure time. We hypothesized that wound closure would be faster with LS than with surgical suture (SS) and the wound infection and dehiscence would be similar.

Methods: A prospective, open label, single-center, randomized controlled trial was performed. Between November 2014 and April 2016, 49 patients with traumatic lacerations who presented to the emergency department were eligible for study inclusion.

Results: The mean wound closure time was significantly lower in the LS group than in the SS group (1.48 ± 0.2 seconds vs 8.8 ± 3.6 minutes, P < .001). After adjusting the wound closure time according to the lacerations length, the time remained significantly lower in the LS group than in the SS group (1.0 ± 0.8 seconds vs 5.03 ± 2.5minutes, P < .001). During follow-up for 14 days, no significant differences in dehiscence and wound infection were observed between the 2 groups.

Conclusion: Wound closure was approximately 4minutes faster with LS and there were no differences in wound infection and dehiscence rates. Thus, the LS could be used as a timesaving suture technique for acute traumatic lacerations in emergency department (ED).

Trial registration: ClinicalTrials.gov NCT02333877.

Conflict of interest statement

All authors declare that they do not have any potential conflicts of interest.

Figures

Figure 1
Figure 1
Leukosan SkinLink. The tissue adhesive was applied on the strips rather than directly on the wound.
Figure 2
Figure 2
Flow diagram.

References

    1. Hollander JE, Singer AJ. Laceration management. Ann Emerg Med 1999;34:356–67.
    1. Colovic R. Wound treatment in ancient Greece. Acta Chir Iugosl 2001;48:6–8.
    1. Takayama S, Yamamoto T, Tsuchiya C, et al. Comparing Steri-Strip and surgical staple wound closures after primary total knee arthroplasties. Eur J Orthop Surg Traumatol 2017;27:113–8.
    1. Singer AJ, Quinn JV, Clark RE, et al. “TraumaSeal Study Group”. Closure of lacerations and incisions with octylcyanoacrylate: a multicenter randomized controlled trial. Surgery 2002;131:270–6.
    1. Woodward SC, Herrmann JB, Cameron JL, et al. Histotoxicity of cyanoacrylate tissue adhesive in the rat. Ann Surg 1965;162:113–22.
    1. Zempsky WT, Parrotti D, Grem C, et al. Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with Steri Strip Skin Closures or Dermabond tissue adhesive. Pediatr Emerg Care 2004;20:519–24.
    1. Singer AJ, Quinn JV, Hollander JE. The cyanoacrylate topical skin adhesives. Am J Emerg Med 2008;26:490–6.
    1. Shapiro AJ, Dinsmore RC, North JH., Jr Tensile strength of wound closure with cyanoacrylate glue. Am Surg 2001;67:1113–5.
    1. van de Gevel DF, Hamad MA, Elenbaas TW, et al. Is the use of Steri-StripTM S for wound closure after coronary artery bypass grafting better than intracuticular suture? Interact Cardiovasc Thorac Surg 2010;10:561–4.
    1. Duscher D, Apfolterer S, Garner S, et al. Time is money: a faster way of Steri-Strip application (the 3-finger technique). Aesthet Surg J 2013;33:924–5.
    1. Hollander JE, Singer AJ, Valentine S, et al. Wound registry: development and validation. Ann Emerg Med 1995;25:675–85.
    1. Singer AJ, Hollander JE, Quinn JV. Evaluation and management of traumatic lacerations. N Engl J Med 1997;337:1142–8.
    1. Juergens S, Maune C, Kezze F, et al. A randomized, controlled study comparing the cosmetic outcome of a new wound closure device with Prolene suture closing caesarean wounds. Int Wound J 2011;8:329–35.
    1. Kim H, Kim J, Choi J, et al. The usefulness of Leukosan SkinLink for simple facial laceration repair in the emergency department. Arch Plast Surg 2015;42:431–7.
    1. Coulthard P, Esposito M, Worthington HV, et al. Tissue adhesives for closure of surgical incisions. Cochrane Database Syst Rev 2010;CD004287.
    1. Singer AJ, Thode HC., Jr A review of the literature on octylcyanoacrylate tissue adhesive. Am J Surg 2004;187:238–48.
    1. Howell JM, Chisholm CD. Outpatient wound preparation and care: a national survey. Ann Emerg Med 1992;21:976–81.
    1. Berk WA, Osbourne DD, Taylor DD. Evaluation of the ’golden period’ for wound repair: 204 cases from a Third World emergency department. Ann Emerg Med 1988;17:496–500.
    1. Edlich RF, Rodeheaver GT, Thacker JG, et al. Revolutionary advances in the management of traumatic wounds in the emergency department during the last 40 years: part I. J Emerg Med 2010;38:40–50.
    1. Kerrigan CL, Homa K. Evaluation of a new wound closure device for linear surgical incisions: 3M Steri-Strip S surgical skin closure versus subcuticular closure. Plast Reconstr Surg 2010;125:186–94.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren