RESUMEN
Background and Objectives: Nowadays the final outcome of wound closure using tissue adhesives and suture material is making a real competition for better results. Cosmetic outcome is regarded as the first demand for the patients. The aim of this study was to make a comparison between the two closure methods in terms of cosmetic outcome, complication and patients' satisfaction
Method: A prospective comparative study was conducted at Rizgary Teaching Hospital and West Erbil Emergency Hospital in Erbil city from March 2012 to March 2013. A total of 105 patients were included in the study. The method of closure was selected alternatively between tissue adhesive [octylcyanoacrylate] and suture material. Analysis for cosmetic outcome, complications and patients' satisfaction were done using the statistical package for the social sciences [version 19]
Results: The complications were 25% [13 patients] in the tissue adhesive group and 18% [9 patients] in the sutured group. Of the 44 patients in the tissue adhesive group, 86.4% [38 patients] were satisfied; while of the 61 patients in the sutured group, 88% [54 patients] were satisfied with the end result. Excellent cosmetic outcome achieved in 77.3% in the tissue adhesive group and 80.3% in the sutured group
Conclusion: Tissue adhesive [octylcyanoacrylate] is effective and reliable in primary skin closure, yielding similar cosmetic results to standard suturing method. Tissue adhesive is faster and offers several practical advantages over suture repair