Subcuticular Suture and Liquid Tissue Adhesive for Wound Closure in Laparoscopic Colorectal Surgery as a Prevention of Wound Infection

Abstract

We herein report the wound infection rate in wound closure with subcuticular suture and liquid tissue adhesive in laparoscopic colorectal surgery to avoid wound infection.
Straight sixty three patients who underwent following wound closure were analyzed until April 2013. Measures for wound infection are as follows 1) Wound retractor was placed at the mini-laparotomy wound. 2) Surgical drape with small hall was placed during the procedure with the exposure of the intestinal mucosa. 3) Close with absorbable suture for peritoneum and fascia (mass closure in midline laparotomy). 4) Washing wounds with physiological saline through syringe pressure. 5) Subcuticular suture with monofilament absorbable suture. 6) Skin wound was sealed with liquid tissue adhesive.
Median age was 69 (17-88) years old. There were 37 males and 26 females. The lesions in 28 patients (pts) were located from cecum to descending colon, in 27 pts from sigmoid to recto-sigmoid colon and in 8 pts at rectum. Forty two pts had -1 in risk index, 0 in 19 pts and 1 in 2 pts. Wound infection was observed in only one patient (1.6%).
Our procedures for wound closure in laparoscopic colorectal surgery were effective on the basis in the results of wound infection rate.