A comparative study of suture versus sutureless circumcision: Evaluating cosmetic outcomes, wound dehiscence and infection rates

TL;DR

This study compares suture and sutureless methods for circumcision, finding that the sutureless method offers better cosmetic results and fewer complications.

Contribution

The study introduces isoamyl-2-cyanoacrylate tissue adhesive as a cosmetically superior and effective alternative to traditional suturing in circumcision.

Findings

Adhesive group had lower ASEPSIS wound scores and higher cosmetic scores on postoperative days 7 and 30.

Complication rates were lower with adhesive (12%) compared to sutures (20%).

Abstract

Circumcision is one of the most frequently performed surgical procedures, where optimal wound closure is crucial for healing and
cosmetic outcomes. This comparative study of 50 patients evaluated isoamyl-2-cyanoacrylate tissue adhesive versus conventional suturing
for circumcision wound closure. The adhesive group showed lower ASEPSIS wound scores and higher cosmetic scores on postoperative days 7
and 30 (p<0.05). Complication rates were also lower with adhesive (12%) than with sutures (20%). Isoamyl-2-cyanoacrylate proved to be
an effective and cosmetically superior alternative to traditional suturing in circumcision.