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Randomized Prospective Study Comparing Conventional Subcuticular Skin Closure With Dermabond Skin Glue After Saphenous Vein Harvesting  Bhuvaneswari Krishnamoorthy,

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Presentation on theme: "Randomized Prospective Study Comparing Conventional Subcuticular Skin Closure With Dermabond Skin Glue After Saphenous Vein Harvesting  Bhuvaneswari Krishnamoorthy,"— Presentation transcript:

1 Randomized Prospective Study Comparing Conventional Subcuticular Skin Closure With Dermabond Skin Glue After Saphenous Vein Harvesting  Bhuvaneswari Krishnamoorthy, BS, Osman Najam, MBChB, Ursalan A. Khan, MBChB, Paul Waterworth, FRCS (CTh), James E. Fildes, PhD, Nizar Yonan, FRCS (CTh)  The Annals of Thoracic Surgery  Volume 88, Issue 5, Pages (November 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The Hollander scale was used to assess the scar site on day 7. The subcuticular sutures in this patient show step-off borders, contour irregularities, margin separation, edge inversion, and excessive distortion. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The cosmetic appearance of the scar on day 7 was assessed using the Hollander wound evaluation grading scale. Categories, which included step-off borders, contour irregularities, scar width, excessive inflammation, edge inversion, and overall cosmetic appearance, were assigned a score of 0 or 1. The scores were combined, and a total score exceeding 0 reflects suboptimal cosmesis. Dermabond provided significantly (p < 0.001, Fisher exact test) better cosmesis compared with subcuticular sutures. No patients in the suture group scored 0. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The appearance of the scar after saphenous vein harvesting using traditional subcuticular sutures is shown at (A) 1 week and (B) 6 weeks. Closure with Dermabond is shown at (C) 1 week and (D) 6 weeks. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Closure time was significantly (p = 0.017) shorter for Dermabond compared with sutures. Closure time was calculated from the time vein harvesting was complete to the end of skin closure. Error bars show 95% confidence interval. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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