2- Use of Glubran2 in circumcision

Objectives.

The aim of this study was to evaluate the effects of Glubran 2 on bleeding, wound healing, and patient comfort in the postoperative period together with its effectiveness in approximating the skin edges in circumcision.

Material and Methods:

A total of 247 patients (age range: 1–12 years) underwent circumcision using a suture for wound approximation (group 1, n = 57) or circumcision using Glubran 2 surgical glue after subcuticular skin closure (group 2, n = 190). The circumcision was performed using a sleeve technique. All patients received standard general anesthesia and caudal blockade with levobupivacaine was applied after anesthesia induction. In group 2, after meticu− lous hemostasis, the incision was cleansed and the skin edges were approximated in a subcuticular manner. A thin layer of Glubran 2 surgical glue was applied and allowed to dry. Antibiotic ointment was then applied to the glans and penis.

Results.

There were no significant differences between the two groups regarding wound inflammation, wound infection, bleeding, wound dehiscence, and edema. However, the cosmetic outcomes and parental satisfaction were consistently greater in group 2.

Conclusions.

After approximating the edges subcuticularly after skin closure, using Glubran 2 surgical glue is a safe, comfortable, and cosmetically appealing method in circumcision (Adv Clin Exp Med 2009, 18, 4, 381–384).

Key words:

circumcision, tissue glue.