Is scarless surgery possible: a comparative study

Patient always wants scarless surgery, lesser pain and less cosmetic scar and this can be possible with use of cyanoacrylate adhesive glue. Since their discovery in 1949, cyanoacrylate compounds have evoked interest as being the ideal “tissue glue”. Several different forms of this compound have been developed in order to eliminate tissue toxicity. In our study, we have described a technique of sutureless closure of operative skin wounds and compared it to closure of skin with nylon. Inter-group comparison was carried out with respect to the time required for closure, rate of infection, cosmesis and patient acceptance. N-butyl 2-cyanoacrylate was used for sutureless skin closure in 50 patients and compared with skin closure with sutures. The time taken to close the wounds with cyanoacrylate was found to be significantly less, the cosmetic outcome better and patient acceptability higher than when sutures were used.