小児鼡径ヘルニア手術における外科用組織接着剤n-ブチルシアノアクリレートの使用経験

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  • THE USE OF A TISSUE ADHESIVE IN SURGERY OF INGUINAL HERNIA IN CHILDREN

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The advantages of a surgical tissue adhesive, n-butylcianoacrylate, Histoacryl®, in closure of inguinal hernia wound in children were discussed. Subjects were 229 children aged from 2 months to 11 years, with the average of 3 years and 3 months. <BR>Potts operation was performed in all the cases. After high ligation of hernia sac, aponeurosis of external oblique muscle and superficial fascia were closed by interrupted sutures. The wound edges of the skin were approximated with forceps and small droplets of the tissue adhesive were placed directly over the skin. On the 6th postoperative day, the tissue adhesive was removed at out-patient-clinic. Although five cases, in which two layers of tissue adhesive were given, showed early detachment of the adhesive, all other cases, in which the adhesive was given in single layer, showed excellent wound healing. <BR>Direct application of a few droplets of tissue adhesive without covering mesh over the wound is simple tecnique and gives excellent cosmetic results without any stich marks. Tissue adhesive is useful for the closure of small wounds with less tension such as hernia wounds in children.

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