Comparative Study between N-Butyl Cyanoacrylate versus Skin Sutures in Closure of Congenital Inguinal Hernia Incision

Ankit Sachan1*, Waseem Ashraf2, Ritu Patel3, Shyam Bihari Sharma4, Praveen Agarwal1 and Dalvir Singh2

Department of General Surgery, KD Medical College, Mathura, India Urology Unit, Department of General Surgery, KD Medical College, Mathura, India Department of Obstetrics and Gynacology, KD Medical College, Mathura, India Paediatric Surgery Division, Department of General Surgery, KD Medical College, Mathura, India

^*Correspondance to: Ankit Sachan 

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Abstract:

The closure of surgical wounds plays a pivotal role in ensuring proper healing and reducing postoperative complications. Traditionally, skin sutures have been the standard method for wound closure in inguinal hernia repairs. However, alternative techniques such as the use of tissue adhesives, particularly N-Butyl cyanoacrylate (NBCA), are gaining attention for their potential to improve outcomes. NBCA is a fast-acting adhesive that bonds quickly upon contact with tissue moisture, forming a strong and flexible seal. Compared to sutures, NBCA offers advantages such as shorter application time, improved patient comfort by eliminating suture removal, and a reduced risk of needle-stick injuries. Moreover, studies suggest that tissue adhesives may lead to better cosmetic outcomes with minimal scarring, as the adhesive avoids puncturing the skin like sutures. 2Postoperative scar formation, pain, and infection are key concerns following inguinal hernia repair. Sutures may be associated with greater pain due to tissue tension and irritation caused by suture knots, while NBCA, being non-invasive, can potentially reduce discomfort. Additionally, the adhesive's antimicrobial properties may lower the risk of wound infection, which remains a common complication in surgical wound closure.

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Cite the Article:

Sachan A, Ashraf W, Patel R, Sharma SB, Agarwal P, Singh D. Comparative Study between N-Butyl Cyanoacrylate versus Skin Sutures in Closure of Congenital Inguinal Hernia Incision. World J Surg Surgical Res. 2025; 8: 1598..