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논문 기본 정보

자료유형
학술저널
저자정보
Hyeon Woo Bae (Yonsei University College of Medicine) Seung Yoon Yang (Yonsei University College of Medicine) Ga Yoon Ku2, Sohye Lee3, (The Catholic University of Korea) Sohye Lee (Severance Hospital) Eun-Joo Jung (Yonsei University College of Medicine) Seulkee Park (Yonsei University College of Medicine) Yoon Bin Jung (Yonsei University College of Medicine) Jihong Kim (Yonsei University College of Medicine) Byung Soh Min (Yonsei University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.108 No.3
발행연도
2025.3
수록면
143 - 149 (7page)

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초록· 키워드

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Purpose: Despite the widespread use of liquid skin adhesives (LSA), concerns persist regarding the increase in wound care costs. This study aimed to investigate the cost-effectiveness of LSA for surgical wound management.
Methods: In this prospective, open-label, single-center randomized controlled trial, adults aged 19 years and older who were scheduled for elective minimally invasive colorectal surgeries were included. The participants were randomly divided into 2 groups: an n-butyl cyanoacrylate skin adhesive was used in the experimental group (LSA group), while a surgical skin stapler was employed in the control group (stapler group). The primary outcome measure was the sum of the total time required for wound management.
Results: A total of 58 patients were randomly assigned to 2 groups, with 29 patients in each group. The findings revealed comparable wound complication rates in the 2 groups (8 out of 29 in the LSA group vs. 5 out of 29 in the stapler group, P = 0.530). Notably, the LSA group had a significantly shorter wound management time (median 235 seconds vs. 1,201 seconds, P < 0.001) and similar wound management cost (median US dollar [USD] 50.6 vs. USD 54.6, P = 0.529) compared to the stapler group. Subgroup analysis showed that the LSA group had a shorter management time for uncomplicated wounds and a lower cost for complicated wounds.
Conclusion: LSA not only provides a safe alternative but also offers a resource-efficient option for wound management compared to staplers.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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