Sutureless Neonatal Circumcision Using 2-Octyl Cyanoacrylate (Dermabond): A Prospective Observational Study From A Tertiary Care Hospital
Keywords:
neonatal circumcision, sutureless technique, Dermabond, 2-octyl cyanoacrylate, tissue adhesive, pediatric surgery, wound closure, complicationsAbstract
Background: Traditional neonatal circumcision relies on suturing for wound closure, which may increase operative time and complications. This study evaluates the safety and efficacy of sutureless circumcision using Dermabond (2-octyl cyanoacrylate) tissue adhesive in neonates.
Methods: A prospective observational study was conducted involving 60 healthy male neonates undergoing circumcision using the sutureless Dermabond technique. Primary outcomes included operative time, immediate complications, and early complications within 7 days. Secondary outcomes assessed healing time, pain scores using N-PASS scale, cosmetic outcomes at 6 weeks, and parental satisfaction. Statistical analysis was performed using appropriate tests with p<0.05 considered significant.
Results: All 60 procedures were completed successfully without intraoperative complications. Mean operative time was 12.4 ± 2.8 minutes (range 8-19 minutes). Overall complication rate was 21.7% (13/60 patients), with all complications classified as Grade I-II according to Clavien-Dindo classification. Most common complications were mild edema (10.0%) and minor wound edge separation (8.3%). Complete epithelialization occurred in 91.7% of patients by 14 days, with mean healing time of 10.8 ± 3.2 days. Pain scores remained low throughout follow-up, with 96.7% experiencing only mild discomfort by 24 hours. Cosmetic outcomes were excellent or good in 93.3% of cases. Parental satisfaction rate was 96.7%, with 96.7% willing to recommend the procedure and 86.7% preferring it over traditional methods.
Conclusions: Sutureless neonatal circumcision using Dermabond demonstrates favorable safety profile, reduced operative time, excellent healing outcomes, and high parental satisfaction. This technique represents a viable alternative to traditional sutured circumcision with potential advantages in clinical practice
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