Hypothesis is that incision closure with octylcyanoacrylate is inferior to closure with stitches in Port a Cath patients, who, as a population, are at increased risk for complications. All adult patients who present for initial Port a Cath placement during the recruitment period will be eligible to participate in the study. Subjects will be randomized to either skin incision closure with standard stitches or closure with skin glue. Time to complete skin closure and costs of closure will be compared. Patients will be evaluated approximately one month and three months from the procedure to assess for complications of wound breakdown or infection, as well as for the appearance of the Port a Cath incision.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
109
Skin incision closure with topic skin adhesive Octylcyanoacrylate
Skin incision closure with standard subcuticular technique using a running 4-0 Polysorb suture
Duke University Medical Center
Durham, North Carolina, United States
Number of Participants With Complication of Wound Dehiscence
To compare complication rates, including wound dehiscence and infection rates between implantable port incisions closed with topical skin adhesive versus absorbable subcuticular sutures.
Time frame: 3 months
Number of Participants With Complication of Infection
To compare complication rates, including wound dehiscence and infection rates between implantable port incisions closed with topical skin adhesive versus absorbable subcuticular sutures.
Time frame: 3 months
Healing-incision Cosmesis Score by Visual Analogue Scale
To compare resultant cosmesis with topic skin adhesive closure versus suture closure. Scale is 1-10 with 1 as the best possible outcome and 10 is the worst possible outcome.
Time frame: 3 months
Closure Time
To compare closure time and associated costs between these two methods of skin closure.
Time frame: Baseline
Closure Materials Cost
Per unit cost for suture and octylcyanoacrylate
Time frame: Baseline
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