Cochrane · systematic review · CD004287

Tissue adhesives for closure of surgical incisions

Dumville, JC, Coulthard, P, Worthington, HV, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 33.3%Low 8 · 66.7%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Tissue adhesive compared to sutures for surgical incisions

Population: People with surgical incisions
2 questions
OutcomeEffectEvidenceStatus / GRADE
Wound dehiscence
Tissue adhesive vs sutures
RR 3.35 [1.53, 7.32]10 studies · 736 participantsLow
Wound infection
Tissue adhesive vs sutures
RR 1.72 [0.92, 3.16]10 studies · 744 participantsVery low

Tissue adhesive compared to adhesive tape for surgical incisions

Population: people with surgical incisions
2 questions
OutcomeEffectEvidenceStatus / GRADE
Wound dehiscence
Tissue adhesive vs adhesive tape
RR 0.96 [0.06, 14.55]1 study · 50 participantsLow
Wound infection
Tissue adhesive vs adhesive tape
RR 1.37 [0.39, 4.81]3 studies · 190 participantsLow
Downgraded: imprecision, inconsistency

Tissue adhesive compared to staples for surgical incisions

Population: people with surgical incisions
2 questions
OutcomeEffectEvidenceStatus / GRADE
Wound dehiscence
Tissue adhesive vs staples
RR 0.53 [0.05, 5.33]1 study · 37 participantsLow
Wound infection
Tissue adhesive vs staples
RR 1.39 [0.3, 6.54]3 studies · 250 participantsVery low
Downgraded: imprecision

Tissue adhesive compared to other methods for surgical incisions

Population: people with surgical incisions
2 questions
OutcomeEffectEvidenceStatus / GRADE
Wound dehiscence
Tissue adhesive vs other methods
RR 0.55 [0.13, 2.38]1 study · 209 participantsLow
Downgraded: imprecision
Wound infection
Tissue adhesive vs other methods
RR 0.41 [0.11, 1.6]1 study · 209 participantsLow
Downgraded: imprecision

High viscosity tissue adhesive compared to low viscosity tissue adhesive for surgical incisions

Population: people with surgical incisions
2 questions
OutcomeEffectEvidenceStatus / GRADE
Wound dehiscence
High viscosity tissue adhesive vs low viscosity tissue adhesive
RR 3.74 [0.21, 67.93]1 study · 148 participantsVery low
Downgraded: imprecision
Wound infection
High viscosity tissue adhesive vs low viscosity tissue adhesive
RR 0.82 [0.16, 4.31]1 study · 148 participantsVery low
Downgraded: imprecision

Octylcyanoacrylate compared to butylcyanoacrylate for surgical incisions

Population: people with surgical incisions
2 questions
OutcomeEffectEvidenceStatus / GRADE
Wound dehiscence
Octylcyanoacrylate vs butylcyanoacrylate
RR 1.46 [0.19, 11]2 studies · 80 participantsLow
Wound infection
Octylcyanoacrylate vs butylcyanoacrylate
RR 0.63 [0.21, 1.88]1 study · 37 participantsLow