Laparoscopic surgery has become the standard of care for surgical procedures across multiple specialties, reducing perioperative complications, accelerating recovery and

providing superior cosmetic results. Diagnostic and operative laparoscopies are among the most common procedures in gynecology. There is no ‘‘gold standard’’ for the method of wound closure in laparoscopic wounds. A variety of procedures is available such as transcutaneous suture, subcuticular suture, adhesive paper tape, skin staples and skin adhesives.  The ideal wound closure material should permit a precise wound closure with reapproximation of wound. Sutures being a classic method of wound closure have many have certain disadvantage namely prolonged duration of surgery and anesthesia, tissue reactivity, risk of needle stick, undesirable trauma to the intact tissue on either side of the wound, permanent suture tracts, early removal which results in dehiscence, anxiety, and pain during removal. Tissue adhesive were invented in 1949 and tried clinically for the first time in 1959, which allows for normal wound healing and is accomplished without the need of local anesthesia or tissue injury. N-butyl-2-cynoacrylate in liquid solution is monomeric, application to tissue results in polymerization, resulting in a strong tissue bond that holds the wound edges together. Advantages of this adhesive over conventional wound closure techniques include easy to use, rapid application, patient comfort, excellent bacteriostatic property, resistant to infection, no risk of needle stick injury, decreased repair time, good hemostasis, eliminates recalled visits and has good short and long-term  cosmetic outcome. Though the tissue adhesives were invented in mid 90’s, it is not been used frequently despite its remarkable advantages over traditional suturing, hence the purpose of this study is to compare the outcomes with n-butyl cyanoacrylate (Truseal) versus suturing (Trusynth plus neo).