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Mar 6, 2024 · Equipment and suture selection – Equipment used for skin laceration repair (including general guidance for suture material, needle, and size by wound location and for closure of skin, dermal, and intraoral lacerations) is provided in the tables .
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- Noe Jm, Keller M. Can Stitches Get Wet? Plast Reconstr Surg 1988; 81:82
Medline ® Abstract for Reference 28 of 'Skin laceration...
- Anne M Stack, MD
Skin laceration repair with sutures. Author David M deLemos,...
- Waterbrook Al, Hiller K, Hays Dp, Berkman M. Do Topical Antibiotics Help Prevent Infection in Minor Traumatic Uncomplicated Soft Tissue Wounds? Ann Emerg Med 2013; 61:86
Medline ® Abstract for Reference 22 of 'Skin laceration...
- Kanegaye Jt. a Rational Approach to The Outpatient Management of Lacerations in Pediatric Patients. Curr Probl Pediatr 1998; 28:205
Medline ® Abstract for Reference 14 of 'Skin laceration...
- Perelman Vs, Francis Gj, Rutledge T, Et Al. Sterile Versus Nonsterile Gloves for Repair of Uncomplicated Lacerations in The Emergency Department: a Randomized Controlled Trial. Ann Emerg Med 2004; 43:362
Sterile versus nonsterile gloves for repair of uncomplicated...
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May 15, 2017 · Physicians should use the smallest suture that will give sufficient strength to reapproximate and support the healing wound. 50, 51 Commonly used sutures are included in Table 2 50, 51;...
- Surgical Skin Glue For Skin Lacerations
- Wound Closure Strips For Skin Lacerations
- Surgical Skin Staples For Skin Lacerations
- Absorbable vs Non-Absorbable Sutures For Skin Lacerations
- Sutures vs Simple Dressing
- Take Home Points on Laceration Repair Glue vs Strips vs Staples vs Sutures
2002 Cochrane review comparing skin glue to sutures 1. 11 RCTs 2. no differences in cosmesis 3. advantages of skin glue: pain scores and time of laceration repair lower with glue; overall less expensive 4. disadvantages of skin glue: skin glue more likely to have short term localized erythema and rate of dehiscence is 2% higher Adding adhesive stri...
2021 systematic review comparing wound closure strips (“steri-strips”) to sutures and to skin glue 1. included traumatic wounds in ED and patients in the operating room 2. all studies were small, at high risk of bias 3. infection and dehiscence equivalent in all three groups 4. wound closure strips associated with better cosmesis in 1 small unblind...
2020 meta-analysis of 42 low quality RCTs of operating room studies 1. staples are generally faster than sutures 2. cost is about equivalent 3. no differences in cosmesis 4. the overall adverse event rate is about double with staples
2007 meta-analysis of 7 small unblinded underpowered ED or operating room RCTs comparing absorbable to absorbable sutures for skin lacerations 1. no overall statistical difference in cosmesis 2. Odds Ratio (OR) for dehiscence 0.16 favouring absorbable sutures 3. Odds Ratio (OR) for infections 0.42 favouring absorbable sutures
2002 RCT hand lacerations ≤2cm comparing sutures to simple dressing 1. 3 months cosmesis, no difference
There is no convincing evidence that one method of laceration repair is much better than another. Factors to consider in deciding which material to use/method for laceration repair: 1. location, depth and length of wound 2. need for tensile strength (eg laceration over large joint) 3. patient’s work/recreational activities, age 4. patient pain asso...
Physicians should be familiar with vari-ous suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration...
Great for wound eversion, closure of both superior and deep layers; Useful when there is a contraindication to deep sutures; If laceration not closed immediately secondary to age of wound: Irrigate and explore wound, then pack with non-adherent or vaseline gauze; Re-check in 3 days - may suture at that point if wound appears clean. Steri-Strips
Tissue adhesives and wound adhesive strips can be used effectively in low-tension skin areas. Wounds heal faster in a moist environment and therefore occlusive and semiocclusive...
May 26, 2023 · Anatomy and Physiology. The soft tissues of the head and face are divided into 8 distinct aesthetic and functional units with unique characteristics a clinician must understand to optimize laceration repair. [5] [6] Scalp. The scalp has 5 layers.
