Establishing Tension-Free Direct Wound Closure Using the Viscoelastic Properties of the Skin

Abstract

The aim of this article is to review the viscoelastic properties of skin and describe tension-relieving techniques to aid optimal wound closure.

Management of Hand Surgery Services during the Novel Coronavirus Disease 2019 Pandemic

“…Consider glue/quilting absorbable sutures for grafts if used. 21 All wounds should be closed with absorbable sutures and a dressing. Easily removable splints should be applied.…”

“…Patients should be given written wound care advice and should be provided with adequate dressings to allow them to carry out their own dressing change if required. 21 Absorbable suture materials are broken down by enzymal and hydrolytic processes, and patients should be warned of the possibility of this presenting as a minor inflammatory reaction. 21 The absorbable sutures can be removed by the patient, if necessary at the documented appropriate date.…”

“…Suggestions for surgical prioritization during the COVID-19 pandemic Any delay in treatment, especially of cancers, trauma, and life-threatening conditions, may lead to adverse outcomes. attendance for dressings 21. Unburied K-wires will reduce the need for further surgery to remove metalwork.…”

“…Unburied K-wires will reduce the need for further surgery to remove metalwork. Consider glue/ quilting absorbable sutures for grafts if used 21. All wounds should be closed with absorbable sutures and a dressing.…”

A technique to secure a knot in a confined space

“…1,2 The authors have been successfully using this technique to reduce the risk of intraoperative bleeding in open central venous catheter procedures and other confined spaces for over a decade. [3][4][5] Figure 1 Initial configuration of the knot…”