Suture/Steri-Strip Combination for the Management of Lacerations in Thin-Skinned Individuals

Davis, Marcus; Nakhdjevani, Amir; Lidder, Surjit

doi:10.1016/j.jemermed.2010.05.077

Cited by 26 publications

(21 citation statements)

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“…Thus, skin defects that cannot be primarily closed represent a common technical challenge in reconstructive procedures [14]. Simple interrupted or vertical mattress sutures focus tension across the wound edge and often result in tissue tearing [15]. Factors commonly associated with an increased risk of failure in skin closure include advanced age, connective tissue disorders, location of the incision, prior surgery or history of radiation, diabetes, obesity, infection, malnutrition, and use of immunosuppressive drugs [16,17].…”

Section: Discussionmentioning

confidence: 99%

Horizontal Mattress Sutures with Gauze Support for the Closure of Primary Non-closable Skin Defects: A Simple and Inexpensive Technique

Cengîz¹,

Dırvar²,

Demır³

et al. 2018

Van Med J

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Objectives: The study examined the feasibility of a suturing technique involving the use of horizontal mattress sutures with gauze support, which is based on the distribution of tensile forces over a wider area and the use of mechanical creep and stress relaxation of skin, for primary or staged closure of skin defects. Material and Methods: A total of 15 wounds of eight patients were included. Direct wound closure was not possible in any of these wounds and all wounds were closed using horizontal sutures supported by gauzes where a gauze was placed between suture material and skin to spread the pressure over a wider area. Defects were closed either primarily or gradually. Results: Size of the wounds ranged between 1.5 x 1.5 cm and 17 x 11cm. Successful skin edge apposition could be accomplished in all fifteen wounds using the technique described herein. In one patient, skin apposition failed subsequently, and the patient was managed with skin grafting; thus, conventional methods including skin grafts/flaps or secondary healing could be avoided in the remaining patients. No scar-related complications occurred during follow-up (mean duration, 8 months) after wound healing. Conclusion: Preliminary results of this simple technique suggest that the technique has the potential to be used for the closure of primary non-closable wounds with low complication rate.

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Section: Discussionmentioning

confidence: 99%

Horizontal Mattress Sutures with Gauze Support for the Closure of Primary Non-closable Skin Defects: A Simple and Inexpensive Technique

Cengîz¹,

Dırvar²,

Demır³

et al. 2018

Van Med J

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“…There are many techniques [13][14][15][16].Tissue adhesives is easy and fast application, but if leak in between wound edges prohibit adherence, not ideal when need much tensile strength and make closed space not allowing to seroma or any discharge to come out the wound [17]. Surgical strips and clips are good for areas under low tension and superfi cial wounds [18]. The most effective technique for wound repair specially when wound is deep and much tensile strength for long time needed is suture technique [19,20].…”

Section: Discussionmentioning

confidence: 99%

Double tips needle (Lasheen needle) for wound repair

Lasheen¹,

Elaziz²,

Mahmoud³

et al. 2017

J Surg Surgical Res

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Aim: There are an increasing number of wound closure materials and techniques types in skin surgery. Still now, there is much controversies about optimal procedure of wound closure. This study tries to achieve this goal. Material and Methods: This study was included 37 patients suffering from skin wounds of variable size and sites. These wounds were closed by using double tips needle from under the skin without any sutures or adhesives on skin surface. The follow up period ranged from 3 to 19 months. Results: The mean age was 43 years. The wounds lengths ranged from 5 to 15 cm. and wound sites (17 at face and neck, 5 at abdominal wall, 15 upper extremities). The both edges of wound were put in contact to each other by our technique without any skin sutures, this allow for seroma or any wound discharge to come out which happen in 15 cases. The all wounds healed with linear and cosmetic scar, and no wound complication during follow up period. Conclusion: Our technique is effective, associated with good results in skin wound closure, and has short learning curve.

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“…Such tearing can be prevented by the tape buttress technique-first placing surgical strips across or parallel to the axis of the wound bed and then placing simple interrupted or horizontal mattress sutures through the strips that act as a buttress. 56 The basic lattice stitch helps in dispersing the forces across the wound edge in both perpendicular and parallel fashion (Figure 9). 57,58 Tissue adhesive, as discussed previously, can also be a useful tool in this location.…”

Section: Upper Extremitiesmentioning

confidence: 99%

Suture Products and Techniques

Regula¹,

Yag-Howard

2015

Dermatologic Surgery

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Numerous factors must be considered when choosing a wound closure material and suturing technique. These include wound tension, desire for wound edge eversion/inversion, desired hemostasis, repair type, patient's ability to care for the wound and return for suture removal, skin integrity, and wound location. Careful consideration of these factors and proper execution of suturing techniques can lead to excellent cosmetic results.

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Suture/Steri-Strip Combination for the Management of Lacerations in Thin-Skinned Individuals

Cited by 26 publications

References 0 publications

Horizontal Mattress Sutures with Gauze Support for the Closure of Primary Non-closable Skin Defects: A Simple and Inexpensive Technique

Horizontal Mattress Sutures with Gauze Support for the Closure of Primary Non-closable Skin Defects: A Simple and Inexpensive Technique

Double tips needle (Lasheen needle) for wound repair

Suture Products and Techniques

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