Closure Techniques

Lloyd, Jeremy D.; Marque, Melvin J.; Kacprowicz, Robert F.

doi:10.1016/j.emc.2007.01.002

Cited by 32 publications

(47 citation statements)

References 22 publications

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“…When wounds are appropriately prepared and the site is correctly selected, staples tend to have lower wound infection rates and fewer complications [39]. If used on the scalp, staples are not associated with any greater scar formation than sutures.…”

Section: Discussionmentioning

confidence: 99%

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Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

et al. 2010

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BackgroundAs millions of emergency department (ED) visits each year include wound care, emergency care providers must remain experts in acute wound management. The variety of acute wounds presenting to the ED challenge the physician to select the most appropriate management to facilitate healing. A complete wound history along with anatomic and specific medical considerations for each patient provides the basis of decision making for wound management. It is essential to apply an evidence‐based approach and consider each wound individually in order to create the optimal conditions for wound healing.AimsA comprehensive evidence‐based approach to acute wound management is an essential skill set for any emergency physician or acute care practitioner. This review provides an overview of current evidence and addresses frequent pitfalls.MethodsA systematic review of the literature for acute wound management was performed.ResultsA structured MEDLINE search was performed regarding acute wound management including established wound care guidelines. The data obtained provided the framework for evidence‐based recommendations and current best practices for wound care.ConclusionAcute wound management varies based on the wound location and characteristics. No single approach can be applied to all wounds; however, a systematic approach to acute wound care integrated with current best practices provides the framework for exceptional wound management.

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Section: Discussionmentioning

confidence: 99%

“…If used on the scalp, staples are not associated with any greater scar formation than sutures. However, if left in place too long, staples may result in greater scar formation [39]. Staples are commonly used on the scalp, trunk, and extremities—areas less prone to cosmetic considerations.…”

Section: Discussionmentioning

confidence: 99%

Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

et al. 2010

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“…1 However, they are not ideal and present the following drawbacks: (1) placement of sutures may require anesthesia; (2) sutures can induce a high rate of infection, nerve damage, inflammatory reactions, granuloma formation, and scar tissue formation; and (3) suturing is a time-consuming method and requires an acquired technical skill that can vary widely from surgeon to surgeon, thus influencing the time and success of the procedure. Wounds are classified either as open (e.g., abrasions, avulsions, incisions, lacerations, or penetration) or closed (e.g., contusions, ecchymosis, or petechiae).…”

mentioning

confidence: 99%

The chemistry and engineering of polymeric hydrogel adhesives for wound closure: a tutorial

2015

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The closure and repair of wounds after traumatic or surgical injury is of significant clinical and research importance. While sutures remain the common wound closure technique, they have many disadvantages. Consequently, polymeric hydrogel adhesives have emerged as essential materials for wound management and repair because of their tunable chemical and physical properties, which enable them to adhere or stick to tissues, possess sufficient mechanical strength to stay intact and be subsequently removed, provide complete wound occlusion, and act as a barrier to bacterial infection. Moreover, these materials absorb wound exudates and keep the wound moist for faster healing. This tutorial review summarizes the key chemical features that enabled the development and use of polymeric hydrogels as wound adhesives, sealants, and hemostats, their design requirements, synthetic routes, determination of properties, and the tests needed to evaluate their performances. This tutorial review is a reference and a starting point for scientists and clinicians working or interested in the field of wound management and, importantly, for the general audience who is interested in polymers for medical applications.

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“…The main advantage of skin stapling is the speed of closure, especially for the use on extremities, trunk, and scalp. 2 Because the femoral artery is the usual entry site for angiograms, PAs occur most commonly at this location. Usual complications of skin stapler usage are infection, foreign-body reactions, superficial wound dehiscence, and tissue necrosis.…”

mentioning

confidence: 99%

Pseudoaneurysm of the genicular artery after wound closure using a skin stapler in a child

Gürses

Temeloğlu

Tuna

et al. 2012

J of Clinical Ultrasound

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Closure Techniques

Cited by 32 publications

References 22 publications

Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

The chemistry and engineering of polymeric hydrogel adhesives for wound closure: a tutorial

Pseudoaneurysm of the genicular artery after wound closure using a skin stapler in a child

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