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Suturing wound care

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37 papers 100 to 500 followers
Raymond G Hart, Francisco A S Fernandas, Joseph E Kutz
The transthecal digital block is a simple, safe, and effective anesthesia technique that can be used in many digital injuries. It is contraindicated only in cases of infection. The purposes of this article are to (1) discuss the indications for the transthecal digital block, (2) describe the technique, and (3) review the literature. The transthecal technique is used on appropriate patients almost to the exclusion of more traditional digital blocks by many hand surgeons. The advantages of this method are that it requires only a single injection, has a rapid onset of action, and requires only a small amount of anesthetic...
May 2005: American Journal of Emergency Medicine
Edoardo Raposio, Michele Antonacci, Giorgia Caruana
BACKGROUND: Purse-string suture is a simple technique that can be used to reduce the surface area of circular wounds in an effort to obtain minimal scarring. In this report, we provide evidence of the effectiveness of the purse-string suture as a stand-alone procedure that allows a permanent primary complete closure of small to moderate skin defects. The procedure is used primarily for the repair of skin defects due to cutaneous tumor excision in older patients. METHODS: The purse-string suture is executed by using a 1-0 absorbable suture, always by exiting and reentering intradermally and never penetrating the epidermis, in a circumferential fashion...
2014: World Journal of Surgical Oncology
Cena Tejani, Adam B Sivitz, Micheal D Rosen, Albert K Nakanishi, Robert G Flood, Mathew A Clott, Paul G Saccone, Raemma P Luck
OBJECTIVES: The primary objective was to compare the cosmetic outcomes of traumatic trunk and extremity lacerations repaired using absorbable versus nonabsorbable sutures. The secondary objective was to compare complication rates between the two groups. METHODS: This was a randomized controlled trial comparing wounds repaired with Vicryl Rapide and Prolene sutures. Pediatric and adult patients with lacerations were enrolled in the study. At a 10-day follow-up, the wounds were evaluated for infection and dehiscence...
June 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
I V Kuznetsova, I V Maiborodin, A I Shevela, M I Barannik, A A Manaev, A I Brombin, V I Maiborodina
Morphological changes in tissues adjacent to the implant were studied 1, 2, 6, and 12 months after implantation of biodegradable suture materials (catgut thread, DemeTECH polyfilament thread, and Surgilactin monofilament thread) into subcutaneous fat of rats. Tissue reaction to implantation of different suture materials developed as usual in response to a wound process and to a foreign body. By the end of month 1. the stage of traumatic perifocal inflammation was replaced in all groups by the proliferative phase with formation of new vessels and connective tissue...
July 2014: Bulletin of Experimental Biology and Medicine
Thuzar M Shin, Jeremy S Bordeaux
INTRODUCTION: Skin defects can be repaired via primary closure, secondary intention healing, local and distant flaps, skin grafts or application of natural and synthetic skin substitutes. When possible, primary linear repair is favored due to simplicity, minimal morbidity and rapid healing. A number of suture techniques are available to the surgeon for primary closure, the selection of which depends on defect size, anatomic location, wound eversion, and tension.<BR /> OBJECTIVE: To review suture techniques and how they influence scar cosmesis...
August 2014: Journal of Drugs in Dermatology: JDD
M Isabel Gutiérrez Pérez, M Eulalia Lucio-Villegas Menéndez, Laura López González, Natalia Aresté Lluch, M Luisa Morató Agustí, Santiago Pérez Cachafeiro
Wounds can be classified according to their mechanism of action into surgical or traumatic (which may be incision wounds, such as those provoked by a sharp object; contusions, caused by a blunt force; puncture wounds, caused by long, sharp objects; lacerations, caused by tears to the tissue; or bites, which have a high risk of infection and consequently should not be sutured). Wounds can also be classified by their healing process into acute or chronic (pressure ulcers, vascular ulcers, neuropathic ulcers, acute wounds with torpid clinical course)...
May 2014: Atencion Primaria
Seyed Reza Mousavi, Jaledin Khoshnevice
Background. Ingrowing toenails are a common condition which, when recurrent and painful, are often treated surgically. The aim of this study is to present a new simple surgical technique for ingrown toenails with good results. Method and Patients. The selected 250 patients with affected toes were surgically treated by our technique and observed from 1998 to 2004. Marginal nail elevation combined with surgical excision of the granulation tissue was more successful. For fixing the nail margin on the toe we have done one-bite suture by Nylon 3/0 that was removed after 3 weeks...
2012: ISRN Surgery
Sharon Baranoski, Elizabeth A Ayello
Keeping abreast of the numerous wound dressings available for patient care is an ambitious task. Being able to differentiate among the various treatment options, when and how to apply them, in what combinations, and when to change them has become a challenge for all healthcare practitioners.
February 2012: Advances in Skin & Wound Care
Karen Zulkowski
Certain types of moisture can cause debilitating damage to the skin. Terms such as perineal dermatitis, diaper rash, incontinence-associated dermatitis, or moisture-associated skin damage describe some of the conditions caused by moisture from wound drainage, fecal and/or urinary incontinence, and perspiration. It is important for clinicians to correctly diagnose and to locally treat the cause of skin damage, as well as promote appropriate cleaning techniques, to keep patients' skin healthy.
May 2012: Advances in Skin & Wound Care
Tatiana N Demidova-Rice, Michael R Hamblin, Ira M Herman
This is the first installment of 2 articles that discuss the biology and pathophysiology of wound healing, review the role that growth factors play in this process, and describe current ways of growth factor delivery into the wound bed. Part 1 discusses the latest advances in clinicians' understanding of the control points that regulate wound healing. Importantly, biological similarities and differences between acute and chronic wounds are considered, including the signaling pathways that initiate cellular and tissue responses after injury, which may be impeded during chronic wound healing...
July 2012: Advances in Skin & Wound Care
Karen Zulkowski
Skin is the body's physical barrier to the outside world. Its primary role is to protect the body from organisms or toxic substances, while maintaining fluid and electrolyte balance. Because skin interfaces with the outside world, it develops an ecosystem that may be colonized with bacteria, viruses, fungi, and mites.
May 2013: Advances in Skin & Wound Care
Tim R Dargaville, Brooke L Farrugia, James A Broadbent, Stephanie Pace, Zee Upton, Nicolas H Voelcker
Wound healing involves a complex series of biochemical events and has traditionally been managed with 'low tech' dressings and bandages. The concept that diagnostic and theranostic sensors can complement wound management is rapidly growing in popularity as there is tremendous potential to apply this technology to both acute and chronic wounds. Benefits in sensing the wound environment include reduction of hospitalization time, prevention of amputations and better understanding of the processes which impair healing...
March 15, 2013: Biosensors & Bioelectronics
Sujata Sarabahi
There are a wide variety of dressing techniques and materials available for management of both acute wounds and chronic non-healing wounds. The primary objective in both the cases is to achieve a healed closed wound. However, in a chronic wound the dressing may be required for preparing the wound bed for further operative procedures such as skin grafting. An ideal dressing material should not only accelerate wound healing but also reduce loss of protein, electrolytes and fluid from the wound, and help to minimize pain and infection...
May 2012: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Jason Wasiak, Heather Cleland, Fiona Campbell, Anneliese Spinks
BACKGROUND: An acute burn wound is a complex and evolving injury. Extensive burns produce systemic consequences, in addition to local tissue damage. Treatment of partial thickness burn wounds is directed towards promoting healing and a wide variety of dressings are currently available. Improvements in technology and advances in understanding of wound healing have driven the development of new dressings. Dressing selection should be based on their effects on healing, but ease of application and removal, dressing change requirements, cost and patient comfort should also be considered...
2013: Cochrane Database of Systematic Reviews
D R Shanahan
Despite advances in wound management in recent years, systemic wound infection remains the most common cause of death in patients with large trauma wounds; therefore, it is important that the wound is closed as soon as it is safe, not before and not too long after. However, all surgeons know that many acute trauma wounds cannot be safely closed on the day of injury, so how to judge when this critical window is open? In his inaugural lecture as Professor of Wound Study at Birmingham City University's Tissue Viability Practice Development Unit, Lt Col Professor Steven Jeffery addresses this issue...
April 2013: Journal of Wound Care
Marcia Spear
Acute and chronic wounds heal and behave differently. An understanding of these differences is imperative to the practitioner in providing and planning appropriate wound care and management. The purpose of this article is to present some of the major differences and enable the practitioner in developing and modifying an appropriate plan of care to enhance healing and manage patient expectations.
April 2013: Plastic Surgical Nursing
Martha A Mamrosh, Debbie L Valk, Catherine T Milne
Skin tears are a common problem that can impact the quality of life due to pain and the potential of becoming complicated wounds if not treated properly. The use of a cyanoacrylate skin protectant to manage skin tears was evaluated in 30 patients in an acute care setting.
July 2013: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
Kaihan Yao, Lily Bae, Wei Ping Yew
BACKGROUND: Optimal management of post-operative wounds in the community is important to prevent potential complications such as surgi-cal-site infections and wound dehiscence from developing. As such, general practitioners, who play an important part in the sub-acute management of post-operative wounds, should appreciate the physiology of wound healing and the principles of post-operative wound care. OBJECTIVE: The objective of this article is to update general practitioners on the important aspects of post-operative wound care...
December 2013: Australian Family Physician
Tongyu Cao Wikramanayake, Olivera Stojadinovic, Marjana Tomic-Canic
Significance: The epidermal barrier prevents water loss and serves as the body's first line of defense against toxins, chemicals, and infectious microbes. Disruption of the barrier, either through congenital disorders of barrier formation or through wounds, puts the individual at risk for dehydration, hypersensitivity, infection, and prolonged inflammation. Epidermal barrier disorders affect millions of patients in the United States, causing loss of productivity and diminished quality of life for patients and their families, and represent a burden to the health-care system and society...
March 1, 2014: Advances in Wound Care
Olivier Chapuis, Charles Pierret, Delphine Rouquie, Brice Malgras
Negative pressure therapy medical techniques constitute a revolution in wound care, notably with acute wounds.The latter, often surgical, are treated as an emergency
January 2014: Soins; la Revue de Référence Infirmière
2014-05-20 07:46:27
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