A Stitch in Time: Operative and Nonoperative Laceration Repair

Primary care · Mar 2022

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A Stitch in Time: Operative and Nonoperative Laceration Repair Techniques.

Before repairing a laceration, consider the mechanism and severity of the injury. Gentle irrigation of the wound helps to remove microscopic infectious agents and larger debris. ⋯ Prophylaxis against tetanus, rabies, and/or bacterial infection should be considered. Clinical assessment of each wound is important to guide decisions about technique, anesthetic, suture material, and the interval period before nonabsorbable equipment can be removed.

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- Benjamin Silverberg, Amy Moyers, Benjamin I Wainblat, Peter Cashio, and Kevin Bernstein.
- Department of Emergency Medicine, WVU Medicine, 1 Medical Center Drive, Box 9149, Morgantown, WV 26505, USA; Department of Family Medicine, WVU Medicine, 6040 University Town Center Drive, Morgantown, WV 26501, USA; Division of Physician Assistant Studies, Department of Human Performance, West Virginia University School of Medicine, 64 Medical Center Drive, Box 9226, Morgantown, WV 26505, USA. Electronic address: benjamin.silverberg@hsc.wvu.edu.
- Prim. Care. 2022 Mar 1; 49 (1): 23-38.
AbstractBefore repairing a laceration, consider the mechanism and severity of the injury. Gentle irrigation of the wound helps to remove microscopic infectious agents and larger debris. Not all foreign bodies are visible in plain radiographs. Certain wounds may be allowed to heal without operative intervention, but most patients prefer an approach using suture thread or tissue adhesive. Prophylaxis against tetanus, rabies, and/or bacterial infection should be considered. Clinical assessment of each wound is important to guide decisions about technique, anesthetic, suture material, and the interval period before nonabsorbable equipment can be removed.Copyright © 2021 Elsevier Inc. All rights reserved.

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A Stitch in Time: Operative and Nonoperative Laceration Repair Techniques.

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