Closure of traumatic wounds without cleaning and suturing
D Maharaj, D Sharma, M Ramdass, V Naraynsingh, D Maharaj, D Sharma, M Ramdass, V Naraynsingh
Abstract
Background: In less than ideal situations wounds have to be closed without extensive cleaning using sterile adhesive strips (Steristrips). This prospective analyses the efficiency of this technique and compares it to the more conventional approach.
Methods: Altogether 147 lacerations were closed with sterile strips with no wound cleaning. Patients were subsequently followed up for a minimum of three months.
Results: The sepsis rate in compliant patients was 1.4% with a total complication rate of 2.7%.
Conclusion: This technique, while contradicting the "sacred tenets" of wound closure, is a cheap, quick, and effective alternative to routine closure of traumatic wounds in a casualty department.
References
- Br J Exp Pathol. 1957 Dec;38(6):573-86
- Br J Plast Surg. 1964 Apr;17:175-83
- Br Med J. 1975 Sep 20;3(5985):696-8
- Surg Gynecol Obstet. 1983 Feb;156(2):212-6
- Am J Surg. 1962 Oct;104:603-12
- Skin Therapy Lett. 1999;4(5):3-4
- Br J Plast Surg. 1963 Oct;16:379-86
- Injury. 1999 Jun;30(5):357-63
- Surg Gynecol Obstet. 1989 Oct;169(4):310-4
- Ann Emerg Med. 1990 Sep;19(9):1001-5
- Arch Dermatol. 1969 Jan;99(1):107-10
- Ann Plast Surg. 2001 Feb;46(2):185-9
- Am J Surg. 1969 Mar;117(3):318-22
Source: PubMed