EMERGENCY MEDICINE

The Hands and Feet

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Hands and Feet

Introduction Print Section Listen The hands and feet present some novel challenges to wound closure. First, these areas are highly mobile—by their very nature, these locations are under constant stress,…

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The Scalp

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Scalp

Introduction Print Section Listen Closures on the scalp, like those on the shins, often involve narrow wounds under significant tension. Most surgical repairs on the scalp take place on the…

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The Arms

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Arms

Introduction Print Section Listen As with the chest and shoulders, the arms are often relatively straightforward to close, as for all but the largest defects ample tissue is generally available…

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The Legs

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Legs

Introduction Print Section Listen When contemplating wound closures on the lower extremities, clinicians should keep in mind that closures above the knee are fundamentally different from their below-the-knee counterparts. Thigh…

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The Cross Stitch

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Cross Stitch

Introduction Print Section Listen Application Print Section Listen This is a niche technique used for closure, hemostasis, and epidermal approximation of select wounds. It may be conceptualized as a simple…

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The Running Pleated Suture

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Running Pleated Suture

Introduction Print Section Listen Application Print Section Listen This technique is designed to correct an imbalance in tissue length on two sides of a wound, as is commonly encountered in…

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The Lattice Stitch

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Lattice Stitch

Introduction Print Section Listen Application Print Section Listen This is a niche technique designed for wounds with an atrophic dermis or under significant tension, where traditional suturing techniques do not…

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The Purse-String Suture

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Purse-String Suture

Introduction Print Section Listen Application Print Section Listen This technique is designed to either shrink the size of a defect or obviate it entirely, depending on the degree of tension…

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The Adhesive Strip Bolster Technique

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Adhesive Strip Bolster Technique

Introduction Print Section Listen Application Print Section Listen This is a niche technique designed for wounds with an atrophic dermis, where standard suturing techniques result in significant tissue tear through…

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