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A new technique of suturing using adhesive skin closure for uncooperative patients

Open wounds are usually closed with suture. However, young patients often do not cooperate and prevent proper suture placement. Young patients are often terrified of mild pain and wholly uncooperative, which is why we introduce this timesaving, less painful, more aesthetic technique of placing and r...

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Autores principales: Hong, Joon‐Shik, Yoo, Seok‐Ju, Shin, Hea‐Kyeong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615285/
https://www.ncbi.nlm.nih.gov/pubmed/35293122
http://dx.doi.org/10.1111/iwj.13787
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author Hong, Joon‐Shik
Yoo, Seok‐Ju
Shin, Hea‐Kyeong
author_facet Hong, Joon‐Shik
Yoo, Seok‐Ju
Shin, Hea‐Kyeong
author_sort Hong, Joon‐Shik
collection PubMed
description Open wounds are usually closed with suture. However, young patients often do not cooperate and prevent proper suture placement. Young patients are often terrified of mild pain and wholly uncooperative, which is why we introduce this timesaving, less painful, more aesthetic technique of placing and removing stitches. 104 patients with facial lacerations aged 5 to 15 years were treated at a single center from May 2019 to March 2021. Patients were randomly assigned equally to a simple interrupted suture group (the SI group) or a continuous locking with Steri‐Strip group (the CS group). Suture times, times for stitch removal, pain scores at stitch removal and mature scar scores were evaluated. Suture and stitch removal times were significantly shorter, and pain scores at stitch removal and observer scar assessment scale scores were lower in the CS group. Patient scar assessment scale score was non‐significantly lower in the SI group. This study shows that the novel continuous locking with the Steri‐Strip technique is easier and quicker to perform, causes less pain when removing stitches, provides better aesthetic results than the simple interrupted suture technique and suggests the continuous locking with Steri‐Strip technique would be very useful for uncooperative young patients.
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spelling pubmed-96152852022-10-31 A new technique of suturing using adhesive skin closure for uncooperative patients Hong, Joon‐Shik Yoo, Seok‐Ju Shin, Hea‐Kyeong Int Wound J Original Articles Open wounds are usually closed with suture. However, young patients often do not cooperate and prevent proper suture placement. Young patients are often terrified of mild pain and wholly uncooperative, which is why we introduce this timesaving, less painful, more aesthetic technique of placing and removing stitches. 104 patients with facial lacerations aged 5 to 15 years were treated at a single center from May 2019 to March 2021. Patients were randomly assigned equally to a simple interrupted suture group (the SI group) or a continuous locking with Steri‐Strip group (the CS group). Suture times, times for stitch removal, pain scores at stitch removal and mature scar scores were evaluated. Suture and stitch removal times were significantly shorter, and pain scores at stitch removal and observer scar assessment scale scores were lower in the CS group. Patient scar assessment scale score was non‐significantly lower in the SI group. This study shows that the novel continuous locking with the Steri‐Strip technique is easier and quicker to perform, causes less pain when removing stitches, provides better aesthetic results than the simple interrupted suture technique and suggests the continuous locking with Steri‐Strip technique would be very useful for uncooperative young patients. Blackwell Publishing Ltd 2022-03-15 /pmc/articles/PMC9615285/ /pubmed/35293122 http://dx.doi.org/10.1111/iwj.13787 Text en © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Hong, Joon‐Shik
Yoo, Seok‐Ju
Shin, Hea‐Kyeong
A new technique of suturing using adhesive skin closure for uncooperative patients
title A new technique of suturing using adhesive skin closure for uncooperative patients
title_full A new technique of suturing using adhesive skin closure for uncooperative patients
title_fullStr A new technique of suturing using adhesive skin closure for uncooperative patients
title_full_unstemmed A new technique of suturing using adhesive skin closure for uncooperative patients
title_short A new technique of suturing using adhesive skin closure for uncooperative patients
title_sort new technique of suturing using adhesive skin closure for uncooperative patients
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615285/
https://www.ncbi.nlm.nih.gov/pubmed/35293122
http://dx.doi.org/10.1111/iwj.13787
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