Layered closure of lacerations

Linda Phillips, J. P. Heggers

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The cause, depth, and location of a laceration are major determining factors in its treatment. In all cases, the wound must be completely cleansed with irrigation under pressure and then examined radiographically if necessary and debrided. Successful repair depends on understanding and using the principles of wound healing. The skin's greatest strength is in the dermal layer, and the best repair results when the entire depth of the dermis is accurately approximated to the entire depth of the opposite dermis. Accurate coaptation of the epidermis gives a polished effect to the repair but does not contribute to its strength. Fat and muscle do not support sutures. Full-thickness sutures may safely be used only on palmar and plantar surfaces. With an extensive laceration or one near a joint, a splint or sling may be needed. The wound should be examined a couple of days after suture placement for signs of infection.

Original languageEnglish (US)
Pages (from-to)142-148
Number of pages7
JournalPostgraduate Medicine
Volume83
Issue number8
StatePublished - 1988
Externally publishedYes

Fingerprint

Lacerations
Sutures
Dermis
Skin
Splints
Wounds and Injuries
Epidermis
Wound Healing
Joints
Fats
Pressure
Muscles
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Phillips, L., & Heggers, J. P. (1988). Layered closure of lacerations. Postgraduate Medicine, 83(8), 142-148.

Layered closure of lacerations. / Phillips, Linda; Heggers, J. P.

In: Postgraduate Medicine, Vol. 83, No. 8, 1988, p. 142-148.

Research output: Contribution to journalArticle

Phillips, L & Heggers, JP 1988, 'Layered closure of lacerations', Postgraduate Medicine, vol. 83, no. 8, pp. 142-148.
Phillips, Linda ; Heggers, J. P. / Layered closure of lacerations. In: Postgraduate Medicine. 1988 ; Vol. 83, No. 8. pp. 142-148.
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