Browse > Article

Easy and Fast Stitch out Method with a Traction Nylon in Pediatric Sutured Wound  

Lee, Yoon-Jung (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Lee, Kyung-Suk (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Kim, Jun-Sik (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Kim, Nam-Gyun (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Publication Information
Archives of Plastic Surgery / v.37, no.2, 2010 , pp. 199-201 More about this Journal
Abstract
Purpose: Except for continuous suture in skin layer, stitching out in facial laceration, we have to hold each knots up and cut the knots by No. 11 blade or small scissors. However, we often have difficulty in stitching out the knots on children who do not cooperate well. Therefore we introduce an easy and fast stitch out method of pediatric lacerations. Methods: From January to May 2009, we studied 15 pediatric patients (mean age 5.6 years old) who had facial laceration on face or underwent any surgery on operation room. For easy stitch out, we left the one string of the first knot long enough to extend at the opposite end of laceration site. And then the extended string was fixed to skin using Steri-strip. Next we do simple interrupted suture including the extended traction nylon string inside the knot. Through this method, we can stitch out all knots simply by lifting up the traction nylon needless to hold the each knot one by one. Results: Until stitching out, the traction nylon was just right position and there was no normal tissue injury during stitch out all knots. Patients were satisfied with the short stitch out time. Conclusion: By using the traction nylon on pediatric laceration suture, we can stitch out all the knots with no normal tissue injury in less time.
Keywords
Pediatric laceration; Easy stitch out; Traction nylon;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim YW, An SH, Ryu SY, Kim HY, Jeon BM, Kim KT: Clinical evaluation of facial laceration patients who visited tertiary emergency medical center. J Korean Soc Emerg Med 12: 143, 2001
2 Zempsky WT, Parrotti D, Grem C, Nichols J: Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with steri strip skin closures or dermabond tissue adhesive. Pediatr Emerg Care 20: 519, 2004   DOI   ScienceOn
3 Sung HW, Kim JW, Shin HK, Jung JH, Kim YS, Sun H: The suture method using ribbon shaped knot in pediatric facial lacerations. J Korean Soc Plast Reconstr Surg 36: 122, 2009
4 Islam S, Ansell M, Mellor TK, Hoffman GR: A prospective study into the dermographics and treatment of paediatric facial lacerations. Pediatr Sur Int 22: 797, 2006   DOI   ScienceOn
5 Al-Abdullah T, Plint AC, Fergusson D: Absorbable versus nonabsorbable sutures in the management of traumatic lacerations and surgical wounds: A meta-analysis. Pediatr Emerg Care 23: 339, 2007   DOI   ScienceOn
6 Karounis H, Gouin S, Eisman H, Chalut D, Pelletier H, Williams B: A randomized controlled trial comparing longterm cosmetic outcomes of traumatic pediatric lacerations repairs with absorbable plain gut versus nonabsorbable nylon sutures. Acad Emerg Med 11: 730, 2004