Closure of traumatic wounds without cleaning and suturing

Postgrad Med J. 2002 May;78(919):281-2. doi: 10.1136/pmj.78.919.281.

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.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bandages*
  • Child
  • Child, Preschool
  • Developing Countries
  • Disinfection
  • Female
  • Follow-Up Studies
  • Humans
  • Lacerations / therapy*
  • Male
  • Middle Aged
  • Prospective Studies
  • Suture Techniques
  • Wound Healing
  • Wound Infection / etiology