Abstract
To show that the use of absorbable sutures in pediatric traumatic lacerations affords good long-term cosmesis and no increase in complications (infection, dehiscence rates, and need for surgical scar revision) when compared with wounds sutured with nonabsorbable sutures. This was a randomized clinical trial conducted in a pediatric emergency department. Patients 1-18 years of age who presented to the emergency department with lacerations < 12 hours old were recruited between January 1999 and December 2001. Exclusion criteria were the following: wounds that could be approximated by tissue adhesives, animal/human bites, gross contamination, puncture/crush wounds, wounds crossing joints, lacerations of tendon/nerve/cartilage, collagen vascular disease, immunodeficiency, diabetes mellitus, bleeding disorder, and scalp lacerations. Patients were randomized into one of two groups: those receiving absorbable plain gut sutures (group A) and those receiving nonabsorbable nylon sutures (group NA). Board-eligible/certified pediatric emergency physicians or clinical fellows performed laceration repair in a standardized approach. All wounds were reevaluated within ten days by a single research nurse who assessed the wounds using a previousl...Continue Reading
References
Feb 1, 1992·Plastic and Reconstructive Surgery·B Guyuron, C Vaughan
Sep 1, 1989·Archives of Emergency Medicine·N J StartW J Robson
Jul 1, 1986·Archives of Surgery·P M McNeil, H J Sugerman
Aug 1, 1985·Archives of Otolaryngology·R C WebsterR C Smith
May 1, 1995·Annals of Emergency Medicine·J E HollanderM C Henry
Mar 1, 1995·The American Journal of Emergency Medicine·J V QuinnT J Elmslie
Jul 1, 1993·Annals of Emergency Medicine·J V QuinnW E Wood
May 21, 1997·JAMA : the Journal of the American Medical Association·J QuinnP Johns
May 1, 1997·Rheumatic Diseases Clinics of North America·J A Fitch, B H Singsen
Nov 5, 1997·The New England Journal of Medicine·A J SingerJ V Quinn
Nov 5, 1997·The Journal of Emergency Medicine·P C ShettyT M Scalea
Mar 10, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·A J SingerJ V Quinn
Jun 17, 1998·The Journal of Pediatrics·T B BrunsJ V Quinn
May 12, 2000·American Journal of Respiratory and Critical Care Medicine·J B LangdeauL P Boulet
Citations
May 19, 2006·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Felix KuoGary S Rogers
Dec 3, 2014·Facial Plastic Surgery Clinics of North America·Steven R Mobley, Phayvanh P Sjogren
Dec 24, 2005·Emergency Medicine Journal : EMJ·Robert Evans, Jeff Jones
Mar 1, 2008·Seminars in Interventional Radiology·Sidney Regalado, Brian Funaki
Mar 2, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Aaron M Bruce, James M Spencer
Dec 25, 2012·Surgery·D Peter O'LearyH Paul Redmond
May 3, 2012·Critical Care Nursing Clinics of North America·Maria E Moreira, Vincent J Markovchick
Dec 20, 2011·Journal of the American Academy of Dermatology·Christos TziotziosJane Sterling
Apr 3, 2007·Emergency Medicine Clinics of North America·Jeremy D LloydRobert F Kacprowicz
Feb 6, 2007·Clinics in Dermatology·Albert E Rivera, James M Spencer
Jun 12, 2014·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Karina A HernandezJason A Spector
Jun 3, 2016·Aesthetic Plastic Surgery·Babak Alinasab, Per-Olle Haraldsson
Oct 8, 2013·Emergency Medicine Journal : EMJ·Helen KeetonKate Lowe
May 17, 2007·Pediatric Emergency Care·Tawfik Al-AbdullahDean Fergusson
Sep 12, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Bilsev InceMehmet Dadaci
Mar 19, 2008·Pediatric Emergency Care·Raemma P LuckJohn Gaughan
Jul 22, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cena TejaniRaemma P Luck
May 30, 2013·Pediatric Emergency Care·Raemma LuckRobert Flood
Sep 6, 2018·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Akeem O AlawodeWasiu L Adeyemo
Apr 3, 2007·Emergency Medicine Clinics of North America·Ryan H DeBoardJohn G McManus