Wound closure techniques. Medical search. Frequent questions

Selecting sutures and needles for wound closure. (wikipedia.org)
In lab experiments, wounds closed with the smart dressing healed as fast as those closed with sutures. (israel21c.org)
Wound closure techniques have evolved from the earliest development of suturingÂ materials to comprise resources that include synthetic sutures, absorbables, staples, tapes, and adhesive compounds. (intelligentdental.com)
Similarly, the creation of natural glues, surgical staples, and tapes to substitute for sutures has supplemented the armamentarium of wound closure techniques. (intelligentdental.com)
Once the resection and undermining have been carried out, the wounds are closed by using braided permanent sutures in the SFS, subdermal polydioxanone sutures, and intracuticular polypropylene sutures. (medscape.com)
Because the second bite is parallel to the first, about half as many sutures are needed to close a wound. (msdmanuals.com)
Plus Sutures remained cost-saving in all subgroup analyses with cost-savings ranging between £11 (clean wounds) and £140 (non-clean wounds). (bvsalud.org)
Simple closure with sutures and soft tissue coverage of the wound prevents the accumulation of debris and fluid in the socket. (bvsalud.org)
Wound temporization with traction-assisted internal negative pressure wound therapy (NPWT), using bridging retention sutures, can minimize the effects of edema and elastic recoil that contribute to progressive tissue retraction over time. (medscape.com)

wound infection. (edu.pk)
43 ECA technology was pioneered in Russia in the 1970s where ECA solutions have been used extensively for over 30 years, for drinking water disinfection, swimming pool disinfection, as the general disinfectant in hospitals, as wound irrigants, as nebulised inhalant sprays and many other infection control applications with no apparent harmful effects. (researchgate.net)
Future research should explore healing time, potential unwanted or harmful effects, all-cause mortality, length of hospital stay, health-related quality of life, reoperation rate, wound infection, and pain outcomes. (cochrane.org)
The study did not report the proportion of people with wounds that were successfully closed, participant health-related quality of life, reoperation rate, wound infection, or pain. (cochrane.org)
The study did not report the time needed for wounds to completely close, participant health-related quality of life, length of hospital stay, wound infection, or pain. (cochrane.org)
Prof. Hossam Haick's chemical engineering lab at the Technion - Israel Institute of Technology has created a smart suture-less dressing that binds the edges of a wound together, wards off infection, and even digitally reports on the wound's condition to the surgeon. (israel21c.org)
Wounds that are sutured in an unsterile environment, or are not cleansed, irrigated, and debrided appropriately, are at high risk for infection due to contamination. (cdc.gov)
Wounds that are not closed primarily because of high risk of infection should be considered for delayed primary closure by experienced medical staff using sterile technique. (cdc.gov)
Shaving of hair is not necessary, and may increase the chance of wound infection. (cdc.gov)
Puncture wounds can carry bits of clothing and debris into wound resulting in infection. (cdc.gov)
Crush injuries are more susceptible to infection than wounds from shearing forces. (cdc.gov)
Obviously, if it's a clean wound with no signs of infection, we don't culture, but we always culture everything if we suspect the patient has an infection somewhere. (allnurses.com)
Since I am not in favor of burying suture of any kind in traumatic wounds because it enhances the chance for infection to develop, I have used the polybutester a great deal for this type of closure. (dvm360.com)
Research has shown that even having one buried suture in a clean-contaminated wound increases the likelihood of infection occurring by 200 percent. (dvm360.com)
This equates to a more economical way to close traumatic and intentional surgical wounds, less wound infection and less overall complications. (dvm360.com)
Furthermore, the term tertiary intention is used to define delayed healing which occurs in both types of healing after an infected wound is left open for days until the infection disappears and is completely covered by surgical closure of the overlying tissue 1 , 2 . (medsci.org)
Failure to recognize a hematoma may result in postoperative wound infection and poor wound healing. (medscape.com)

The advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers, and also allows perfect eversion and vertical opposition of the superficial skin edges. (wikipedia.org)
The purpose of this study is to assess wound perfusion at the site of closure in primary spine surgery between running subcuticular suture, interrupted vertical mattress suture, and staple closure techniques. (mayo.edu)
Because it has a superior stretch quality, the polybutester is used as a continuous, interrupted, near-far-far-near (NFFN) and either interrupted or continuous vertical mattress suture for fascial and skin closures. (dvm360.com)

27 It is important to emphasize that negative-pressure wound therapy with instillation should not be used as a substitute for appropriate medical and surgical care. (researchgate.net)
44,45 Microcyn and Dermacyn have been used effectively and safely as the solution of choice for negative-pressure wound therapy with instillation. (researchgate.net)
Negative pressure wound therapy with instillation (NPWTi) is increasingly utilized as an adjunct therapy for a wide variety of wounds. (researchgate.net)
What are the benefits and risks of negative pressure wound therapy for managing the open abdomen in people who are not trauma patients? (cochrane.org)
We do not know if negative pressure wound therapy (NPWT, defined as pressure lower than a given reference pressure, generally causing suction) helps abdominal wounds to heal quicker or reduces potential harmful effects compared with using a Bogota bag (a sterilised fluid bag used for closing abdominal wounds). (cochrane.org)
Patient-approved ointments*, standard dressings, and vacuum-assisted closure or negative pressure wound therapy devices can be demonstrated and practiced. (anatomywarehouse.com)
When used as an adjunct in wound reconstruction, negative pressure wound therapy (NPWT) potentiates healing through increased local blood flow and granulation, reduced tissue edema, and controlled bacterial proliferation. (medscape.com)

Specific pathologies like severe intraabdominal sepsis, trauma requiring damage control, abdominal compartment syndrome, stagedabdominal repair and other complex abdominal pathologies can be managed with a noveltechnique of Vacuum Assisted Closure dressing. (edu.pk)
Collier M. Know-how: vacuum-assisted closure (VAC). (edu.pk)
However,we were changing a VAC dressing (vacuum assisted closure) of a HUGE abdominal wound. (allnurses.com)

The simple interrupted stitch is a suturing technique used to close wounds. (amdainternational.com)
and horizontal) are commonly used to close wounds under tension. (msdmanuals.com)

After several hundred abdominal fascial continuous closures without complications, I expanded its use to the stomach, intestine, esophagus, blood vessels, other fascia and the skin. (dvm360.com)
Wound healing monitoring is an important concern in all surgical procedures since it allows to identify signs or/and symptoms possibly related to surgical complications. (medsci.org)
Second-intention healing, of distal limb wounds in particular, is at high risk of complications such as chronic inflammation, the development of exuberant granulation tissue, poor wound contraction and slow epithelialization [1]. (ivis.org)
Wound complications during the study were also evaluated. (bvsalud.org)
[ 9 ] Over time, direct primary closure becomes difficult, if not impossible, and is often plagued by high rates of dehiscence and early complications. (medscape.com)
The goals of laceration repair of the tongue are to attain adequate closure, stop bleeding, minimize complications, preserve mobility, and optimize articulation and deglutition. (medscape.com)

The vertical mattress stitch has many effects due to its quadruple ability to achieve deep and superficial wound closure, edge eversion and precise vertical alignment of the superficial wound margins. (wikipedia.org)
The horizontal mattress suture is useful in areas where there is little subcutaneous dermal tissue, making wound edge eversion difficult. (msdmanuals.com)

However, in the case of full-thickness acute burn injuries and chronic wounds (pressure ulcers, venous ulcers and diabetic foot ulcers), these processes are defective and new technologies are being developed to improve the healing in these conditions. (worldwidewounds.com)
Now marketed as Actisorb Silver 220, it is intended for use over partial or full thickness wounds such as pressure ulcers, venous ulcers, diabetic ulcers and acute and chronic wounds, and is claimed to be the only dressing currently available in the USA that 'combines broad-spectrum antimicrobial action, bacterial toxin management and odour control' ( J+J news, March 2003 ). (worldwidewounds.com)
Secondary healing, on the other hand, occurs in areas which are not covered by normally epithelialized tissue due to intentional (extraction sockets, apically repositioned flaps) or accidental (wounds with full thickness loss of substance) exposure, or due to an insufficient amount of lining tissue to be used for coverage. (medsci.org)
A new technique has been presented that results in an acceleration of delayed primary healing with full thickness skin and subcutaneous tissue coverage. (who.int)

[ 16 ] The major problem with the early techniques was wide, unsightly scars that migrated because of excess tension on the wound. (medscape.com)
Today, it is a suture I reach for when faced with closures that are prone to significant tension and edema. (dvm360.com)
The temporary stitches are removed after the tension is evenly distributed across the wound. (amdainternational.com)
Because the suture is looped through the skin lateral to the wound (rather than over the wound), tension is transferred away from the wound edges to the looped lateral skin. (msdmanuals.com)
Approximation is achieved without causing constriction or tension (and subsequent ischemia, necrosis, or tearing) of the wound edges. (msdmanuals.com)
How we can use tension relief techniques to aid primary closure? (ivis.org)
Primary intention healing can be challenging however, as the result of skin loss, excessive tension, or mobility at the wound site. (ivis.org)
Excessive tension during wound closure can result in circulatory compromise, impaired wound healing, and skin necrosis. (ivis.org)
Loss of domain often complicates attempts at delayed wound closure in regions of high tension. (medscape.com)
Traction-assisted internal NPWT provides a safe and effective alternative to reduce wound burden and facilitate definitive closure in cases where delayed reconstruction of high-tension wounds is planned. (medscape.com)
Loss of domain is a common problem associated with large open wounds in areas of increased tension. (medscape.com)

In: Lacerations and acute wounds: An evidence-based guide, Singer AJ, Hollander JE (Eds), F.A Davis Company, Philadelphia 2003. (wikipedia.org)

The vertical mattress stitch is most commonly used in anatomic locations which tend to invert, such as the posterior aspect of the neck, and sites of greater skin laxity such as closure of lax skin after removing a dermoid cyst or reduced subcutaneous tissue (eg, the shin) that do not provide adequate subcutaneous tissue for dermal closure. (wikipedia.org)
For example, despite improvements in cell culture techniques and developments in dermal matrices, tissue-engineered skin substitutes have yet to achieve widespread use by clinicians. (worldwidewounds.com)
This technique generally follows dermal suturing to complete a layered closure. (amdainternational.com)

Users should be familiar with surgical procedures and techniques involving synthetic absorbable materials before employing SorbaFix™ Absorbable Fixation System fasteners for wound closure, as the risk of wound dehiscence may vary with the site of application and the material used. (bd.com)
The wounds were observed during the study to evaluate any signs of inflammation or dehiscence. (bvsalud.org)

Based on the available trial data, we are uncertain whether NPWT has any benefit in primary fascial closure of the abdomen, adverse events (fistulae formation), all-cause mortality, or length of hospital stay compared with the Bogota bag. (cochrane.org)

This study will investigate the feasibility and effectiveness of prone position ventilation techniques in children who develop postoperative acute lung injury after surgery for congenital heart disease. (springer.com)
Postoperative disrupted abdominal wall management by a new tissue expansion technique. (who.int)

enhance healing and care of soft tissue wounds. (edu.pk)
Clinical features of surgical soft tissue wound healing in dentistry have been rarely discussed in the international literature. (medsci.org)
Although oral surgical wounds heal in a very similar way, soft tissue healing is somewhat conditioned by that of the underlying bone tissue. (medsci.org)
The other factor is surgical technique which includes access to the joint, implant sizing, implant alignment, and positioning relative to anatomic features, implant fixation to the bone, soft tissue balancing, and wound closure [ 3 , 11 ]. (hindawi.com)
The traditional surgical technique involves bone cuts and soft tissue balancing. (hindawi.com)

Suturing is a wound closure technique used to treat cutaneous wounds. (marketresearch.com)

Provide wound care and treatment to patients of all ages, including toddlers and infants. (simplyhired.com)
Utilize and maintain durable medical equipment (DME) for wound care procedures. (simplyhired.com)
Provide health coaching and education to patients and their families regarding wound care management. (simplyhired.com)
Valid nursing license and certification as a Wound Care Nurse. (simplyhired.com)
Proficiency in wound care techniques and wound closure. (simplyhired.com)
Familiarity with durable medical equipment (DME) used in wound care procedures. (simplyhired.com)
In March 1982, the Guideline for Prevention of Surgical Wounds was published (2), and copies were mailed to all U.S. acute-care hospitals. (cdc.gov)
NOTE: See also Emergency Wound Care After a Natural Disaster . (cdc.gov)
Any wound or rash has the potential for becoming infected and should be assessed by a health-care provider as soon as possible. (cdc.gov)
Observe universal precautions, when possible, while participating in all aspects of wound care. (cdc.gov)
This study demonstrates the complex interaction of primary and secondary layer wound care products and how they impact on trial results. (worldwidewounds.com)
I recently attended a wound care class. (allnurses.com)
The instructor lectures all over the country on wound care,and has lots of credentials. (allnurses.com)
Any way,she said wound care does not require sterile tecnique,its a clean procedure. (allnurses.com)
Is this how you perform wound care,using only clean gloves? (allnurses.com)
i do homecare and sterile wound care is a rarity. (allnurses.com)
WE use clean gloves for all wound care and sterile for central lines. (allnurses.com)
Our hospital is changing policy to require sterile technique for all wound care. (allnurses.com)
I was also taught to use sterile technique when performing wound care. (allnurses.com)
especially deep wound care. (allnurses.com)
I too was taught to use sterile technique with all wound care. (allnurses.com)
wound/ostomy/skin care RN .She told me that only clean technique is needed with most wounds. (allnurses.com)
The VATA Skin Graft Wound Board is a realistic patient simulation model for educating various individuals about skin grafts and their care. (anatomywarehouse.com)
The Skin Graft Wound Board is also an excellent visual aid for educating those who cannot read well enough to understand basic health care information, allowing them to see and understand what is needed for proper care. (anatomywarehouse.com)
This wound care model is a great tool for training, competency testing, skills assessment, and wound dressing techniques. (anatomywarehouse.com)
Hospital-Quality Supplies - Stabilize fractures with the flexible C-Splint, protect burns by applying a petrolatum dressing, and care for wounds using an irrigation syringe, wound closure strips, and tincture of benzoin. (adventuremedicalkits.com)
care in the treatment of patients with vascular wounds. (bvsalud.org)
This study also shows the importance of pela Universidade Regional do Cariri- nurses in the use of new technologies for wound care. (bvsalud.org)

Because of the precise degree of control that the vertical mattress stitch provides, bites must be symmetrical, especially the depth of the near-near loop, or the wound will invariably misalign and heal with a "shelf" on one side. (wikipedia.org)
We do not know if a Suprasorb CNP system (a type of NPWT) helps abdominal wounds to heal quicker or reduces potential harmful effects compared with using an ABThera system (another type of NPWT). (cochrane.org)

Examine wounds for gross contamination, devitalized tissue, and foreign bodies. (cdc.gov)
In group A, the pedunculate tissue was used, while in group B ice cone technique. (thieme-connect.com)
Lastly, a fourth type of wound healing can also be considered when the overlying tissue is partially lost (abrasion) or intentionally removed (epithelialized free gingival graft donor site), so a de-epithelialized connective tissue layer is exposed and heals by re-epithelialization from the normal contiguous epithelium 2 . (medsci.org)
The reliable and capable surgeon will modify, add, or remove tissue from the nasal area using open or closed nose surgery technique. (mybeautifulbody.com)
To achieve this, primary closure, delayed primary closure (before the appearance of granulation tissue) and secondary closure (after the appearance of granulation tissue) are preferred techniques over healing by second intention. (ivis.org)
[ 2-4 ] Pending negative cultures and final tissue pathology also influence the timing of definitive closure in patients undergoing staged replacement of infected total joints and oncologic reconstruction, respectively. (medscape.com)

The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), is a suture type used to close skin wounds. (wikipedia.org)
Comparison of Subcuticular Suture Type for Skin Closure After Cesarean Delivery: A Randomized Controlled Trial. (amdainternational.com)

The treatment has also been used successfully for abdominal wounds with exposed polypropylene or biological mesh. (researchgate.net)

Wound inspection after careful food and plaque debridement is the essential part of wound healing monitoring. (medsci.org)

Vacuum-assisted complex wound closure with elastic vessel loop augmentation: a novel technique. (uab.edu)
The investigators evaluated the safety and efficacy of this technique for complex wound closure. (medscape.com)

The study's findings may offer hope to people suffering from chronic wounds related to diabetes and other disorders, as well as traumatic injuries and burns. (medindia.net)
Dr. Tim Crowe outlines three practical surgical techniques that are effective in managing traumatic or surgical wounds. (dvm360.com)
In a large retrospective study, complete primary healing after closure of traumatic wounds was successful in only 26% of horses and 41% of ponies [3]. (ivis.org)
[ 1 ] This situation is frequently encountered during closure of prior fasciotomies or delayed reconstruction of traumatic/contaminated abdominal wall defects. (medscape.com)

Irrigate wounds with saline solution using a large bore needle and syringe. (cdc.gov)

Follow tetanus prophylaxis guidelines for all wounded patients . (cdc.gov)

Incision and drainage of any subcutaneous collections of pus (abscesses) is also an important component of treating wound infections. (cdc.gov)
The most common pattern used is the NFFN with the far bites providing closure of the deep subcutaneous tissues and the near bites apposing the skin. (dvm360.com)

We hope our finding is ultimately beneficial for people who suffer from non-healing wounds, such as foot ulcers and diabetic ulcers, as well as for treatment of trauma-induced wounds like burns," said Menno Oudhoff, first author of the report. (medindia.net)

I'll use clean gloves for superficial wounds, incisions, etc., but for anything deeper than an abrasion, I use sterile technique! (allnurses.com)

The first occurs by migration and proliferation of keratinocytes from the wound edges and by differentiation of stem cells from remaining hair follicle bulbs. (worldwidewounds.com)
medical device used to keep tissues and wound edges together after an injury or surgery. (marketresearch.com)
During a Follicular Unit Transplant (FUT), after the donor strip is removed, the wound edges are closed to leave a fine, hairline scar. (newhair.com)
Its small needle can be used to perfectly align the wound edges. (newhair.com)

Tetanus is a potential health threat for persons who sustain wound injuries. (cdc.gov)
Be vigilant for the presence of other injuries in patients with any wounds. (cdc.gov)
This book includes over 50 improvised techniques and 100 illustrations for treating outdoor injuries and illnesses. (adventuremedicalkits.com)

I began using the material first for routine fascia and skin closure in 1985 because it had properties that were similar to polypropylene, being non-reactive and with an excellent track record for superiority in strength and knot security. (dvm360.com)

Cleanse the wound periphery with soap and sterile water or available solutions, and provide anesthetics and analgesia whenever possible. (cdc.gov)

For initial antimicrobial treatment of infected wounds, beta-lactam antibiotics with anti-staphylococcal activity (cephalexin, dicloxacillin, ampicillin/sulbactam etc.) and clindamycin are recommended options. (cdc.gov)
Instillation of antimicrobial solution was reserved for wounds containing infected/exposed hardware or prosthetic devices. (medscape.com)

[ 10 , 11 ] Modifications of this technology (including incisional internal vacuum-assisted therapy, which utilizes a partially buried sponge and closed suction drainage through a small skin opening) have been shown to expedite cavity collapse and facilitate delayed primary closure of large and/or contaminated wounds. (medscape.com)

Over-enthusiastic tightening increases the likelihood that the suture material cuts into skin, bearing in mind the swelling that will ensue during wound healing. (wikipedia.org)
A self-healing, antibacterial, multifunctional wound dressing. (israel21c.org)
Aesthetic closure is based on knowledge of healing mechanisms and skin anatomy, as well as an appreciation of suture material and closure technique. (intelligentdental.com)
Choosing the proper materials and wound closure technique ensures optimal healing. (intelligentdental.com)
Novel technologies are being developed to improve healing in difficult to treat wounds. (worldwidewounds.com)
Normal wound healing requires both restoration of cover by re-epithelialisation, and restoration of support by ingress of collagen. (worldwidewounds.com)
Growth factor treatments and their potential use in healing chronic wounds have recently been described [2] and will not be discussed further. (worldwidewounds.com)
A group of researchers say that licking your wound can actually speed up the healing process. (medindia.net)
Scientists from the Netherlands say that a compound, which they have identified in human saliva, greatly speeds wound healing, according to their report published in The Journal of Federation of American Societies for Experimental Biology (FASEB). (medindia.net)
Because saliva is a complex liquid with many components, the next step was to identify which component was responsible for wound healing. (medindia.net)
A study by Gusenoff et al found a high rate of minor wound-healing problems in patients who, following massive weight loss, underwent medial thigh plasty. (medscape.com)
The aim of the present paper is to highlight both the main clinical findings of surgical wound healing, especially in periodontal and implant dentistry, and the wound healing monitoring procedures which should be followed. (medsci.org)
Wound healing monitoring after surgery is an important concern in dentistry. (medsci.org)
It has been extensively studied in the past, both in animals and in humans, and several studies have recently been carried out to review all knowledge about clinical and histological features of uncomplicated oral wound healing. (medsci.org)
However, no indications have been comprehensively reported on how wound healing monitoring should be performed after specific surgical procedures. (medsci.org)
Basically there are two different kinds of wound healing: primary and secondary intention healing 1 , 2 . (medsci.org)
Reports indicated that the collagen sponges are advantageous and accelerate healing of the wound by stabilizing the blood clot and protecting the alveolar lining of the socket 8 . (bvsalud.org)

Polybutester is available as swaged-on needles of cutting and taper variety and in a fine vascular type or a general closure-circle. (dvm360.com)
Although instruments that touch the wound (eg, forceps, needles, suture) must be sterile, clean nonsterile gloves as well as clean but not sterile water may be used in immunocompetent patients. (msdmanuals.com)

This study aims to compare histological and clinical outcomes of two different surgical techniques to seal the post-extractive site with the use of autologous demineralized extracted tooth as graft material. (thieme-connect.com)

Therapy continued for 3 to 8 days (mean, 4.3 days), resulting in an average wound surface area reduction of 78% (149 cm 2 vs. 33 cm 2 ) at definitive closure. (medscape.com)

chronic wounds. (worldwidewounds.com)

If wound infections develop, see "Guidance for Management of Wound Infections" (see below). (cdc.gov)
Most wound infections are due to staphylococci and streptococci. (cdc.gov)
Contamination of wounds with water (fresh or sea water) can lead to infections caused by waterborne organisms. (cdc.gov)

I've not personally found many opportunities where this type of closure would be useful in the ED setting. (amdainternational.com)

Accepted surgical practices must be followed with respect to drainage and closure of infected or contaminated wounds. (bd.com)

These techniques may be difficult to master by surgeons new to the skill and have been associated with problems such as "dog ears" and a bulky knot that becomes difficult to bury. (amdainternational.com)

closure: a 7-year experience with 112 patients. (edu.pk)
[ 4 ] Corneal sensation is also noted to be decreased in patients with angle-closure glaucoma. (medscape.com)
A single-center retrospective study by Yamamoto et al described standardization of the technique of LHPR in 10 patients who underwent the Hartmann procedure followed by laparoscopic reversal of the same. (medscape.com)
We searched for studies that compared NPWT with any other type of temporary abdominal closure in non-trauma patients with open abdomen. (cochrane.org)
Patients were randomly subdivided into two equal groups according to the site closure technique. (thieme-connect.com)
We have found that for most patients the following two types of closures best achieve the above goals. (newhair.com)

NPWT uses a sealed dressing connected to a vacuum pump to drain fluid from a wound. (cochrane.org)
We did not find any studies that compared NPWT with other types of temporary abdominal closure. (cochrane.org)
Eighteen wounds were treated with traction-assisted internal NPWT using the conventional (n = 11) or modified instillation (n = 7) technique. (medscape.com)

The problem with these designs is that they called for minimal undermining and skin closure alone. (medscape.com)

The use of skin staples saves significant amounts of surgical closure time when compared to standard suture closure. (dvm360.com)

In order to make a bite through the skin you should put the needle point perpendicular to the … Midway through the closure, the suture is intentionally looped in to the deep dermis and then out of the epidermis before continuing the running subcuticular suturing. (amdainternational.com)
This suture technique is accomplished by passing the needle through the loop created by. (amdainternational.com)

As mentioned above, the vertical mattress stitch is prone to dig into skin, like a cheese cutter wire, so is more likely than other suture types to leave "railroad marks" - small scars along the main wound. (wikipedia.org)

In a prospective, randomised, controlled porcine wound study, four different dressings were assessed with reference to the amount of epidermal cover gained and the histological quality of the regenerated skin at three weeks post-grafting. (worldwidewounds.com)
The Skin Graft Wound Board is made of a life-like material that permits the application and easy removal of dressings, without leaving an adhesive residue. (anatomywarehouse.com)

The overall goal in the management of any equine wound is to attain an excellent functional and cosmetic result. (ivis.org)

Anatomy13

Diseases9

Chemicals and Drugs4

Analytical, Diagnostic and Therapeutic Techniques and Equipment19

Phenomena and Processes6

Technology, Industry, Agriculture4

Health Care1

Sutures9

Infection17

Vertical mattress suture3

Negative pressur7

Vacuum assisted closure3

Close wounds2

Complications6

Edge eversion2

Full-thickness4

Tension11

Lacerations1

Dermal3

Dehiscence2

Fascial1

Postoperative2

Soft tissue5

Cutaneous1

Care28

Heal2

Tissue6

Suture type2

Abdominal wounds1

Debridement1

Complex wound closure2

Traumatic4

Irrigate1

Prophylaxis1

Subcutaneous2

Ulcers1

Superficial1

Edges4

Injuries3

19851

Cleanse1

Antimicrobial2

Suction1

Healing17

Needles2

Outcomes1

Therapy1

Chronic1

Infections3

Type of closure1

Drainage1

Knot1

Patients6

NPWT3

Skin closure1

Surgical closure1

Needle2

Prone1

Dressings2

Attain1