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Things I Do, But Should I? Wound Repair

Vanessa Cardy, MD and Adrien Selim, MD
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09:25
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In this Things I Do But Should I segment, Vanessa and Adrien review the use of absorbable sutures in pediatric patients AND the use of tap water to irrigate wounds before suturing. Evidence strongly supports the use of absorbable sutures with no concern re decreased cosmesis. This is good news, because suturing kids in the first place can be challenging enough without needing to relive the trauma by taking the sutures out.  Adrien and Vanessa also discuss articles which show that irrigating wounds with clean tap water showed no increased adverse events compared with sterile water or sterile saline irrigation.

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John K., MD -

In the studies, were the absorbable sutures sub q

Adrien Selim -

Hi John,

In the meta-analysis by Xu et al some of the studies that they included used subcuticular sutures. However, in those 4 studies that looked at traumatic wound repairs, all of them used interrupted sutures.

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Legions of Lesions Full episode audio for MD edition 172:45 min - 81 MB - M4AHippo Primary Care RAP June 2017 Summary 12 MB - PDF

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