Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Wound Repair: Part 2

Matthew DeLaney, MD and Jaime Hope, MD
00:00
11:59
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Dr. Jamie Hope sits down with Dr. Matt DeLaney to discuss traumatic wound repair in the acute care setting.

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Leslie B., MD -

In this excellent segment the doctors seemed to be downplaying using fast absorbing gut for skin wounds. I believe prior segments have encouraged the use of fast absorbing gut for wounds in children so that the sutures do not need to be removed. It would helpful to have this addressed again. Thank you, Leslie

Mizuho M., DO -

Hi leslie, thanks for the comment. Fast absorbing gut sutures have their pluses & minuses. Pros: they do not need removal Cons: they tend to cause more scarring, they are more frail when using (hence break easier) and less tensile strength (hence not great for high tension areas) and can cause local irritation in some. When discussing with parents, I typically like to discuss in a shared decision making fashion the Pros/Cons. If the child is SUPER sensitive and freaking out and likely will be more traumatic to return for removal I give them the option of absorbable HOWEVER they have to understand they scar will be worse than non-absorabable. So location of the lac, age/apprehension of the patient also plays into it. For the most part my personal practice is to use Non-absorbable. In the rare circumstances when the child is literally CLIMBING THE WALLS freaking out, we have a discussion and opt for absorbable. I think either way you can't go wrong. There is no definitive right or wrong here. Its all preference of both provider/patient. You just want to make sure the parents are aware of risks and benefits for both. This is my personal practice. Hope that helps. Thanks for comments! ~Miz

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Urgent Care Rap March 2021 Written Summary 501 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

0.25 Free AMA PRA Category 1 Credits™ certified by Hippo (2021)

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate

3.25 AMA PRA Category 1 Credits™ certified by Hippo (2021)

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate