Laceration management

被引:102
作者
Hollander, JE [1 ]
Singer, AJ [1 ]
机构
[1] Univ Penn, Dept Emergency Med, Philadelphia, PA 19104 USA
关键词
D O I
10.1016/S0196-0644(99)70131-9
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
In 1996, almost 11 million lacerations were treated in emergency departments throughout the United States. Although most lacerations heal without sequelae regardless of management, mismanagement may result in wound infections, prolonged convalescence, unsightly and dysfunctional scars, and, rarely, mortality. The goals of wound management are simple: avoid infection and achieve a functional and aesthetically pleasing scar. Recent US Food and Drug Administration approval of tissue adhesives has significantly expanded clinicians' wound closure options and improved patient care. We review the general principles of wound care and expand on the use of tissue adhesives for laceration repair.
引用
收藏
页码:356 / 367
页数:12
相关论文
共 118 条
[91]  
SHARP WV, 1982, SURGERY, V91, P61
[92]  
Simon H K, 1998, J Emerg Med, V16, P185, DOI 10.1016/S0736-4679(97)00285-0
[93]   Long-term appearance of lacerations repaired using a tissue adhesive [J].
Simon, HK ;
McLario, DJ ;
Bruns, TB ;
Zempsky, WT ;
Wood, RJ ;
Sullivan, KM .
PEDIATRICS, 1997, 99 (02) :193-195
[94]   Evaluation and management of traumatic lacerations [J].
Singer, AJ ;
Hollander, JE ;
Quinn, JV .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (16) :1142-1148
[95]   LEVEL OF TRAINING, WOUND CARE PRACTICES, AND INFECTION-RATES [J].
SINGER, AJ ;
HOLLANDER, JE ;
CASSARA, G ;
VALENTINE, SM ;
THODE, HC ;
HENRY, MC .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1995, 13 (03) :265-268
[96]   Clinical wound evaluation scales - Commentary [J].
Singer, AJ .
ACADEMIC EMERGENCY MEDICINE, 1998, 5 (06) :564-566
[97]   Comparison of patient satisfaction and practitioner satisfaction with wound appearance after traumatic wound repair [J].
Singer, AJ ;
Church, AL ;
Forrestal, K ;
Werblud, M ;
Valentine, SM ;
Hollander, JE .
ACADEMIC EMERGENCY MEDICINE, 1997, 4 (02) :133-137
[98]   Prospective, randomized, controlled trial of tissue adhesive (2-octylcyanoacrylate) vs standard wound closure techniques for laceration repair [J].
Singer, AJ ;
Hollander, JE ;
Valentine, SM ;
Turque, TW ;
McCuskey, CF ;
Quinn, JV .
ACADEMIC EMERGENCY MEDICINE, 1998, 5 (02) :94-99
[99]   Tissue adhesives for laceration closure [J].
Singer, AJ ;
Hollander, JE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 278 (09) :703-703
[100]   PRESSURE DYNAMICS OF VARIOUS IRRIGATION TECHNIQUES COMMONLY USED IN THE EMERGENCY DEPARTMENT [J].
SINGER, AJ ;
HOLLANDER, JE ;
SUBRAMANIAN, S ;
MALHOTRA, AK ;
VILLEZ, PA .
ANNALS OF EMERGENCY MEDICINE, 1994, 24 (01) :36-40