Excision of skin lesions and orbital and nasal reconstruction
John Dudley Langdon, Mohan Francis Patel, Robert Andrew Ord, Peter Brennan in Operative Oral and Maxillofacial Surgery, 2017
Full-thickness defects <1 cm can usually be closed primarily by performing a wedge excision (Figure 37.17). The tarsal margins are coapted with 5-0 chromic or polyglactin suture under loop magnification in order to avoid suture placement through the conjunctiva and subsequent irritation. The lid margin is approximated by placement of a 6-0 or 7-0 silk or polypropylene suture in the lash grey-line. This suture can be left long to incorporate into the dressing at the end. Skin closure is performed with 6-0 or 7-0 interrupted nylon or polypropylene sutures. A tape dressing (Steri-Strip) is placed to support the wound. Ophthalmic antibiotic ointment is applied to the wound twice daily for 2–3 days. The lid margin stitch and tape dressing are removed at 3–4 days and the nylon sutures at 7 days.
Sacrococcygeal teratoma
Prem Puri in Newborn Surgery, 2017
If a drain is to be placed, then it is placed at this stage, in the presacral space, led out through the gap in the levators, and tunneled out through the subcutaneous tissue of the buttock. A closed-suction drain is preferred. If there are remnants of the levators recognizable lateral to the midline, these are repaired with interrupted 5-0 Maxon sutures. The medial edges of the gluteus maximus are then closed in the midline over the sacrum and the lower part of the levator sling (Figure 89.11). The skin flaps are then trimmed to length. If possible, the subcutaneous tissues are closed with a running 5-0 Maxon suture, and the skin is closed with a running 5-0 Maxon subcuticular suture. A Steri-Strip and collodion dressing is then applied. If it is not possible to close the subcutaneous tissue, then a subcuticular suture may not be adequate for skin closure. In this case, 5-0 nylon skin sutures are placed (Figure 89.12a,b). The rectum is repacked with Vaseline ribbon gauze at the completion of the procedure in an attempt to obliterate dead space. It is useful to attach a 2-0 silk suture to the end of this pack to aid its retrieval, should the pack become displaced higher up the rectum in the immediate postoperative period.
Facial Injuries
Stephen M. Cohn, Matthew O. Dolich, Kenji Inaba in Acute Care Surgery and Trauma, 2016
Two of the studies included in the Cochrane review compared different types of tissue adhesives, one of which published by Zempsky et al. compared Steri Strip® and Dermabond® for closure of pediatric facial laceration. They conducted a prospective, randomized trial that consisted of 100 children divided into two groups: one was treated with Steri Strips and the other was given Dermabond. Pain was measured using a 100 mm pain VAS and cosmetic outcome was measured by two blinded cosmetic surgeons using a 100 mm VAS. There was no statistical difference in pain, cosmetic score, or wound complication rates. The authors concluded that the use of Steri Strips for skin closure was less expensive and provided a clinically equivalent result when compared with Dermabond [13].
Safety assessment of the prophylactic use of silicone gel sheets (Lady Care®) for the prevention of hypertrophic scars following caesarean section
Published in Journal of Obstetrics and Gynaecology, 2021
Yuki Ito, Akiko Konishi, Miki Okubo, Takuma Sato, Akihiro Hasegawa, Keiko Yabuzaki, Tomona Matsuoka, Michihiro Yamamura, Momoko Inoue, Haruhiko Udagawa, Kazuhiro Kajiwara, Taizan Kamide, Hiroaki Aoki, Osamu Samura, Aikou Okamoto
Higuchi’s transverse incision was performed for CS in all study patients. Operative scars were sutured using a single ligature, dermis-buried suture (4-0PDS, Atom vet’s medical, Kyoto, Japan). A Steri strip® (3M, St. Paul, MN) was applied initially over the sutured surgical wound. A scar assessment was performed by the obstetrician after 30 postoperative days. If the scar was dry, and no external abnormal signs were observed, the patients started to use Lady Care® from the beginning of the second postoperative month. As instructed, the patients removed and washed the silicone sheet with soap daily while bathing. After bathing, the scar was dried, and the sheet was reapplied on the scar, by the patients themselves. All patients used Lady Care® for >12 hours each day. Every 2 weeks, a new Lady Care® sheet was substituted in place of the previous one. As depicted in Figure 1, the Lady Care® sheet was applied from 2nd to 6th postoperative months. In case of occurrence of adverse events, the surgical scar was assessed for the presence of eczema, flare and other negative signs and symptoms on their day of onset, and associated diagnoses and severity of these symptoms, were recorded. The symptoms were categorised as:
Comparison of wound closure techniques in median sternotomy scars in children: subcuticular suture versus Steri-Strip™ S
Published in Journal of Plastic Surgery and Hand Surgery, 2019
Annekatrien L. van de Kar, David R. Koolbergen, Janne P. H. van Avendonk, Chantal M. A. M. van der Horst
Until now two studies compared the use of Steri-Strip™ S with a subcuticular suture following a median sternotomy incision. Both concluded that Steri-Strip™ S is a fast, safe and reasonable alternative for presternal wound closure in adults [7,8]. No significant differences in cosmetic results and no differences in incidence of wound infection or dehiscence were found between both groups [7,8]. However, these studies were limited by their short follow-up periods of only three and six weeks and the lack of a validated scar assessment instrument.
Retrospective analysis of the predictive factors associated with good surgical outcome in brachioplasty in massive weight loss patients
Published in Journal of Plastic Surgery and Hand Surgery, 2022
Paolo Marchica, Franco Bassetto, Chiara Pavan, Massimo Marini, Alfredo M. Raimondi, Caterina Gardener, Martina Grigatti, Andrea Pagani, Tito Brambullo, Michele Zocchi, Vincenzo Vindigni
Different postoperative dressing were randomly use to treat surgical wounds, depending on surgeons’ choice and patients were distinguished in three groups: conventional sterile taping Steri-Strip™ (3 M, Two Harbors, MN, USA), Zip® Surgical Skin Closure System (ZipLine Medical, Campbell, CA) and PICO™ Single Use Negative Pressure Wound Therapy System or sNPWT (PICO™; Smith & Nephew, Hull, UK).
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