Journal of The Korean Society of Emergency Medicine (대한응급의학회지)

The Korean Society of Emergency Medicine (대한응급의학회)
권호 표지

Locking horizontal mattress suture as the alternative closure method for scalp lacerations difficult to suture with staple

두피 봉합기로 봉합하기 어려운 두피 열상에 시행한 잠금 수평 매트리스 봉합법의 유용성 관찰 연구

  • Sah, Seung Woo (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Seol, Seunghwan (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Woon Jeong (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Woo, Seon Hee (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Dae Hee (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, June Young (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • In, Sangkook (Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Bonggyeom (Department of Plastic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 사승우 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 설승환 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 이운정 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 우선희 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 김대희 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 이준영 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 인상국 (가톨릭대학교 인천성모병원 응급의학과) ;
  • 김봉겸 (가톨릭대학교 인천성모병원 성형외과)
  • Received : 2018.06.20
  • Accepted : 2018.10.24
  • Published : 2018.12.31

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Abstract

Objective: This paper reports the possibility of using of a locking horizontal mattress suture technique in repairing lacerations that are difficult to suture with staples. Methods: Data were collected retrospectively over a 6-month period regarding the routine repair of scalp lacerations: those in areas injured by a high energy blunt mechanism, continued to bleed after pressure, nonlinear or damaged skin repaired with a locking horizontal mattress technique, and simple interrupted technique. The effects of the two techniques used to repair scalp lacerations on wound healing, complication rate, and patient satisfaction were examined. The categorical variables are expressed as the number and percent. A Mann-Whitney-Wilcoxon test was used for statistical analysis. A P-value less than 0.05 was considered significant. Results: Thirty-seven consecutive patients with scalp lacerations presented for care. Wound closure was accomplished with the locking horizontal mattress sutures in 40.5% (n=15) (median length, 5.0 cm; interquartile range [IQR], 4.0-7.0 cm). Simple interrupted sutures (median length, 4 cm; IQR, 3.0-5.0 cm) were used in 59.5% (n=22) (P=0.015). The frequency of additional bandage compression (P=0.008), frequency of exudative hemorrhage (P=0.018), and suture mark frequency at suture removal (P=0.047) were significantly lower in the locking horizontal mattress group. Conclusion: The locking horizontal mattress suture, which has the advantage of a horizontal mattress suture, may be one of the ways that can be used alternatively to treat scalp lacerations that difficult to suture with staples.

Keywords

References

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