Locking horizontal mattress suture as the alternative closure method for scalp lacerations difficult to suture with staple.
- Author:
Seung Woo SAH
1
;
Seunghwan SEOL
;
Woon Jeong LEE
;
Seon Hee WOO
;
Dae Hee KIM
;
June Young LEE
;
Sangkook IN
;
Bonggyeom KIM
Author Information
1. Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. seunghwan.seol@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Suture techniques;
Scalp;
Lacerations
- MeSH:
Bandages;
Hemorrhage;
Humans;
Lacerations*;
Methods*;
Patient Satisfaction;
Retrospective Studies;
Scalp*;
Skin;
Suture Techniques;
Sutures*;
Wound Healing;
Wounds and Injuries
- From:Journal of the Korean Society of Emergency Medicine
2018;29(6):649-655
- CountryRepublic of Korea
- Language:Korean
-
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.
