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KMID : 0358820100370020199
Journal of Korean Society of Plastic and Reconstructive Surgeons
2010 Volume.37 No. 2 p.199 ~ p.201
Easy and Fast Stitch out Method with a Traction Nylon in Pediatric Sutured Wound
Yi Yun-Jeong

Lee Kyung-Suk
Kim Jun-Sik
Kim Nam-Gyun
Abstract
Purpose: Except for continuous suture in skin layer, stitching out in facial laceration, we have to hold each knots up and cut the knots by No. 11 blade or small scissors. However, we often have difficulty in stitching out the knots on
children who do not cooperate well. Therefore we introduce an easy and fast stitch out method of pediatric lacerations.

Methods: From January to May 2009, we studied 15 pediatric patients(mean age 5.6 years old) who had facial laceration on face or underwent any surgery on operation room. For easy stitch out, we left the one string of the first knot long enough to extend at the opposite end of laceration site. And then the extended string was fixed to skin using Steri-strip. Next we do simple interrupted suture including the extended traction nylon string inside the knot. Through this method, we can stitch out all knots simply by lifting up the traction nylon needless to hold the each knot one by one.

Results: Until stitching out, the traction nylon was just right position and there was no normal tissue injury during stitch out all knots. Patients were satisfied with the short stitch out time.
KEYWORD
Pediatric laceration, Easy stitch out, Traction nylon
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