When geriatric patients or those who chronically utilize
corticosteroids develop lacerations it can be difficult for healthcare
providers to determine the most efficient method of treatment.
Oftentimes, these patients have very thin skin which can make it
relatively simple for sutures to tear through the skin. In order to
avoid this undesirable outcome, healthcare professionals should be
knowledgeable of various methods of treatment that can be utilized for
lacerations on these types of patients.
Overview of Steristrips
Though
traditional sutures have ruled the surgical field for decades, other
forms of surgical closure were recently discovered and have gained
popularity on a national basis. These new found non-woven, adhesive
strips, or steristrips, are commonly utilized in healthcare facilities
to close small incisions and wounds. By holding the edges of an incision
together, surgeons often use steristrips in place of sutures based on
their distinct advantages over sutures.
Delicate areas that are
contoured or located in regions where traditional sutures would be
difficult to maintain can benefit from the use of steristrips and may
improve patient recovery, as well as patient satisfaction. These devices
have been known to reduce the risk of infection, as they fall off on
their own as the wound heals. This may reduce the inconvenience of
scarring and stress that is relevant to healing with traditional
sutures.
Potential Methods of Laceration Repair
Since tissue
adhesives do not usually provide adequate closure for lacerations that
feature irregular edges. As a result, a steristrip combination approach
may provide optimal results. In this case, applying steristrips to
reapproximate wound edges and reinforcing these strips with sutures may
provide an artificial layer of skin. In this manner, sutures can be used
to reapproximate the wound edges.
Preferred Steristrip/Suture Utilization
Though
used less regularly, steristrips may also be positioned in a parallel
fashion (rather than perpendicularly) to the wound edge. In essence,
longitudinal steristrip application provides tensile strength, even
along wound edges. Through this form of closure, the strip prevents the
suture from tearing through the thin skin. Simultaneously, the suture
eliminates tension produced from the strip, reducing the change of
tearing.
Wound Care
As with any other type of closure,
constant maintenance of wounds and lacerations is crucial to recovery.
The routine use of antibiotic ointment and mild soap is recommended by
most surgeons. However, these strips generally fall off on their own
once the wound has closed enough to release tension and loosen the
adhesive. However, it is important to patients to leave the laceration
alone in order to promote healing.
Closing Thoughts
Therefore,
this quick and simple technique is optimal for alleviating
complications that are prevalent with other methods, reducing the
possibility of farther morbidity. It provides emergency physicians with a
logical way to deal with skin contracture and inflamed wounds that
prevent easy closure.
The author has an immense knowledge on Steristrips. Know more about steristrips related info in his website.
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