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J Korean Soc Emerg Med > Volume 29(6); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(6): 649-655.
두피 봉합기로 봉합하기 어려운 두피 열상에 시행한 잠금 수평 매트리스 봉합법의 유용성 관찰 연구
사승우1 , 설승환1 , 이운정1, 우선희1 , 김대희1, 이준영1, 인상국1, 김봉겸2
1가톨릭대학교 인천성모병원 응급의학과
2가톨릭대학교 인천성모병원 성형외과
Locking horizontal mattress suture as the alternative closure method for scalp lacerations difficult to suture with staple
Seung Woo Sah1 , Seunghwan Seol1 , Woon Jeong Lee1, Seon Hee Woo1 , Dae Hee Kim1, June Young Lee1, Sangkook In1, Bonggyeom Kim2
1Department of Emergency Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
2Department of Plastic Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
Correspondence  Seunghwan Seol ,Tel: 032-280-6116, Fax: 032-280-5556, Email: seunghwan.seol@catholic.ac.kr,
Received: June 20, 2018; Revised: September 17, 2018   Accepted: October 24, 2018.  Published online: December 31, 2018.
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.
Method:
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.
Key words: Suture techniques, Scalp, Lacerations
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