Wound Closure


Wound closure techniques have evolved from the earliest development of suturing materials to comprise resources that include synthetic sutures, absorbables, staples, tapes, and adhesive compounds. The engineering of sutures in synthetic material along with standardization of traditional materials (eg, catgut, silk) has made for superior aesthetic results. Similarly, the creation of natural glues, surgical staples, and tapes to substitute for sutures has supplemented the armamentarium of wound closure techniques.

 

Aesthetic closure is based on knowledge of healing mechanisms and skin anatomy as well as on an appreciation of suture material and closure technique. Choosing the proper materials and wound closure technique ensures optimal healing.

 

This section provides field usable information regarding wound closure. Improvised techniqes include using commonly available glue as a suture and various materials to close the wound. Specific threads can be used to stitch wounds closed.


Can We Really Use Super Glue Instead of Sature

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Can We Really Use Super Glue Instead of Sature

For several years there has been increasing interest in the survival medicine community regarding the use of commonly available “Super Glue” types of adhesives for wound closure. Survivalists who have done a little research have found that the cyanoacrylate glue (Super Glue) sold over–the–counter and medical cyanoacrylate glues are apparently identical in composition and rumored to the be same as the tissue adhesive used extensively during the Vietnam War. Some survivalists have even used over–the–counter Super Glue (Krazy Glue) successfully in lieu of suture to close wounds.

The two documents in this package detail the intricacies of wound closure using cyanoacrylate … Continue Reading

Wound Closure Manual

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Wound Closure Manual

This manual has been prepared for the medical professional who would like to learn more about the practice of surgery –– the dynamics of tissue healing, the principles of wound closure, and the materials available to today’s practitioners. Most important, it touches upon some of the critical decisions which must be made on adaily basis to help ensure proper wound closure.

The word “suture” describes any strand of material used to ligate (tie) blood vessels or approximate (bring closetogether) tissues. As far back as 2,000 B.C., written references have been found describing the use of strings andanimal sinews for suturing. Through … Continue Reading