https://lacerationrepair.com/tuft-fractures-part-i/https://lacerationrepair.com/wp-content/uploads/2024/01/33dc2-img_1488-768x1024-1.jpegIMG_1488-768x1024https://lacerationrepair.com/wp-content/uploads/2024/01/9e24f-img_1417-768x1024-1.jpegIMG_1417-768x1024https://lacerationrepair.com/wp-content/uploads/2025/06/a0497-opentuftfracture.jpgOpenTuftFracturehttps://lacerationrepair.com/wp-content/uploads/2025/06/0f9e0-img_0744.jpegIMG_0744https://lacerationrepair.com/wp-content/uploads/2025/06/156bd-img_1493.jpegIMG_1493https://lacerationrepair.com/wp-content/uploads/2025/06/a0667-img_1488-rotated-1.jpegIMG_1488https://lacerationrepair.com/wp-content/uploads/2025/06/b9d96-img_1486.jpegIMG_1486https://lacerationrepair.com/wp-content/uploads/2025/06/ff121-img_1479.jpegIMG_1479https://lacerationrepair.com/wp-content/uploads/2025/06/6f357-img_0743.jpegIMG_0743https://lacerationrepair.com/wp-content/uploads/2025/06/284ee-img_1417-rotated-1.jpegIMG_14172025-06-23T17:18:28+00:00weekly0.6https://lacerationrepair.com/tuft-fractures-part-ii/https://lacerationrepair.com/wp-content/uploads/2024/02/e497b-img_2536-768x1024-1.jpegIMG_2536-768x1024https://lacerationrepair.com/wp-content/uploads/2025/06/f64db-img_0750.pngIMG_0750https://lacerationrepair.com/wp-content/uploads/2025/06/d3e47-img_2536-rotated-1.jpegIMG_25362025-06-23T17:18:24+00:00weekly0.6https://lacerationrepair.com/wound-blog/interesting-case-achilles-tendon-laceration-2/https://lacerationrepair.com/wp-content/uploads/2015/03/a3c78-img_0332.jpgimg_03322025-06-23T17:18:23+00:00weekly0.6https://lacerationrepair.com/wound-blog/laceration-aftercare/https://lacerationrepair.com/wp-content/uploads/2014/03/c68ab-wikihow-bandage.jpgwikihow-bandagehttps://lacerationrepair.com/wp-content/uploads/2014/03/vitamin-e.jpgvitamin-ECommercially available Vitamin E creams and lotions are widely touted as beneficial to wound healing. But is that the case for traumatic lacerations?https://lacerationrepair.com/wp-content/uploads/2014/03/wikihow-bandage.jpgDressing a LacerationExample of dressing a laceration after repair. Image courtesy of WikiHow, under Creative Commons Liscence (http://creativecommons.org/licenses/by-nc-sa/3.0/).2025-06-23T17:18:22+00:00weekly0.6https://lacerationrepair.com/wound-blog/not-your-mamas-horizontal-mattress/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/dog-bite-dogma-part-ii/https://lacerationrepair.com/wp-content/uploads/2017/01/ivy2-onemonth.jpgDog bite laceration repair, one month later.Dog bite laceration repair, one month later.https://lacerationrepair.com/wp-content/uploads/2017/01/dog-bite-lac-dayof1.jpgdog-bite-lac-dayofhttps://lacerationrepair.com/wp-content/uploads/2017/01/dog-bite-lac-dayof.jpgdog-bite-lac-dayof2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-set-back-dermal-suture/https://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-reflect.jpgUndermining and Reflection of the dermis is necessary to place the set-back dermal suture.Undermining and Reflection of the dermis is necessary to place the set-back dermal suture.https://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture-final.jpgThe set-back dermal sutureThe set-back dermal suturehttps://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture.jpgSet back dermal suturehttps://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture-step-4.jpgSet back dermal suture step 4https://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture-step-3b.jpgSet back dermal suture step 3bhttps://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture-step-2.jpgSet back dermal suture step 2https://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture-step-11.jpgSet back dermal suture step 1https://lacerationrepair.com/wp-content/uploads/2017/08/set-back-dermal-suture-step-1.jpgSet back dermal suture step 12025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-toenail-spork-technique/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-perfect-simple-interrupted-suture/https://lacerationrepair.com/wp-content/uploads/2016/08/depression-of-angle.jpgdepression of anglehttps://lacerationrepair.com/wp-content/uploads/2016/08/suture-holding.jpgSuture holdinghttps://lacerationrepair.com/wp-content/uploads/2016/08/suture-placement-j-w-flask-1.jpgsuture placement j w flask (1)2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/extensor-tendon-injuries-part-ii/https://lacerationrepair.com/wp-content/uploads/2016/07/hyperextension-test.jpghyperextension testhttps://lacerationrepair.com/wp-content/uploads/2016/07/hand-zones2.jpghand zones2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/epinephrine-autoinjector-injuries-part-ii/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/preventable-lacerations-epipen-auto-injectors-part-i/https://lacerationrepair.com/wp-content/uploads/2016/06/leg-lac-3.jpgleg lac 3https://lacerationrepair.com/wp-content/uploads/2016/06/leg-lac-2.jpgleg lac 2https://lacerationrepair.com/wp-content/uploads/2016/06/leg-lac-11.jpgleg lac 1https://lacerationrepair.com/wp-content/uploads/2016/05/retraints.pngretraintshttps://lacerationrepair.com/wp-content/uploads/2016/05/restraint-7-images-c.jpgRestraint 7 images chttps://lacerationrepair.com/wp-content/uploads/2016/04/lac-to-thigh.pnglac to thigh2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/delayed-primary-closure-part-ii/https://lacerationrepair.com/wp-content/uploads/2016/01/img_39011.jpgIMG_3901https://lacerationrepair.com/wp-content/uploads/2016/01/img_3901.jpgIMG_39012025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/other-topics/patient-resources/laceration-aftercare-instructions/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/other-topics/burns/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/other-topics/patient-resources/abrasion-wound-aftercare/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/road-rash-part-i/https://lacerationrepair.com/wp-content/uploads/2025/06/f9e25-gwongfacial-abrasiondoi-3191555634-1511768472874.pngYoung Boy with facial road rashThis young boy was pushed on to asphalt and sustained this significant facial abrasion. Without detail work to remove the dirt from the blackened area, he is at significant risk of an untoward cosmetic outcome.https://lacerationrepair.com/wp-content/uploads/2025/06/7e783-tramatic-tattoo-1746524024-1510854837603.jpgEvery Scar has a Story, Part 3This "traumatic tattoo" who was in a skateboard accident 15 years ago. Failure to remove foreign matter resulted in a granulomatous reaction encasing the debris. This resulted in a persistent, palpable scar.https://lacerationrepair.com/wp-content/uploads/2025/06/51feb-ky-tattoo-2-3053802789-1510854710472.jpgEvery Scar has a Story, Part 2This "traumatic tattoo" was acquired by a friend who describes hitting an embankment while being towed by a four wheeled in a sawed-in-half shopping cart. Um...maybe sometimes the story is worth the scar?https://lacerationrepair.com/wp-content/uploads/2025/06/99d0f-ky-tattoo-3-947128293-1510854527713.jpgEvery Scar has a Story, Part 1This "traumatic tattoo" was acquired by a friend who was in a motorcycle accident. He also had a head injury, so understandably his care was devoted to assessment of the high priority injury...leading to this unsightly scar down the line.https://lacerationrepair.com/wp-content/uploads/2025/06/e06d0-img_4740.jpgRoad RashDermal abrasions (road rash) from a fall off a bicycle. Especially on darker skin tones, this can be cosmetically disfiguring. The area over the extensor surface of the wrist merits additional attention to prevent contractures, akin to a superficial partial thickness burn wound.2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/lac-repair-in-the-time-of-covid/https://lacerationrepair.com/wp-content/uploads/2025/06/c4b5f-img_1697.jpgThe TentSmall modifications we make in wound care practice during the pandemic can play a role in helping "flatten the curve."https://lacerationrepair.com/wp-content/uploads/2025/06/7042f-img_1711.jpgimg_17112025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/corner-suture-variations/https://lacerationrepair.com/wp-content/uploads/2025/06/1a8a5-x-shaped-laceration.pngX shaped Laceration2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/time-efficient-suturing/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/nerdnite-sf/https://lacerationrepair.com/wp-content/uploads/2025/06/9bb9d-screen-shot-2018-07-25-at-10.15.11-pm.pngScreen Shot 2018-07-25 at 10.15.11 PMhttps://lacerationrepair.com/wp-content/uploads/2025/06/b59ca-nnsf097-jun-2018-w1100.jpgNNSF097-Jun-2018-w11002025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/wound-prep-series-soap/https://lacerationrepair.com/wp-content/uploads/2025/06/c0ebb-img_8500.jpgIMG_8500https://lacerationrepair.com/wp-content/uploads/2025/06/90753-img_8503.jpgIMG_85032025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/wound-prep-series-gloves/https://lacerationrepair.com/wp-content/uploads/2025/06/6c3da-img_2391.jpgIMG_2391https://lacerationrepair.com/wp-content/uploads/2025/06/89263-img_8496.jpgIMG_8496https://lacerationrepair.com/wp-content/uploads/2025/06/4b5ce-img_8497-1.jpgIMG_8497https://lacerationrepair.com/wp-content/uploads/2025/06/3dbb2-img_8497.jpgIMG_84972025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/wound-prep-series-topical-anesthetics/https://lacerationrepair.com/wp-content/uploads/2025/06/88d01-img_8454.jpgimg_8454https://lacerationrepair.com/wp-content/uploads/2025/06/9fc8d-img_8459.jpgimg_8459https://lacerationrepair.com/wp-content/uploads/2025/06/12376-topical-anesthetics.pngTopical Anesthetics2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-inverting-horizontal-mattress-suture-in-action/https://lacerationrepair.com/wp-content/uploads/2025/06/e09e0-inverting-mattress-featured-image.pngInverting-mattress-featured-image2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/loose-closure/https://lacerationrepair.com/wp-content/uploads/2025/06/0a5c1-img_0312.jpgIMG_03122025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/wound-prep-series-injectable-anesthetics/https://lacerationrepair.com/wp-content/uploads/2025/06/c54d1-img_8393.jpgimg_8393https://lacerationrepair.com/wp-content/uploads/2025/06/e1e92-img_8379.jpgimg_83792025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-preparation-series-needles/https://lacerationrepair.com/wp-content/uploads/2025/06/52c1c-img_8389-3028128080-1517250974908.jpgWhich needle?What size needle would you use to inject local anesthetic in your patient's wound, and why?2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/felons-paronychias/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/spider-bites/https://lacerationrepair.com/wp-content/uploads/2025/06/4598b-black-widow-spider.jpgblack widow spiderhttps://lacerationrepair.com/wp-content/uploads/2025/06/9d40a-img_4840.jpgimg_48402025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/wound-blog/road-rash-part-ii/2025-06-23T17:13:44+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/tongue-lacerations/https://lacerationrepair.com/wp-content/uploads/2015/07/img_2077.jpgtongue lacA tongue laceration greater than 1 cm which splays the margins of the tongue would likely benefit from primary repair.https://lacerationrepair.com/wp-content/uploads/2015/07/or-yankauer-tubing-rigid-suction-and-sets-400.jpgor-yankauer-tubing-Rigid-suction-and-sets-400A Yankauer (or similar) suction and tubing can be attached to compressed air to create a mini blow-dryer.2025-06-23T17:13:36+00:00weekly0.6https://lacerationrepair.com/other-topics/soft-tissue/2025-06-23T17:13:36+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/2025-06-23T17:13:36+00:00weekly0.6https://lacerationrepair.com/other-topics/burns/burns-part-i-injury-grading/https://lacerationrepair.com/wp-content/uploads/2014/12/burn-in-evolution.pngburn in evolutionDepiction of the "burn-in-evolution" model.https://lacerationrepair.com/wp-content/uploads/2014/12/second-degree-burns.pngsecond degree burnsThe myriad appearances in patients described as having "second degree burns."https://lacerationrepair.com/wp-content/uploads/2014/12/img_0925.jpgIMG_0925Partial thickness (second degree) burn from a pull-over scald in a young toddler. Would you be able to tell on initial ED evaluation if this patient needs a skin graft? Don't feel bad if you can't.https://lacerationrepair.com/wp-content/uploads/2014/12/2nd-degree-burn-cartoon.png2nd degree burn cartoonThis cartoon depicts the varying pathology described by the term "second degree burn."https://lacerationrepair.com/wp-content/uploads/2014/12/first-degree-burn.pngfirst degree burnA superficial (aka first degree) burn wound injury, sustained on the leg of a patient on an all day river rafting trip without sun protection.https://lacerationrepair.com/wp-content/uploads/2014/09/burned-handsn2.jpgburned handsA full thickness burn wound to the hand of a child. Note the white, waxy areas surrounding erythematous areas of partial thickness burn.https://lacerationrepair.com/wp-content/uploads/2014/08/burn-severity-grading.pngBurn Severity GradingBurn Severity Gradinghttps://lacerationrepair.com/wp-content/uploads/2014/08/img_4360.jpgIMG_4360Burn blisters...what to do?https://lacerationrepair.com/wp-content/uploads/2014/08/img_4358.jpgScald Burn 1A 44 year old female with a scald burn injury to her trunk and arm.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/lip-lacerations-part-i/https://lacerationrepair.com/wp-content/uploads/2014/12/irrigation2.jpgirrigation2https://lacerationrepair.com/wp-content/uploads/2014/12/face-infraorbital-block-w-nerve.jpgface infraorbital block w nerveInfra-orbital nerve block produces excellent analgesia of the upper lip, and more, as shown.https://lacerationrepair.com/wp-content/uploads/2014/12/face-mental-nerve-block-w-nerve.jpgface mental nerve block w nerveMental nerve block is a safe and simple way to achieve analgesia of the lower lip.https://lacerationrepair.com/wp-content/uploads/2014/12/face-infraorbital-block-w-foramen.jpgface infraorbital block w foramenInfraorbital nerve blocks are an excellent way to achieve analgesia of the ipsilateral upper lip.https://lacerationrepair.com/wp-content/uploads/2014/12/lip-lac.jpglip lacHealing of the lower lip laceration pictured at the start of Part I of this post.https://lacerationrepair.com/wp-content/uploads/2014/12/img_4103.jpgIMG_4103When teeth are chipped (often the case with lip lacerations), ensure no fragments remain embedded in the wound. https://lacerationrepair.com/wp-content/uploads/2014/12/img_3559.jpgIMG_3559Sutures of a different color than the patient's facial hair are important to ensure each suture loop is readily identifiable for removal.https://lacerationrepair.com/wp-content/uploads/2014/12/img_3175.jpgIMG_3175https://lacerationrepair.com/wp-content/uploads/2014/12/img_3667.jpgIMG_3667Use of a surgical marker to define the edge of the cutaneous-vermillion border can be helpful to preserve this important landmark upon closure.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/ear-lacerations-part-i/https://lacerationrepair.com/wp-content/uploads/2014/07/ear-excision3.jpgEar excision3https://lacerationrepair.com/wp-content/uploads/2014/07/ear-excision2.jpgEar excision2https://lacerationrepair.com/wp-content/uploads/2014/07/ear-excision1.jpgEar Excision Figure AIf the skin overlying a laceration to the pinna does not approximate, consider wedge excision.https://lacerationrepair.com/wp-content/uploads/2014/07/ear-excision.jpgear excisionExcision of up to 5 mm of cartilage from the macerated portion of a helix laceration can allow better approximation of wound edges without significant cosmetic deformity. https://lacerationrepair.com/wp-content/uploads/2014/07/ear-anatomy.pngear anatomyEar Anatomy.https://lacerationrepair.com/wp-content/uploads/2014/06/ear-lac-kenya-2008-close-up.jpegEar lac Kenya 2008 close upAn ear laceration seen days later in a resource-poor environment. It was left to heal by secondary intention resulting in unfortunate cosmetic deformity.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/blocks/2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/lip-lacerations-part-ii/https://lacerationrepair.com/wp-content/uploads/2014/12/vermillion.jpgvermillionThe first suture placed should approximate the margins of the vermillion-cutaneous border.https://lacerationrepair.com/wp-content/uploads/2014/12/img_0159.jpgIMG_0159You might find yourself tempted to use absorbable sutures to close a lip laceration on a child to save a suture removal trip--but I'd think twice about it...dehiscence risk is high.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/blocks/infraorbital-nerve-block/https://lacerationrepair.com/wp-content/uploads/2014/11/img_0406.jpgIMG_0406I used cement to cover the exposed pulp and dentin for comfort prior to this patient's dental follow up. The use of infraorbital nerve blocks bilaterally helped him to tolerate the procedure better.https://lacerationrepair.com/wp-content/uploads/2014/11/img_0402.jpgIMG_0402This patient sustained several Ellis III type tooth fractures and a tongue laceration after a fall.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/blocks/digital-blocks/https://lacerationrepair.com/wp-content/uploads/2015/03/digital-anatomy.jpgdigital anatomyDigital nerves and arteries, depicted in cross section. https://lacerationrepair.com/wp-content/uploads/2014/08/digital-block.jpgdigital blockAnatomy of the digit, in cross section.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/soft-tissue/ring-tourniquet-syndrome/https://lacerationrepair.com/wp-content/uploads/2015/04/tungsten-2.pngtungsten 2https://lacerationrepair.com/wp-content/uploads/2015/04/tungsten-ring.pngtungsten ringRings made of tungsten can't be cut with conventional tools.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/burns/burns-part-ii-tbsa-assessment-burn-apps/https://lacerationrepair.com/wp-content/uploads/2014/12/img_5800.pngIMG_5800https://lacerationrepair.com/wp-content/uploads/2014/12/img_5802.pngIMG_5802https://lacerationrepair.com/wp-content/uploads/2014/12/img_5801.pngIMG_5801https://lacerationrepair.com/wp-content/uploads/2014/12/img_5799.pngIMG_5799https://lacerationrepair.com/wp-content/uploads/2014/12/img_5798.pngIMG_5798In uBurn lite, you check off body areas to indicate areas burned.https://lacerationrepair.com/wp-content/uploads/2014/12/img_5796.pngIMG_5796Pediatric counterpart for uBurn Medic. Only infant and adult "models" are available, though patient age can be manually entered.https://lacerationrepair.com/wp-content/uploads/2014/12/img_5795.pngIMG_5795Adult burn calculation in uBurn Medic. Fluid resuscitation rates result on the same screen, with no additional clicks or swipes.https://lacerationrepair.com/wp-content/uploads/2014/12/img_5792.pngIMG_5792A 3D model can be rotated and space and marked with burn areas.https://lacerationrepair.com/wp-content/uploads/2014/12/img_5789.pngIMG_5789The menu page for the app describes its current functions.https://lacerationrepair.com/wp-content/uploads/2014/12/img_5788.pngIMG_5788The app features use of a 3D model, which can be rotated in space and can have burns of varying degrees drawn on with your fingertip.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/ear-lacerations-part-ii/https://lacerationrepair.com/wp-content/uploads/2015/09/screenshot-2015-09-21-00-49-44.pngScreenshot 2015-09-21 00.49.44Follow up on the same ear laceration at one week.https://lacerationrepair.com/wp-content/uploads/2015/09/auricularhematoma.pngauricularhematomaTraditional drainage procedure to prevent auricular hematoma formation.https://lacerationrepair.com/wp-content/uploads/2015/09/auricularhematoma2.pngauricularhematoma2A more traditional method of ear buttressing to prevent auricular hematoma formation.https://lacerationrepair.com/wp-content/uploads/2015/09/img_3112.jpgear lac 53https://lacerationrepair.com/wp-content/uploads/2015/03/img_3035.jpgIMG_3035https://lacerationrepair.com/wp-content/uploads/2013/09/img_3100-e1425417544513.jpgIMG_3100Small auricular hematoma formation after repair of an ear laceration.https://lacerationrepair.com/wp-content/uploads/2013/09/img_3064.jpgIMG_3064Ear laceration.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/blocks/field-block-of-the-ear/https://lacerationrepair.com/wp-content/uploads/2015/08/steve-ear-block1.jpgsteve ear blockPoints of needle entry for an auricular block. Note that in a well planned block, the skin is only pierced twice.https://lacerationrepair.com/wp-content/uploads/2015/08/steve-ear-block.jpgsteve ear blockhttps://lacerationrepair.com/wp-content/uploads/2015/08/ear-block.jpgear blockAchieving anesthesia of the sensitive ear is important prior prior to any painful procedure.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/soft-tissue/extensor-tendon-injuries-pip-elsons-test/https://lacerationrepair.com/wp-content/uploads/2015/05/central-slip-lac1.pngCentral Slip Lachttps://lacerationrepair.com/wp-content/uploads/2015/05/central-slip-injury.pngCentral Slip InjuryExtensor Tendon Anatomy. Adapted from "Extensor Tendon Repair in the Emergency Department," by Calabro JJ, Hoidal CR, and Susini LM.https://lacerationrepair.com/wp-content/uploads/2015/05/central-slip-lac.pngCentral Slip lacA small laceration over the extensor surface of the proximal interphalangeal joint. What is the concern with an injury like this?https://lacerationrepair.com/wp-content/uploads/2015/05/img_0366.jpgIMG_0366By way of comparison: a normal modified Elson's test, where the distal phalanges are limited in extension. Again, the key is assessment of the symmetry. https://lacerationrepair.com/wp-content/uploads/2015/05/img_0363.jpgIMG_0363Abnormal modified Elson's test. The injured finger (blue tourniquet) should not be able to extend this much, but the key to making the diagnosis is the asymmetry.2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/vascular-injuries-part-ii-ligation-techniques/https://lacerationrepair.com/wp-content/uploads/2014/06/img_3472-e1401864977757.jpgIMG_3472After ligation of a small arterial pumper, the wound was closed with fast absorbing plain gut absorbable sutures.https://lacerationrepair.com/wp-content/uploads/2014/06/img_3471.jpgIMG_34712025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/patient-resources/2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/https://lacerationrepair.com/wp-content/uploads/2014/06/img_3366.jpgIMG_3366https://lacerationrepair.com/wp-content/uploads/2014/06/img_3898.jpgIMG_3898https://lacerationrepair.com/wp-content/uploads/2014/06/img_3896.jpgIMG_3896https://lacerationrepair.com/wp-content/uploads/2014/06/img_3895.jpgIMG_3895https://lacerationrepair.com/wp-content/uploads/2014/06/img_3890.jpgIMG_3890https://lacerationrepair.com/wp-content/uploads/2014/06/img_3875.jpgIMG_3875https://lacerationrepair.com/wp-content/uploads/2014/06/img_3874.jpgIMG_3874https://lacerationrepair.com/wp-content/uploads/2014/06/img_3873.jpgIMG_3873https://lacerationrepair.com/wp-content/uploads/2014/06/img_3859.jpgIMG_3859https://lacerationrepair.com/wp-content/uploads/2014/06/img_3418.jpgIMG_34182025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/basic-wound-management-lecture-part-i/2025-06-23T17:13:35+00:00weekly0.6https://lacerationrepair.com/other-topics/soft-tissue/incision-loop-drainage/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/nailbed-injuries-part-ii/https://lacerationrepair.com/wp-content/uploads/2014/05/harries-nail-suture.jpgharries nail sutureThis nail was removed, the damaged distal portion was trimmed, and the native nail was reinserted and anchored with a single suture. What potential pitfalls may exist for this method of securing the nail?https://lacerationrepair.com/wp-content/uploads/2014/05/royce-healed-1.jpgRoyce healed 1Incredible healing of the 3 year old from the first case seen at months. The nail was secured in place but not removed. a testament to the healing power of children!https://lacerationrepair.com/wp-content/uploads/2014/05/partial-nail-avulsion-jpg.pngpartial nail avulsion.jpgLongitudinal partial plate avulsion. From Collins SC, Cordova K, Jetlinek NJ. Alternatives to complete nail avulsion.https://lacerationrepair.com/wp-content/uploads/2014/05/img_4083.jpgIMG_4083https://lacerationrepair.com/wp-content/uploads/2014/05/img_4087.jpgIMG_4087https://lacerationrepair.com/wp-content/uploads/2014/05/img_2413.jpgIMG_2413https://lacerationrepair.com/wp-content/uploads/2014/05/img_2410.jpgIMG_2410Tissue adhesive tape is placed in the usual fashion across the wound, then sutures are placed through and through the strips to relieve tension on the skin surface.https://lacerationrepair.com/wp-content/uploads/2014/05/img_2536.jpgIMG_2536Repair of the skill saw injury previously pictured. Simple interrupted sutures allowed excellent approximation of the wound margins without nail removal.https://lacerationrepair.com/wp-content/uploads/2014/05/img_2531.jpgIMG_2531https://lacerationrepair.com/wp-content/uploads/2014/05/img_2530.jpgAn extensive finger tip injuryAn extensive fingertip injury caused by a power tool. The nail, skin, and subcutaneous tissue are involved. Underlying distal phalanx tuft fracture is also present.2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/horizontal-mattress-sutures/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/nailbed-injuries-part-i/https://lacerationrepair.com/wp-content/uploads/2014/05/image6.jpgimagehttps://lacerationrepair.com/wp-content/uploads/2014/05/img_2903.jpgNailbed InjuryThe nail was removed, revealing this underlying nailed laceration.https://lacerationrepair.com/wp-content/uploads/2014/05/image5.jpgimagehttps://lacerationrepair.com/wp-content/uploads/2014/05/lip-lac.jpglip lachttps://lacerationrepair.com/wp-content/uploads/2014/05/img_3177.jpgIMG_3177https://lacerationrepair.com/wp-content/uploads/2014/05/img_3194.jpgIMG_3194After removal of the ring, this macerated, secondary injury was discovered. A small iatrogenic laceration from the ring cutter was unavoidable given the profound edema.https://lacerationrepair.com/wp-content/uploads/2014/05/img_3193.jpgIMG_3193The ring was stabilized with clamps as it sawed off. To facilite a more painless removal, the patient has received procedural sedation.https://lacerationrepair.com/wp-content/uploads/2014/05/img_3192.jpgIMG_3192https://lacerationrepair.com/wp-content/uploads/2014/05/img_3191.jpgIMG_3191Sequelae of a tight ring left on a finger. The patient was unconscious for several hours after abusing drugs, and thus ignored the swelling of his finger until it was fairly severe.https://lacerationrepair.com/wp-content/uploads/2014/05/image4.jpgimage2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/vertical-mattress-sutures/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/simple-interrupted-sutures/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/other-topics/about/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/anatomic-regions/lacerations-around-the-eye/https://lacerationrepair.com/wp-content/uploads/2013/09/img_3569.jpgRetraction sutureA simple interrupted, slightly thicker nylon suture is placed with long tails left after needle cut. This can be used for retraction and manipulation of the wound.https://lacerationrepair.com/wp-content/uploads/2013/09/img_3567.jpgMorgan Lens Shield 2Now suturing and delivery of anesthetic can be performed with less trepidation.https://lacerationrepair.com/wp-content/uploads/2013/09/img_35651.jpgMorgan lens shieldA Morgan Lens placed in the eye acts as a great barrier under the lid to prevent iatrogenic globe puncture while suturing.https://lacerationrepair.com/wp-content/uploads/2013/09/img_3561.jpgEyelid lacerationsA patient with multiple lacerations to the eyelid after a fall.https://lacerationrepair.com/wp-content/uploads/2013/09/lacrimal-cartoon.pngLacrimal duct anatomyThe lacrimal ducts drain at the medial canthus in to the nasolacrimal duct, which drains in to the nose.https://lacerationrepair.com/wp-content/uploads/2013/09/eyelid-lacs.pngeyelid lacsThe blue arrow indicates a laceration through the upper eyelid. The white arrows indicate lacerations involving the eyelid margins.https://lacerationrepair.com/wp-content/uploads/2013/09/img_3819.jpgMinor laceration below the eye.The laceration has been repaired with glue, sans mess or temporary glued-shut-eye-blindness.https://lacerationrepair.com/wp-content/uploads/2013/09/img_3815.jpgTegaderm Shield 2The wound can now be safely accessed for glue application. Any glue "run-off" will land on top of the tegaderm!https://lacerationrepair.com/wp-content/uploads/2013/09/img_3814.jpgTegaderm shieldThe tegaderm "shield" is placed to block the eye, but allow exposure of the wound.https://lacerationrepair.com/wp-content/uploads/2013/09/img_3813.jpgTegaderm windowCreate a window in a piece of tegaderm (still on paper backing) using fine scissors.2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/alternative-wound-closure/2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/vascular-injuries-part-i-basic-principles-pitfalls/https://lacerationrepair.com/wp-content/uploads/2013/10/deeppalmararch.jpgHand VasculatureThe deep radial artery branches from the radial artery to form the deep palmar arch, supplying blood to the fingers. Figure from http://home.comcast.net/~wnor/lesson5artofhand.htm, by Dr. Wesley Norman.https://lacerationrepair.com/wp-content/uploads/2013/10/img_4146.jpgTendon and Vascular LaceationWrist Laceration2025-06-23T17:13:34+00:00weekly0.6https://lacerationrepair.com/2024/06/18/five-em-blogs-you-need-to-check-out-that-you-dont-know-about-yet/2024-06-18T13:04:51+00:00monthlyhttps://lacerationrepair.com/homepage/https://lacerationrepair.com/wp-content/uploads/2025/06/cad23-other-small.jpgother-small2023-08-31T05:53:56+00:00weekly0.6https://lacerationrepair.com/2022/08/16/product-review-the-laceration-course/https://lacerationrepair.com/wp-content/uploads/2025/06/66d58-the-laceration-course-screenshot.pngthe-laceration-course-screenshot2022-08-16T05:09:01+00:00monthlyhttps://lacerationrepair.com/cart/2022-08-08T19:01:57+00:00weekly0.6https://lacerationrepair.com/checkout/2022-08-08T19:01:57+00:00weekly0.6https://lacerationrepair.com/my-account/2022-08-08T19:01:57+00:00weekly0.6https://lacerationrepair.com/shop/2022-08-08T19:01:57+00:00weekly0.6https://lacerationrepair.com/common-suturing-errors-part-ii/https://lacerationrepair.com/wp-content/uploads/2025/06/9ec0f-box-rule-3.pngbox-rule-3https://lacerationrepair.com/wp-content/uploads/2025/06/bbd55-box-rule-1.pngbox-rule-12021-07-13T19:38:29+00:00weekly0.6https://lacerationrepair.com/common-suturing-errors-part-i/2021-07-13T19:35:16+00:00weekly0.6https://lacerationrepair.com/wound-repair-101/2021-06-08T22:19:33+00:00weekly0.6https://lacerationrepair.com/lac-talk-with-harbor-pem-5-18-21/https://lacerationrepair.com/wp-content/uploads/2025/06/f61ba-harbor-pem-talk.jpgHarbor-PEM-Talk2021-06-01T06:40:53+00:00weekly0.6https://lacerationrepair.com/other-topics/blocks/the-ophthalmic-v1-nerve-block/2021-04-04T22:34:04+00:00weekly0.6https://lacerationrepair.com/wound-blog/wound-preparation/https://lacerationrepair.com/wp-content/uploads/2013/08/img_3941.jpgIMG_3941Hand laceration seen at the RockMed Tent at Outside Lands. https://lacerationrepair.com/wp-content/uploads/2013/08/img_3950.jpgclean not sterileSewing up a macerated hand laceration at a music festival.https://lacerationrepair.com/wp-content/uploads/2013/08/img_3945.jpgIMG_3945Clean not sterile.https://lacerationrepair.com/wp-content/uploads/2013/08/img_3940.jpgHand IrrigationIrrigation with tap water before a laceration repair.2021-04-04T22:33:08+00:00weekly0.6https://lacerationrepair.com/wound-blog/absorbable-sutures/https://lacerationrepair.com/wp-content/uploads/2013/08/img_2957.jpgIMG_2957https://lacerationrepair.com/wp-content/uploads/2013/08/img_2956.jpgFacial Laceration RepairFirst, several 5-0 vicryl deep dermal sutures were placed to remove some of the tension on the wound.https://lacerationrepair.com/wp-content/uploads/2013/08/img_2955.jpgIMG_2955https://lacerationrepair.com/wp-content/uploads/2013/08/img_2954.jpgIMG_2954https://lacerationrepair.com/wp-content/uploads/2013/08/img_2944.jpgYoung man with facial laceration, close up image. Used with patient permission.https://lacerationrepair.com/wp-content/uploads/2013/08/img_2941.jpgYoung man with a facial laceration. Image used with patient permission.https://lacerationrepair.com/wp-content/uploads/2013/08/linstrot-3-months-1.jpgFacial laceration at 3 months.The appearance of the laceration at 3 months post injury.2021-04-04T22:32:52+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-show-2/2021-04-04T22:32:38+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-golden-period/https://lacerationrepair.com/wp-content/uploads/2014/04/golden-period.jpggolden periodhttps://lacerationrepair.com/wp-content/uploads/2014/04/royce-healed-1.jpgRoyce healed 1https://lacerationrepair.com/wp-content/uploads/2014/04/royce-healed-2.jpgRoyce healed 2https://lacerationrepair.com/wp-content/uploads/2014/04/royce-healed-3.jpgRoyce healed 3https://lacerationrepair.com/wp-content/uploads/2014/04/img_4085.jpgIMG_4085https://lacerationrepair.com/wp-content/uploads/2014/04/img_4028.jpgIMG_4028https://lacerationrepair.com/wp-content/uploads/2014/04/img_4024-e1396542594774.jpgIMG_4024Forehead laceration, after meticulous repair with simple interrupted 6-0 nylon sutures.https://lacerationrepair.com/wp-content/uploads/2014/04/img_4025-e1396542500635.jpgIMG_4025Extensive forehead laceration, with large delay in presentation due to poor mobility.https://lacerationrepair.com/wp-content/uploads/2014/04/img_4106.jpgIMG_4106https://lacerationrepair.com/wp-content/uploads/2014/04/img_4105.jpgIMG_41052021-04-04T22:32:20+00:00weekly0.6https://lacerationrepair.com/wound-blog/three-things-you-didnt-know-about-glueing-skin/https://lacerationrepair.com/wp-content/uploads/2014/06/skin-glues.pngskin gluesBiochemical structure of various cyanoacrylate glues. Modified from the review by Davis KP and Derlet RW.https://lacerationrepair.com/wp-content/uploads/2014/06/screen-shot-2014-06-04-at-10-42-27-pm.pngSkin gluesTable from the review on cyanoacrylate glue by Davis KP and Derlet RW.https://lacerationrepair.com/wp-content/uploads/2014/06/dermabond-tongue.pngdermabond tongueTongue laceration considered for repair with 2-octyl cyanoacrylate. Image from the case report by Kazzi MG and Silverberg M.https://lacerationrepair.com/wp-content/uploads/2014/06/dermabond-tongue-2.pngdermabond tongue 2Outcome at 14 days after the use of 2-octyl cyanoacrylate to repair a tongue laceration. Image from the case report by Kazzi MG and Silverberg M.https://lacerationrepair.com/wp-content/uploads/2014/06/dermabond-burn.pngcyanoacrylate burnA full thickness burn from cyanoacrylate glue, image as published in the case report by Clarke, TFE in the Journal of Plastic, Reconstructive, and Aesthetic Surgery.2021-04-04T22:32:12+00:00weekly0.6https://lacerationrepair.com/wound-blog/absorbable-sutures-revisited/https://lacerationrepair.com/wp-content/uploads/2015/01/vicryl_rapide_3.jpgvicryl_rapide_3https://lacerationrepair.com/wp-content/uploads/2015/01/img-6540.jpgIMG-6540https://lacerationrepair.com/wp-content/uploads/2015/01/vicryl-rapide-repair-2.pngvicryl rapide repair 2A range of outcomes were noted with vicryl rapide repair. Generally, a less well-perfused and higher tension area led to more noticeable scarring, which is also true of the non-absorbable counterparts. Photo courtesy Dr. Cena Tejani.https://lacerationrepair.com/wp-content/uploads/2015/01/vicryl-rapide-repair.pngvicryl rapide repairLook ma, no scar! Three month outcome in a hand laceration repaired with vicryl rapide. Courtesy Dr. Cena Tejani.2021-04-04T22:31:57+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-subcuticular-finish/https://lacerationrepair.com/wp-content/uploads/2015/02/img_3458.jpgIMG_3458After running the suture and opposing the edges with nylon, the edges were taped down with tissue adhesive tape.https://lacerationrepair.com/wp-content/uploads/2015/02/img_3454.jpgIMG_3454A traumatic, straight laceration of the leg. The linear, clean wound edges made it a reasonable candidate for running subcuticular closure.https://lacerationrepair.com/wp-content/uploads/2015/02/mod-int-subcuticular.pngmod int subcuticular"Modified" interrupted subcuticular suture.https://lacerationrepair.com/wp-content/uploads/2015/02/novel-subcuticular.pngnovel subcuticularNovel finish of a running subcutilar suture for removal.2021-04-04T22:31:47+00:00weekly0.6https://lacerationrepair.com/wound-blog/stock-simplify-your-suture-cart/https://lacerationrepair.com/wp-content/uploads/2015/07/suture-package-breakdown1.jpgSuture package breakdownSuture packaging, deconstructed.https://lacerationrepair.com/wp-content/uploads/2015/07/suture-package-breakdown.jpgSuture packaging, deconstructedSuture packaging, deconstructedhttps://lacerationrepair.com/wp-content/uploads/2015/07/needles.pngneedlesThe two major needle types most commonly used in repair of traumatic lacerations. From the Ethicon online catalog.https://lacerationrepair.com/wp-content/uploads/2015/06/suture-types.pngsuture typesA breakdown of suture types commonly used in the ED. Table initially published at the website BoringEM.2021-04-04T22:31:32+00:00weekly0.6https://lacerationrepair.com/wound-blog/stock-simplify-your-suture-cart-part-ii/https://lacerationrepair.com/wp-content/uploads/2015/07/img_7304.jpgIMG_7304Does your suture cart make sense?2021-04-04T22:31:20+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-three-bite-dog-ear-correction/https://lacerationrepair.com/wp-content/uploads/2015/11/dog-ears.jpgwindya basset hound with his ears flying awayhttps://lacerationrepair.com/wp-content/uploads/2015/11/3pt-dog-ear.jpg3pt dog earThe "dog ear" is an protrusion of a wound edge which can occur due to irregular wound margins.2021-04-04T22:31:12+00:00weekly0.6https://lacerationrepair.com/wound-blog/delayed-primary-closure/https://lacerationrepair.com/wp-content/uploads/2015/12/img_34851.jpgIMG_3485https://lacerationrepair.com/wp-content/uploads/2015/12/img_3485.jpgIMG_34852021-04-04T22:31:02+00:00weekly0.6https://lacerationrepair.com/wound-blog/hypothenar-autografts-for-dermal-avulsions/https://lacerationrepair.com/wp-content/uploads/2016/02/hypothenar-graft-6-weeks12.jpghypothenar graft 6 weeks1https://lacerationrepair.com/wp-content/uploads/2016/02/hypothenar-graft-6-weeks11.jpghypothenar graft 6 weeks1https://lacerationrepair.com/wp-content/uploads/2016/02/hypothenar-graft-6-weeks1.jpghypothenar graft 6 weeks1https://lacerationrepair.com/wp-content/uploads/2016/02/hypothenar-graft-6-weeks2.jpghypothenar graft 6 weeks2https://lacerationrepair.com/wp-content/uploads/2016/02/img_2778.jpgIMG_2778https://lacerationrepair.com/wp-content/uploads/2016/02/img_2779.jpgIMG_2779https://lacerationrepair.com/wp-content/uploads/2016/02/img_27661.jpgIMG_2766https://lacerationrepair.com/wp-content/uploads/2016/02/img_2766.jpgIMG_27662021-04-04T22:30:32+00:00weekly0.6https://lacerationrepair.com/wound-blog/parallel-lacerations/https://lacerationrepair.com/wp-content/uploads/2016/06/tissue-island.jpgtissue islandhttps://lacerationrepair.com/wp-content/uploads/2016/06/parallel-lacerations-vertmattressb1.jpgparallel lacerations vertmattressBhttps://lacerationrepair.com/wp-content/uploads/2016/06/parallel-lacerations-blank-3d-w-mattress1.jpgparallel lacerations blank 3D w mattresshttps://lacerationrepair.com/wp-content/uploads/2016/06/parallel-lacerations-blank-x31.jpgparallel lacerations blank x3https://lacerationrepair.com/wp-content/uploads/2016/06/parallel-lacerations-blank-x3c.jpgparallel lacerations blank x3c2021-04-04T22:30:01+00:00weekly0.6https://lacerationrepair.com/wound-blog/dog-bite-dogma-part-i/https://lacerationrepair.com/wp-content/uploads/2017/01/img_2482-1.jpgBeware of petting dogs you don't know!Beware of petting dogs you don't know!https://lacerationrepair.com/wp-content/uploads/2017/01/img_2482.jpgimg_2482https://lacerationrepair.com/wp-content/uploads/2016/12/img_0605.jpgimg_0605https://lacerationrepair.com/wp-content/uploads/2016/12/img_0610.jpgimg_0610https://lacerationrepair.com/wp-content/uploads/2016/12/img_0596.jpgimg_0596https://lacerationrepair.com/wp-content/uploads/2016/12/img_0594.jpgimg_0594https://lacerationrepair.com/wp-content/uploads/2016/08/img_0595.jpgimg_05952021-04-04T22:29:34+00:00weekly0.6https://lacerationrepair.com/wound-blog/eversion/https://lacerationrepair.com/wp-content/uploads/2016/08/eversion-derm.pngDoes eversion really matter?A study from the Dermatology literature attempts to definitively answer the question: does eversion really matter?https://lacerationrepair.com/wp-content/uploads/2016/08/img_2505.jpgSunset over the desert of San Pedro de Atacama, Chile.Sunset over the desert of San Pedro de Atacama, Chile.https://lacerationrepair.com/wp-content/uploads/2016/08/img_2348.jpgEven small valleys in this landscape (shot in the desert of San Pedro de Atacama) capture shadows and your eye is drawn to it--not unlike small "valleys" seen in an inverted wound.Even small valleys in this landscape (shot in the desert of San Pedro de Atacama) capture shadows, and your eye is drawn to it--not unlike small "valleys" seen in an inverted wound.https://lacerationrepair.com/wp-content/uploads/2016/08/img_2318.jpgThe small, sessile mounds in this close up of desert terrain are harder to pick out, but the indentations capture shadows and your attention.The small, sessile mounds in this close up of desert terrain are harder to pick out, but the indentations capture shadows and your attention.2021-04-04T22:29:16+00:00weekly0.6https://lacerationrepair.com/wound-blog/spider-bites-part-ii/https://lacerationrepair.com/wp-content/uploads/2025/06/15153-img_8371.jpgimg_8371https://lacerationrepair.com/wp-content/uploads/2025/06/225d8-img_8452-1.jpgimg_8452-1https://lacerationrepair.com/wp-content/uploads/2025/06/857b9-img_8451.jpgimg_8451https://lacerationrepair.com/wp-content/uploads/2025/06/33c61-img_8453.jpgimg_84532021-04-04T22:28:33+00:00weekly0.6https://lacerationrepair.com/wound-blog/2021-04-04T22:28:04+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/simple-interrupted-dermal-sutures/2021-04-04T22:27:33+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/the-corner-stitch/2021-04-04T22:27:23+00:00weekly0.6https://lacerationrepair.com/techniques/basic-suturing-techniques/surgeons-knot/2021-04-04T22:27:15+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/running-percutaneous-sutures/2021-06-02T12:23:51+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/running-subcuticular-suturing/2021-04-04T22:26:51+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/dog-ear-correction/2024-02-12T18:38:58+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/undermining/https://lacerationrepair.com/wp-content/uploads/2013/08/undermining.jpgunderminingCartoon diagram of undermining, from Roberts & Hedges text Clinical Procedures in Emergency Medicine, 5th edition.2021-04-04T22:26:33+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/layered-closure/https://lacerationrepair.com/wp-content/uploads/2013/09/layered-repair.pngLayered RepairCartoon depiction of layered closure. The red suture is a simple interrupted deep dermal suture, placed underneath the skin surface to relieve tension and close dead space. The blue suture is a simple interrupted epidermal suture, which approximates the skin surface and will require later removal.https://lacerationrepair.com/wp-content/uploads/2013/09/sui-ma-lip-6-months.jpeglip at 6 monthsA photograph of the laceration's appearance at 6 months.https://lacerationrepair.com/wp-content/uploads/2013/09/sui-ma-6-months-2.jpeg6 months 2Photograph of the laceration from the inside of the mouth, at 6 months.https://lacerationrepair.com/wp-content/uploads/2013/09/img_2867.jpgIMG_2867https://lacerationrepair.com/wp-content/uploads/2013/09/img_2860.jpgLaceration below the lip.This laceration doesn't look like much on first glance.https://lacerationrepair.com/wp-content/uploads/2013/09/img_2858.jpgThrough-and-through intraoral laceration.The laceration didn't look like much at first glance, but on closer inspection, it's actually through-and-through the intra-oral mucosa to the epidermis!2021-04-04T22:26:24+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/v-to-y-conversion-flaps/https://lacerationrepair.com/wp-content/uploads/2014/08/v-to-y-21.jpgV to Y 2A corner stitch, using the previously marked points on the base and the flap edge, is placed.https://lacerationrepair.com/wp-content/uploads/2014/08/v-to-y-31.jpgV to Y 3Tying the suture transforms the wound shape from a "V" to a "Y," with considerably less tension on the flap edge. https://lacerationrepair.com/wp-content/uploads/2014/08/v-to-y-11.jpgV to y 1Measure points of equal distance from the apex on both sides of the wound edge. https://lacerationrepair.com/wp-content/uploads/2014/08/v-shaped-lac1.jpgV shaped lacA V-shaped laceration. For reference purposes, the "Flap" edge and "Apex" of the wound are labelled. The flap tip and apex are not easily opposed due to tension. https://lacerationrepair.com/wp-content/uploads/2014/08/img_3368.jpgLarge V-shaped LacA large, V-shaped laceration on the forearm of a carpenter.2021-04-04T22:26:15+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/the-inverting-horizontal-mattress-suture/2021-04-04T22:26:06+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/locked-horizontal-mattress-suture/2021-04-04T22:25:58+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/the-running-horizontal-mattress-suture/2021-04-04T22:25:47+00:00weekly0.6https://lacerationrepair.com/techniques/advanced-wound-closure-techniques/the-shorthand-vertical-mattress-suture/2021-04-04T22:25:38+00:00weekly0.6https://lacerationrepair.com/techniques/alternative-wound-closure/hair-apposition-technique/2021-04-04T22:25:21+00:00weekly0.6https://lacerationrepair.com/techniques/alternative-wound-closure/no-closure/https://lacerationrepair.com/wp-content/uploads/2013/07/img_3512.jpgIMG_3512Day of injury. Swollen nose, upper lip abrasion, and a short but deep laceration to the upper lip.https://lacerationrepair.com/wp-content/uploads/2013/07/img_3514.jpgIMG_3514On closer inspection, the laceration does not cross the vermillion border, but does abut it. It is short but deep and bleeding a fair amount.https://lacerationrepair.com/wp-content/uploads/2013/07/xelin-nounou1wk.jpgxelin nounou1wkOne week after the injury.https://lacerationrepair.com/wp-content/uploads/2013/07/xelin-nounou.jpgxelin nounou2021-04-04T22:25:10+00:00weekly0.6https://lacerationrepair.com/techniques/alternative-wound-closure/tissue-adhesive-tape/2021-04-04T22:24:54+00:00weekly0.6https://lacerationrepair.com/techniques/alternative-wound-closure/tissue-adhesive-glue/2021-04-04T22:24:46+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/fragilethin-skin-technique/2021-04-04T22:24:00+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/extensor-tendon-lacerations-part-i/https://lacerationrepair.com/wp-content/uploads/2016/07/digit-redundancy-2.jpgdigit redundancy 2https://lacerationrepair.com/wp-content/uploads/2016/07/junctinae-tendinae-2.jpgjunctinae tendinae 22021-04-04T22:23:50+00:00weekly0.6https://lacerationrepair.com/techniques/special-situations/extensor-tendon-lacerations-part-iii/https://lacerationrepair.com/wp-content/uploads/2016/07/tendon-suture-cartoon.jpgtendon suture cartoon2021-04-04T22:23:27+00:00weekly0.6https://lacerationrepair.com/other-topics/about/credits/2021-04-04T22:21:04+00:00weekly0.6https://lacerationrepair.com/other-topics/about/disclaimer/2021-04-04T22:20:48+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/basic-wound-management-lecture-part-ii/2021-04-04T22:20:05+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/basic-wound-management-lecture-part-iii/2021-04-04T22:19:52+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/basic-wound-management-lecture-part-v/2021-04-04T22:19:38+00:00weekly0.6https://lacerationrepair.com/other-topics/2021-02-04T11:24:07+00:00weekly0.6https://lacerationrepair.com/techniques/2021-02-04T11:18:18+00:00weekly0.6https://lacerationrepair.com/other-topics/about/about-me/https://lacerationrepair.com/wp-content/uploads/2014/05/dsc_7848.jpgDSC_7848Brian Lin, MD, FACEPhttps://lacerationrepair.com/wp-content/uploads/2013/07/brian-lin.jpgBrian LinBrian Lin, MD, FACEP2024-02-26T21:37:18+00:00weekly0.6https://lacerationrepair.com/other-topics/patient-resources/suture-removal/2020-05-09T17:39:33+00:00weekly0.6https://lacerationrepair.com/other-topics/burns/burns-part-iii-initial-management-of-the-minor-wound/https://lacerationrepair.com/wp-content/uploads/2015/02/img_1680.jpgIMG_1680https://lacerationrepair.com/wp-content/uploads/2015/02/img_1672.jpgIMG_1672A burn blister potential worth debriding,https://lacerationrepair.com/wp-content/uploads/2015/02/burns3.jpgburns3Image from: http://www.stjohn.org.nz/Global/Images/FirstAidLibrary/burns3.jpghttps://lacerationrepair.com/wp-content/uploads/2015/02/burn-cooling.jpgburn coolingFrom the Global Evidence Mapping Initiative, Australasian Cochrane Center.2020-05-09T05:18:27+00:00weekly0.6https://lacerationrepair.com/other-topics/burns/burns-part-iv-dressings-for-outpatient-wounds/https://lacerationrepair.com/wp-content/uploads/2015/02/pull-over-scald.pngpull over scaldA 14-month-old male with pull-over scald burns from boiling water.https://lacerationrepair.com/wp-content/uploads/2015/02/img_0232.jpgIMG_0232The patient in the clinical scenario discussed above had silvadene applied to his wounds, which were then covered in xeroform under a dry dressing.https://lacerationrepair.com/wp-content/uploads/2015/02/img_0227.jpgIMG_0227Superficial partial thickness burns of the hands, caused by hot oil while cooking.https://lacerationrepair.com/wp-content/uploads/2015/02/img_0226.jpgIMG_0226Superficial partial thickness burns of the hands, sustained with hot oil while cooking.https://lacerationrepair.com/wp-content/uploads/2015/02/silvadene.pngsilvadeneTopical silver is the conventional antimicrobial used for burn wound dressings.https://lacerationrepair.com/wp-content/uploads/2015/02/price-tags.pngprice tagsCosts associated with different burn wound dressings vary widely. https://lacerationrepair.com/wp-content/uploads/2015/02/non-biologic-dressings1.pngnon biologic dressingsThe Non-Biologic Dressingshttps://lacerationrepair.com/wp-content/uploads/2015/02/best-dressing.pngBest Dressinghttps://lacerationrepair.com/wp-content/uploads/2015/02/non-biologic-dressings.pngNon Biologic Dressingshttps://lacerationrepair.com/wp-content/uploads/2015/02/biologic-dressings.pngThe Biologic Dressings2020-05-09T05:18:12+00:00weekly0.6https://lacerationrepair.com/other-topics/burns/part-v-escharotomy/https://lacerationrepair.com/wp-content/uploads/2015/02/escharotomy1.pngescharotomySuccessful escharotomy of the right arm. Note the use of a pneumatic tourniquet system, to limit bleeding of the underlying viable tissue.https://lacerationrepair.com/wp-content/uploads/2015/02/thoracic-eschar.pngthoracic escharIncisions for thoracic escharotomy.https://lacerationrepair.com/wp-content/uploads/2015/02/escharotomy.pngescharotomy"LAID" mnemonic for principles of escharotomy.https://lacerationrepair.com/wp-content/uploads/2015/02/escharotomy-algorithm.pngEscharotomy algorithmEscharotomy Algorithm2020-05-09T05:17:58+00:00weekly0.6https://lacerationrepair.com/other-topics/blocks/mental-nerve-block/2020-05-09T05:17:15+00:00weekly0.6https://lacerationrepair.com/other-topics/soft-tissue/loop-incision-drainage-revisited/https://lacerationrepair.com/wp-content/uploads/2015/10/abscess.jpgabscessAbscesses. Yuck!2020-05-09T05:15:50+00:00weekly0.6https://lacerationrepair.com/techniques/alternative-wound-closure/staples/2019-10-03T22:58:47+00:00weekly0.6https://lacerationrepair.com/other-topics/multimedia/basic-wound-management-lecture-part-iv/2019-01-31T06:33:02+00:00weekly0.6https://lacerationrepair.com/wound-blog/interesting-case-achilles-tendon-laceration/https://lacerationrepair.com/wp-content/uploads/2015/03/achilles-tendon-lac-mri1.jpgachilles tendon lac MRIComplete calcaneous (Achilles) tendon laceration, with 2.5 cm separation as noted by red arrow.https://lacerationrepair.com/wp-content/uploads/2015/03/achilles-tendon-lac-mri.jpgachilles tendon lac MRIMagnetic resonance imaging shows a 2.5 centimeter defect in the Achilles tendon.https://lacerationrepair.com/wp-content/uploads/2015/03/img_0332-e1426579351778.jpgIMG_0332Posterior leg laceration caused by a broken mirror. What underlying structure is at risk?2016-07-20T10:07:15+00:00weekly0.6https://lacerationrepair.com/wound-blog/the-show/https://lacerationrepair.com/wp-content/uploads/2013/09/img_3225.jpgIMG_3225https://lacerationrepair.com/wp-content/uploads/2013/09/img_3222.jpgIMG_3222https://lacerationrepair.com/wp-content/uploads/2013/09/img_3220.jpgPediatric LacerationA tough laceration. It's too splayed open for steri-strips or glue, but too small to justify sedation for suturing. What would you do?https://lacerationrepair.com/wp-content/uploads/2013/09/jimmy-at-work-2.jpgJimmy at work 2https://lacerationrepair.com/wp-content/uploads/2013/09/jimmy-at-work.jpgJimmy at work2016-07-20T09:59:20+00:00weekly0.6https://lacerationrepair.comdaily1.02025-06-23T17:18:28+00:00