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Essay / Research Paper Abstract
A 5 page research paper that discusses literature on various aspects of wound closure. Topics covered include the use of adhesive tape, tissue adhesive (Dermabond), and sutures. Several types of sutures are explained and, lastly, post-wound closure care is discussed with a focus on choice of appropriate dressing. Bibliography lists 8 sources.
Page Count:
5 pages (~225 words per page)
File: D0_khwndclo.rtf
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Unformatted sample text from the term paper:
state that primary closure preferable occurs within the first 12 hours after the injury. Secondary intent refers to "allowing the wound to scar and heal" by itself (Gross, 2007).
However, Reynolds and Cole (2006) define secondary wound closure as a purposeful delay in closing the wound in order to allow antibiotics to first take effect. Tertiary closure refers
to "delayed closure undertaken on dirty wounds in which the chance of infection is unacceptably high" (Gross, 2007). In this case, the wound is "packed open" and requires frequent dressing
changes (Gross, 2007). This allows for the formation of a "rich vascular bed," which forms over the course of 4 to 5 days, after which the wound is closed (Gross,
2007). Minor wounds : The first step in the closure of minor wounds to due accidents is to thoroughly cleanse the wound to ensure that it is completely
clean of particulate matter (Davies, 2005). Minor wounds can be closed using "adhesive tape, tissue adhesive (glue) or sutures" (Davies, 2005, p. 61). Sterile adhesive strips (Leukostrip, steriStrip) come in
a variety of lengths and widths (Davies, 2005). This method should not be used over joints or any areas of the body where they will be stretching of involved tissues.
After ensuring that the wound is clean and dry, align the wound edges and place strips on either side, without placing them under tension (Davies, 2005). Adhesive strips should not
encircle digits, rather than should be cut to required lengths. Dermabond, Epiflu, and similar products can also be used to close wounds. Dermabond is a "cyanoacrylate tissue adhesive," which forms
a "strong bond across apposed wound edges" (Bruns and Worthington, 2000, p. 1383). It is designed to replace the use of sutures for small wounds. It forms a "flexible water-resistance
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