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ABSTRACT Vertical undermining for repair of partial thickness defects is a new effective technique that allows the wound edges of partial thickness defects to be freed and mobilized so that [...]

Abstract An exact vertical approximation of epidermal edges during wound suturing allows rapid reepithelialization of the sutured wound and may reduce scar formation. Over 20 patients have been treated with [...]

Byline: C. Ong (1), A. Jacobsen (1), V. Joseph (2) Keywords: Tissue adhesives Incision closure Subcuticular suture Abstract: Tissue adhesives have gained favour for quicker and painless closure of lacerations. To compare the tissue adhesive 2-octylcyanoacrylate with our current standard subcuticular suture for closure of surgical incisions in children, looking at outcome measures of time efficiency, cosmesis, and wound complications, a prospective, randomised, controlled trial was conducted at our institution's ambulatory surgery centre. All healthy patients undergoing unilateral or bilateral herniotomies were recruited prospectively with informed consent and randomly allocated to suture or glue. The exclusion criteria were neonates or children with allergy to tissue glue. Time of wound closure was measured from the subcutaneous layer to application of the dressing. An independent, blinded observer assessed cosmesis at 2 to 3 weeks using a validated wound scale ranging from worst (0) to best (6). Parent satisfaction with wound appearance was recorded on a 100-mm visual analogue scale (VAS). A total of 59 patients were recruited into the study with 26 in the glue group and 33 in the suture group. There was no difference in mean time of closure (glue 181 +- 62 s vs suture 161 +- 45 s, P = 0.18). Two patients in each group had a suboptimal Hollander wound score of 5 (7.7% glue, 6.1% suture). There was also no difference in parent satisfaction (VAS: glue 78 +- 19 mm vs suture 81 +- 15 mm, P = 0.68). No patient reported any rash, wound infection, or dehiscence. Tissue glue is easy to use with no complications and has equivalent cosmetic results, but is not faster than a subcuticular suture. Author Affiliation: (1) Department of Pediatric Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899 (2) Division of Surgery, KK Women's and Children's Hospital, Singapore Article History: Accepted Date: 06/09/2001 Article note: Electronic Publication

In this article renowned writer Sir Kenelm Digby's work A Late Discourse .... Touching the Cure of Wounds by the Powder of Sympathy wherein a slave worked well by being applied to the weapon that made the wound instead of the wound itself is addressed. Digby's work gives a compelling example of the ways in which the conventions of gentlemanly behavior and romance as a literary form could be used to disseminate and repudiate natural philosophical claims that were present in the seventeenth century.

The antiseptic medicines harm the body's natural healing system by killing fibroblasts along with the infectious microorganisms. The benefits of natural healing of wounds by wet dressings are described.