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Provider Prepared’s Weekly Pearl of Wound Wisdom #7 Eversion is the in thing to do!
A 22 year old female presents to the Emergency Department for management of a laceration to the back of her hand. The wound was created after she accidentally struck it upon aluminum sheet metal while working. With her hand relaxed the skin edges invert into the wound margin.
The best wound healing occurs when the wound margins are everted, keeping the skin surface up and out of the wound margin. An additional obstacle to wound repair is tension across the wound. Eversion of the wound margin is an appropriate method to allow good wound edge alignment; and is an important surrogate marker for tension reduction.
Placing horizontal mattress sutures are a very effective way to provide wound eversion. Single simple interrupted sutures placed in a ‘water flask’ shape will also provide a reasonable amount of eversion.
Lin, BR et al. EMRAP April 2017:17:4(1-2)
The dorsal hand laceration was well everted with a central horizontal mattress suture, flanked by simple interrupted sutures. Have your Emergency Department suture supplies available at home with a Provider Prepared suture kit!
Provider Prepared
Nathan Whittaker, MD
The best wound healing occurs when the wound margins are everted, keeping the skin surface up and out of the wound margin. An additional obstacle to wound repair is tension across the wound. Eversion of the wound margin is an appropriate method to allow good wound edge alignment; and is an important surrogate marker for tension reduction.
Placing horizontal mattress sutures are a very effective way to provide wound eversion. Single simple interrupted sutures placed in a ‘water flask’ shape will also provide a reasonable amount of eversion.
Lin, BR et al. EMRAP April 2017:17:4(1-2)
The dorsal hand laceration was well everted with a central horizontal mattress suture, flanked by simple interrupted sutures. Have your Emergency Department suture supplies available at home with a Provider Prepared suture kit!
Provider Prepared
Nathan Whittaker, MD
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