Easy and Fast Stitch out Method with a Traction Nylon in Pediatric Sutured Wound.

Lee, Yoon Jung; Lee, Kyung Suk; Kim, Jun Sik; Kim, Nam Gyun

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(2):199-201.
Published online March 1, 2010.

Easy and Fast Stitch out Method with a Traction Nylon in Pediatric Sutured Wound.

Yoon Jung Lee, Kyung Suk Lee, Jun Sik Kim, Nam Gyun Kim

Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University, Jinju, Korea. pellow@hanmail.net

Abstract

PURPOSE
Except for continuous suture in skin layer, stitching out in facial laceration, we have to hold each knots up and cut the knots by No. 11 blade or small scissors. However, we often have difficulty in stitching out the knots on children who do not cooperate well. Therefore we introduce an easy and fast stitch out method of pediatric lacerations. METHODS: From January to May 2009, we studied 15 pediatric patients(mean age 5.6 years old) who had facial laceration on face or underwent any surgery on operation room. For easy stitch out, we left the one string of the first knot long enough to extend at the opposite end of laceration site. And then the extended string was fixed to skin using Steri-strip. Next we do simple interrupted suture including the extended traction nylon string inside the knot. Through this method, we can stitch out all knots simply by lifting up the traction nylon needless to hold the each knot one by one.
RESULTS
Until stitching out, the traction nylon was just right position and there was no normal tissue injury during stitch out all knots. Patients were satisfied with the short stitch out time.
CONCLUSION
By using the traction nylon on pediatric laceration suture, we can stitch out all the knots with no normal tissue injury in less time.

Keywords: Pediatric laceration; Easy stitch out; Traction nylon