Revolutionary advances in the management of traumatic wounds in the emergency department during the last 40 years: part II.
OBJECTIVE
During the last four decades, our research team has devised advances in wound repair that are highlighted in Part II of this collective review.


CONCLUSIONS
There are several different methods to provide an accurate and secure approximation of the skin edges-sutures, tapes, staples, and tissue adhesives. Ideally, the selection of the wound closure technique will be based on the biologic interaction of the materials employed, tissue configuration, and biomechanical properties of the trauma wound. Selection of the appropriate wound dressing is another important consideration in the management of the trauma wound.


CONCLUSIONS
On the basis of the comprehensive research and clinical studies, we have individualized the wound closure techniques for traumatic wounds so that healing can be achieved with more aesthetically pleasing scars.
Edlich
Richard F
RF
Distinguished Professor of Plastic Surgery, Biomedical Engineering, and Emergency Medicine, University of Virginia Health Systems, Charlottesville, Virginia, USA.
Rodeheaver
George T
GT
Thacker
John G
JG
Lin
Kant Y
KY
Drake
David B
DB
Mason
Shelley S
SS
Wack
Courtney A
CA
Chase
Margot E
ME
Tribble
Curt
C
Long
William B
WB
Vissers
Robert J
RJ
D001458:Bandages / Q000706:statistics & numerical data* / Q000639:trends*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D015995:Prevalence; D053832:Surgical Tape; D013536:Suture Techniques; D013537:Sutures; D014014:Tissue Adhesives; D014945:Wound Healing; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000628:therapy*
D014014:Tissue Adhesives