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. 2006 Mar 4;332(7540):532-5.
doi: 10.1136/bmj.332.7540.532.

Traumatic and surgical wounds

David J Leaper  1
Affiliations

Traumatic and surgical wounds

David J Leaper. BMJ. .
No abstract available

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Figures

Figure 1
Figure 1
Although the 16th century French surgeon Ambroise Paré could successfully dress a wound, he felt that only God could heal it
Figure 2
Figure 2
Pretibial laceration showing treatment with sterile skin closure strips
Figure 2
Figure 2
Pretibial laceration showing treatment with sterile skin closure strips
Figure 3
Figure 3
Streptococcal cellulitis complicating a leg wound (wound not shown)
Figure 4
Figure 4
Left: Suture techniques in skin. Top right: Simple and mattress closure. Bottom right: Subcuticular closure
Figure 5
Figure 5
Types of needles used for different surgical procedures. Straight needles and all hand needles are no longer recommended as they have an added risk of causing needle stick injury and the passage of viruses through body fluids. Instrument mounted needles or, when appropriate (as in closure of abdominal fascia), blunted needles should be used
Figure 6
Figure 6
Left: Final appearance of subcuticular closure with polypropylene closure. Right: Final appearance of subcuticular closure with polyglactin closure
Figure 6
Figure 6
Left: Final appearance of subcuticular closure with polypropylene closure. Right: Final appearance of subcuticular closure with polyglactin closure
Figure 7
Figure 7
Left: Incision of neck closed with skin clips. Right: X ray showing stapled low anterior resection: the gastrografin enema shows no leakage from the anastomosis
Figure 7
Figure 7
Left: Incision of neck closed with skin clips. Right: X ray showing stapled low anterior resection: the gastrografin enema shows no leakage from the anastomosis
Figure 8
Figure 8
Polyurethane film dressing over a wound after subcuticular closure
Figure 9
Figure 9
Shapes of needle used in surgical and traumatic wound closure
Figure 10
Figure 10
Excision wound in hidradenitis suppurativa
See this image and copyright information in PMC

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References

    1. Téot L, Banwell PE, Ziegler UE, eds. Surgery in wounds. Berlin: Springer, 2004.
    1. Leaper DJ, Harding KG, eds. Wounds. Biology and management. Oxford: Oxford Medical Publications, 1998.
    1. Bales S, Harding K, Leaper DJ. An introduction to wounds. London: Emap Healthcare, 2000.
    1. Leaper DJ, Harding KG, Phillips CJ. Management of wounds. In: Johnson C, Taylor I, eds. Recent advances in surgery. 25th ed. London: Royal Society of Medicine, 2002.
    1. Leaper DJ, Low L. Surgical access: incisions and the management of wounds. In: Kirk RM, Ribbons WJ, eds. Clinical surgery in general. 4th ed. Edinburgh: Churchill Livingstone, 2004.