Name of the Procedure:

Simple repair of superficial wounds of the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet); 20.1 cm to 30.0 cm

• Common names: Laceration repair, wound suturing, wound stitching

Summary

This procedure involves the straightforward closure and repair of superficial wounds on various parts of the body, including the scalp, neck, armpits (axillae), genital area, trunk, and extremities (hands and feet), where the total wound length ranges from 20.1 cm to 30.0 cm.

Purpose

The purpose of this procedure is to close and heal superficial wounds to restore the integrity of the skin, prevent infection, and facilitate proper healing of the affected area.

Indications

• Presence of superficial wounds or lacerations measuring between 20.1 cm and 30.0 cm.
• Wounds that are clean and not extensively contaminated.
• Patients who need cosmetic or functional improvement of the affected area due to the wound.

Preparation

• Patients are typically advised to avoid eating or drinking a few hours before the procedure.
• An initial physical assessment of the wound and surrounding area.
• Possibly updating tetanus immunization if the wound is caused by a dirty object.

Procedure Description

1. The wound is cleaned thoroughly using antiseptic solutions.
2. Local anesthesia is administered to numb the area.
3. Edges of the wound are aligned, and sutures (stitches) are placed to close the wound.
   • Sterile equipment including suturing kits, forceps, and needles are used.
4. The wound is then dressed with a sterile bandage.

Duration

The procedure typically takes about 30-60 minutes, depending on the complexity and length of the wound.

Setting

The procedure is performed in various settings such as hospital emergency rooms, outpatient clinics, or urgent care centers.

Personnel

• A qualified medical professional, typically a physician, nurse practitioner, or physician assistant, performs the procedure.
• A nurse may assist in preparing materials and caring for the patient pre- and post-procedure.

Risks and Complications

• Infection at the site of the wound
• Scarring
• Wound dehiscence (reopening of the wound)
• Allergic reactions to anesthesia or antiseptics

Benefits

• Promotes faster and more efficient healing by closing the wound.
• Reduces the risk of infection.
• Provides better cosmetic and functional outcomes.

Recovery

• Keep the wound clean and dry for the first 24-48 hours.
• Follow up with a healthcare provider to monitor the healing process.
• Sutures are usually removed after about 7-14 days, depending on the location and the patient's healing rate.
• Avoid strenuous activities that might stress the wound.

Alternatives

• Application of skin adhesive or adhesive strips for smaller wounds.
• Delayed closure if the wound is heavily contaminated (requires initial cleaning and observation before closure).

Patient Experience

• Mild discomfort may be experienced during the administration of local anesthesia.
• Post-procedure pain is generally manageable with over-the-counter pain relief.
• Patients should follow care instructions to reduce discomfort and facilitate proper healing.