Acute lacerations: Assessment and non-surgical management

Aust J Gen Pract. 2019 Sep;48(9):585-588. doi: 10.31128/AJGP-06-19-4962.

Abstract

Background: Given appropriate case selection and capability, many acute lacerations can be managed in the primary care setting. An understanding of the basic pathophysiology, assessment and management principles is essential.

Objective: The aim of this article is to provide a basic framework for assessing and managing simple acute lacerations.

Discussion: The aim of assessment is initially to decide whether the laceration is suitable for office-based treatment, and then whether it requires formal surgical closure with sutures or staples. Two non-surgical techniques for skin closure in amenable wounds are described. A companion article in this issue provides details of surgical closure techniques and wound aftercare.

MeSH terms

  • Anesthesia, Local
  • Antisepsis*
  • Bandages
  • General Practice*
  • Humans
  • Lacerations / therapy*
  • Personal Protective Equipment
  • Sutureless Surgical Procedures / methods*
  • Tetanus / prevention & control
  • Tetanus Toxoid / therapeutic use
  • Therapeutic Irrigation*
  • Tissue Adhesives / therapeutic use*
  • Wound Closure Techniques

Substances

  • Tetanus Toxoid
  • Tissue Adhesives