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SPECIFIC LACERATIONS: Lip

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Initial stitch at border       Repair in layers: mucosa, muscle        Suture skin last

SPECIFIC LACERATION: Tongue

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SPECIFIC LACERATIONS: Ear

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  • Use folds of ear as landmarks
  • Use absorbable suture for cartilage
  • Support pinna on both sides with gauze

SPECIFIC LACERATIONS: Eyelid

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Initial suture for precise alignment Closure in layers: absorbable suture

HAND: Treatment of Lacerations

  • Check circulation, sensation, motor function
  • Gently examine wound using aseptic technique to determine if clean or contaminated: contaminated wound contains foreign material, crushed or dead tissue
  • Debride, lavage all wounds in operating theatre or emergency area
  • Administer tetanus toxoid, antibiotics if indicated
  • Stop bleeding by compression with sterile gauze; if necessary, extend wound, being careful not to cross skin creases in palm, digits
  • Close wounds only when clean, using suture, spontaneous healing or skin grafts
  • Debride, lavage all wounds in operating theatre or emergency area
  • If contaminated, delay closure until after second debridement
  • Wounds <1 cm will granulate spontaneously
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  • Cover with sterile gauze (A)
  • Apply plaster splint to hold wrist in 20o extension, fingertips exposed
  • Elevate limb for first week to reduce oedema (B)
  • Begin active exercises as soon as possible
  • Inspect wound in 2-3 days to remove drains
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SPECIFIC LACERATIONS: Tendons

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