Pilihan Teknik Penutupan Luka Laserasi Kulit

Oleh :

dr. Sonny Seputra, Sp.B, M.Ked.Klin, FINACS

Teknik penutupan luka laserasi telah berkembang secara signifikan, dari penggunaan jahitan sederhana hingga penggunaan staples dan perekat luka tanpa jahitan. Dengan semakin banyaknya alternatif, maka pemilihan tiap teknik penutupan luka laserasi penting diketahui.[1]

Luka laserasi merupakan penyebab umum kunjungan pasien ke instalasi gawat darurat. Di Amerika Serikat, kasus luka laserasi menyumbang sekitar 8,2% dari keseluruhan kunjungan ke instalasi gawat darurat. Tujuan dari manajemen luka laserasi adalah mencapai hemostasis dan kosmetik yang baik, tanpa meningkatkan risiko infeksi dan komplikasi lainnya.[2,3]

Pemilihan Teknik Jahitan untuk Penutupan Luka Laserasi

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Azmat CE, Council M. Wound Closure Techniques. 2023. In: StatPearls. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470598/
2. Otternes K and Singer AJ. Updates in emergency department laceration management. Clin Exp Emerg Med. 2019 Jun; 6(2): 97–105.
3. Tejani C, Sivitz AB, Rosen MD, Nakanishi AK, Flood RG, Clott MA, Saccone PG, Luck RP. A comparison of cosmetic outcomes of lacerations on the extremities and trunk using absorbable versus nonabsorbable sutures. Acad Emerg Med. 2014 Jun;21(6):637-43.
4. Forsch RT, Little SH, Williams C. Laceration Repair: A Practical Approach. Am Fam Physician. 2017 May 15;95(10):628-636
5. Osmond MH, Klassen TP, Quinn JV. Economic comparison of tissue adhesive and suturing the repair of pediatric facial lacerations. J Pediatr 1995;126:892–5.
6. Farion KJ, Osmond MH, Hartling L, et al. Tissue adhesives for traumatic lacerations: a systematic review of randomized controlled trials. Acad Emerg Med 2003;10:110–8.
7. Holger JS, Wandersee SC, Hale DB. Cosmetic outcomes in facial laceration repair with tissue adhesive, absorbable and nonabsorbable sutures. Am J Emerg Med 2004;22:254–7.
8. Parell GJ, Becker GD. Comparison of absorbable with nonabsorbable sutures in closure of facial skin wounds. Arch Facial Plast Surg 2003;5:488–90.
9. Luck RP, Flood RG, Eyal DE, Saludades J, Hayes C, Gaughan J. Cosmetic outcomes between absorbable versus nonabsorbable sutures in pediatric facial lacerations. Pediatr Emerg Care 2008;4:137–42.
10. Deboard RH, Rondeau DF, Kang CS, Sabajj A, Mcmanus JG. Principles of basic wound care management in the emergency department. Emerg Med Clin North Am 2007;25:23–39.
11. Missori P, Polli FM, Fontana E, Delfini R. Closure of skin or scalp with absorbable sutures. Plast Reconstr Surg 2003;112:924–5.
12. Iavazzo C, Gkegkes ID, Vouloumanou EK, Mamais I, Peppas G, Falagas ME. Sutures versus staples for the management of surgical wounds: a meta-analysis of randomized controlled trials. Am Surg. 2011 Sep;77(9):1206-21. PMID: 21944632.
13. Esmailian M, Azizkhani R, Jangjoo A, Nasr M, and Nemati S. Comparison of Wound Tape and Suture Wounds on Traumatic Wounds’ Scar. Adv Biomed Res. 2018; 7: 49.
14. Quinn JV, Polevoi SK, Kohn MA. Traumatic lacerations: What are the risks for infection and has the ‘golden period’ of laceration care disappeared? Emerg Med J. 2014;31:96–100.
15. Singer AJ, Hollander JE, Valentine SM, Turque TW, McCuskey CF, Quinn JV. Prospective, randomized, controlled trial of tissue adhesive (2-octylcyanoacrylate) vs standard wound closure techniques for laceration repair. Stony Brook Octylcyanoacrylate Study Group. Acad Emerg Med. 1998;5:94–9.
16. Zempsky WT, Parrotti D, Grem C, Nichols J. Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with Steri Strip Skin Closures or Dermabond tissue adhesive. Pediatr Emerg Care. 2004;20:519–24.

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Masuk atau Daftar

Referensi

Artikel Terkait