injuries poisoning
How To Do Plastic Surgical Repair With Buried Deep Dermal Sutures
Aftercare for Deep Dermal Sutures
Dress the wound (see Lacerations and Splint joints whose movement will cause wound tension (eg, an elbow splint for a dorsal elbow laceration). Instruct the patient to keep the dressing dry and in place and to return in 2 days for a wound check. Instruct the patient to return if signs of infection develop (eg, increased pain, swelling, redness, fever, proximally spreading red streaks [infectious lymphangiitis]). Instruct the patient when to return for skin suture removal, which is generally based on the wound site: 3 to 5 days for the face, 6 to 10 days for the scalp and trunk, 10 to 14 days for the arms and legs, and 14 days for wounds overlying joints. Early suture removal risks wound dehiscence; however, to decrease scarring and cross-hatching of facial sutures, half of the suture line (ie, every other suture) may be removed on day 3 and the remainder are removed on day 5. 