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Current trends in wound management.

Kapil Vidyarthi1, Suresh Gupta

  • 1Sir Ganga Ram Hospital, New Delhi, India. kapilv@eth.net

Indian Journal of Pediatrics
|June 6, 2003
PubMed
Summary

Pediatric wound management involves thorough cleaning and assessment. Current trends include primary repair for tidy wounds and advanced closure techniques like tissue adhesives for efficient pediatric office care.

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Area of Science:

  • Pediatric Emergency Medicine
  • Wound Care
  • Surgical Procedures

Background:

  • Lacerations and wounds are frequent pediatric emergency department visits.
  • Pediatricians can manage most pediatric wounds effectively.
  • Newer wound closure methods offer benefits in outpatient settings.

Purpose of the Study:

  • To review current trends in pediatric wound management.
  • To highlight practical approaches for pediatricians.
  • To discuss wound assessment, closure, and healing factors.

Main Methods:

  • Review of current literature and clinical practices in pediatric wound care.
  • Emphasis on wound assessment, including tidiness and foreign body removal.
  • Discussion of various wound closure techniques suitable for pediatric patients.

Main Results:

  • Wound tidiness dictates management: primary repair for tidy wounds, conversion for untidy wounds.
  • Thorough irrigation and assessment for foreign bodies and associated injuries are crucial.
  • Tissue adhesives are highlighted as a beneficial method for pediatric office settings.

Conclusions:

  • Effective pediatric wound management requires careful assessment and appropriate closure techniques.
  • Considering host and environmental factors is essential for optimal wound healing.
  • Selective antibiotic use and parental involvement can aid in pediatric wound care.

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