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PubMed · 7027779

Wound healing.

W B Riley
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Abstract

In acute wounds, there is no substitute for mechanical debridement and irrigation. Enzymes are useful in some chronic wounds, but antibacterial solutions are indicated only when gross contamination or frank purulence exists. Sutures will endure as the method of choice for precise wound closure. A moist environment and topical vitamin A appear to enhance epithelialization. Deficiencies of specific vitamins and minerals affect different aspects of repair, but excess levels do not accelerate healing. The biology of exuberant scars is a mystery, but management by pressure, steroids and surgery is often successful.

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CicatrixDebridementHumansNutritional RequirementsSuture TechniquesWound HealingWounds and InjuriesJournal Article

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W B Riley. 1981. Wound healing.. https://pubmed.ncbi.nlm.nih.gov/7027779/

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Minimal scars for scalp surgery.

BACKGROUND: As is well known, scars are the indelible ransom of any surgical procedure and the major obstacle confronting patients and surgeons from an aesthetic standpoint. Many patients opt against a surgical solution for this reason only or choose surgical techniques which are sometimes open to question, such as follicular unit extraction. OBJECTIVE: The objective was to change from narrow scars created at present to that of scars minimal to the naked eye, the subject of this article. METHODS: Following a clinical study of more than 100 cases, I present a new surgical technique enabling for the first time the creation of minimal scars to the naked eye. This technique is based on the role of the galea responsible for tension and secondary widening of scars in classical techniques and explains hypodermic incision to eliminate this wound tension, as well as the specific role of deepithelialization of the lower lip of the wound. RESULT: A minimal scar to the naked eye was obtained in most cases with this technique. CONCLUSION: Owing to this major improvement, I have switched from the conventional closure techniques to this new one.

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