New concepts in wound management

Abstract

Many wound care techniques originate in antiquity, and despite tremendous advances, dogma still clouds common practices. Recent literature has sought to disprove long-held beliefs and introduce simpler methods. Topical anasthetics containing epinephrine may be a safe and effective adjunct to injected local anesthetics for the digits. Tap water may be an inexpensive alternative for wound irrigation. Clean, nonsterile gloves may be adequate for use during closure of routine lacerations. Tissue adhesive has become a common method for wound closure, and modifications have been introduced to overcome many of the product's shortfalls. Absorbable suture may be a cosmetically viable option for repairing skin lacerations. Finally, evaluation of the need for tetanus prophylaxis is an important, but possibly underused, finish to the wound care process.