Two Letters Re: On Suture, Staples, and Glue for Wound Closure
James: After reading David in Israel I had a few further suggestions. All open wounds do not have to be sutured, in fact most wounds that are dirty should not be sutured but allowed to drain, and heal by “secondary intention” or basically healing from within. Not all soft tissue wounds need to be cleaned, and dead and nonviable tissue trimmed away. Abscess and further extension of infection can occur with a dirty wound that it sutured closed. Wash with copious amount sterile water, dilute betadine, or dilute hydrogen peroxide. Non dilute solutions often can cause more damage to the …