Title: Knowledge, Attitude and Practices of Suturing and Management of Wound among Interns

Authors: Arun Kumar Singh, Vijay Kumar Goel, Pratap Shankar, Amod Kumar Sachan, Rakesh Kumar Dixit

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.60

Abstract

Injuries in our body can cause the wound. Wound may differ by location and type. Sometime wound can be managed by the medicines and sometimes suturing also included. Suturing can be included in small wound to the emergency trauma patients. If wound is not managed properly, it may causes serious infections which can lead to death of the patients. So wound needs serious assessment and appropriate management. In suturing there are several factors are involving including suture, needle etc., which needs expertise to complete the task. Each and every suture needs experience for the selection of suturing material. The doctors are supposed to be expert in their undergraduate studies. Their internship training is fully dedicated to hands on training in different departments of hospitals. Doctors are learning about suturing and other techniques of medical sciences since their undergraduate studies. Internship training period is the most important period to learn and apply their knowledge because the medical interns are also known as the future doctors. After internship training the medical interns are officially eligible for their individual practices. So it must be a rigorous training in wound management and suturing because emergency and trauma patients can visit any time to the clinic. This study is focused on the knowledge, attitude and practices of suturing and wound management among interns of medical colleges of northern India.  

Keywords: Medical Interns, Medical Science, Suturing, Management of Wound, Needle, Suture. 

References

1.      Kudur MH, Pai SB, Sripathi H, Prabhu S. Sutures and suturing techniques in skin closure. Indian J Dermatol Venereol Leprol 2009; 75:425-34.

2.      Singer AJ, Hollander JE, Quinn JV. Evaluation and management of traumatic lacerations. N Engl J Med 1997; 337:1142­8.

3.      Carrico TJ, Mehrof AI, Cohen IK. Biology of wound healing. Surg Clin N Am 1984; 64:721­33.

4.      Singer AJ, Clark RAF. Cutaneous wound healing. N Engl J Med 1999; 341:738­45.

5.      Hollander JE, Singer AJ, Valentine S, Thode HC, Henry MC. Wound registry: development and validation. Ann Emerg Med 1995; 25:675­85.

6.      Storrow AB, Stack LB, Peterson P. An approach to emergency department photography. Acad Emerg Med 1994; 1:454­62.

7.      Quinn JV, Drzewiecki AE, Stiell IG, Elmslie TJ. Appearance scales to measure cosmetic outcomes of healed lacerations. Am J Emerg Med 1995; 13:229­31.

8.      Quinn JV, Wells G. An assessment of clinical wound evaluation scales. Acad Emerg Med 1998; 5:583­6.

9.      Quinn JV. Clinical wound evaluation. Acad Emerg Med 1996; 3:298­9.

10.  Watts GT. Sutures for skin closure. Lancet 1975; 1:581.

11.  Moy RL, Lee A, Zalka A. Commonly used suture materials in skin surgery. Am Fam Physician 1991; 44:2123-8.

12.  Lober CW, Fenske NA. Suture materials for closing the skin and subcutaneous tiss-ues. Aesthetic Plast Surg 1986; 10:245-7.

13.  Spelzini F, Konstantinovic ML, Guelinckx I, Verbist G, Verbeken E, De Ridder D, et al. Tensile strength and host response towards silk and type 1 polypropylene implants used for augmentation of Fascial repair in a rat model. Gynecol Obstet Invest 2007; 63:155-62.

14.  Meinel L, Hofmann S, Karageorgiou V, Kirker-Head C, McCool J, Gronowicz G, et al. The inflammatory responses to silk films in vitro and in vivo. Biomaterials 2005; 26:147-55.

15.  Borges AF. Techniques of wound suture. Elective Incisions and Scar Revision. Boston: Little Brown 1973:65-76.

16.  Swanson NA. Basic Techniques. Atlas of Cutaneous Surgery. Boston: Little Brown 1987:26-49.

17.  Moy RL, Waldman B, Hein DW. A review of sutures and suturing techniques. J Dermatol Surg Oncol 1992; 18:785-95.

18.  Stegmen SJ. Suturing Techniques for dermatologic surgery. J Dermatol Surg Oncol 1978; 4:63-8.

19.  Aston SJ. The choice of suture material for skin closure. J Dermatol Surg 1976; 2:57-61.

20.  Bennett RG. Selection of wound closure materials. J Am Acad Dermatol 1988; 18:619-37.

21.  Mackenzie D. The history of sutures. Med Hist 1973; 17:158-68.

Corresponding Author

Dr Arun Kumar Singh

Assistant Professor, Department of Surgery

Hind Institute of Medical Sciences, Safedabad, Barabanki

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile: 9415046400