Stephen J. Schueler, M.D.

Overview Symptoms infection Evaluation Treatment specialist sutures tetanus Home Care pain in adults pain in children stitches warning signs Complications Types Anatomy

Lacerations Sutures

In general, lacerations that require sutures include:

  • Facial lacerations over 1/4 inch (6 mm)
  • Genital lacerations over 1/4 inch (6 mm)
  • Hand or foot lacerations over 1/4 inch (6 mm)
  • Lacerations over 1/2 inch (1.27 cm)

Guidelines for Suture Removal
  • Face: 4 to 5 days
  • Scalp: 7 days
  • Neck: 7 days
  • Trunk: 10 days
  • Extremities: 10 to 14 days

Sutures may need to stay in longer when the laceration is over a joint, or in an area that is under a lot of stress, such as the palm of the hand or sole of the foot.

Continue to Lacerations Tetanus

Last Updated: Dec 17, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Lacerations References
  1. Hess CT. The art of skin and wound care documentation. Adv Skin Wound Care. 2005 Jan-Feb;18(1):43-53. [15714037]
  2. Hogg K, Carley S. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Staples or sutures for repair of scalp laceration in adults. Emerg Med J. 2002 Jul;19(4):327-8. [12101148]
  3. Mattick A, Clegg G, Beattie T, Ahmad T. A randomised, controlled trial comparing a tissue adhesive (2-octylcyanoacrylate) with adhesive strips (Steristrips) for paediatric laceration repair. Emerg Med J. 2002 Sep;19(5):405-7. [12204985]
  4. Norman D. The effects of age-related skin changes on wound healing rates. J Wound Care. 2004 May;13(5):199-201. [15160575]
  5. O'Dell ML. Skin and wound infections: an overview. Am Fam Physician. 1998 May 15;57(10):2424-32. [9614412]
  6. Singer AJ, Giordano P, Fitch JL, Gulla J, Ryker D, Chale S. Evaluation of a new high-viscosity octylcyanoacrylate tissue adhesive for laceration repair: a randomized, clinical trial. Acad Emerg Med. 2003 Oct;10(10):1134-7. [14525751]
  7. Singer AJ, Quinn JV, Thode HC Jr, Hollander JE; TraumaSeal Study Group. Determinants of poor outcome after laceration and surgical incision repair. Plast Reconstr Surg. 2002 Aug;110(2):429-35. [12142655]
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