Wound closure strip

Wound closure strips, also known as steri-strips or suture strips, are adhesive strips used to close small wounds or surgical incisions. They are a preferred method for wound closure in certain cases due to their non-invasive nature, ease of application, and minimal scarring compared to traditional sutures or staples.

Overview

Wound closure strips are made from a variety of materials, including paper, plastic, and fabric, which are coated with a hypoallergenic adhesive. These strips are applied across a wound or incision to pull the edges together and promote healing. They are commonly used in both emergency settings and after surgical procedures to close wounds that are clean, straight, and have well-defined edges.

Indications

Wound closure strips are indicated for use in:

• Minor cuts and abrasions
• Surgical incisions following minor outpatient procedures
• Lacerations that do not involve muscle, tendon, or facial involvement
• Wounds that are not under significant tension and have low risk of infection

Contraindications

The use of wound closure strips is contraindicated in:

• Wounds with jagged or undefined edges
• Wounds under high tension
• Wounds with a high risk of infection
• Wounds in areas of high mobility where the strips may not adhere properly

Application

The application of wound closure strips involves cleaning and drying the wound area thoroughly before applying the strips across the wound. The strips should be placed parallel to each other and should not be stretched during application. After application, the strips can be covered with a sterile dressing to protect the wound.

Advantages

The advantages of using wound closure strips include:

• Reduced risk of infection compared to sutures or staples
• Minimal scarring
• No need for removal, as the strips fall off naturally as the wound heals
• Ease of application and removal

Disadvantages

Disadvantages of wound closure strips include:

• Limited use in wounds under high tension or with irregular edges
• Potential for allergic reaction to the adhesive
• Less strength compared to sutures or staples, making them unsuitable for deep or highly active areas

Care and Removal

Care for wounds closed with wound closure strips includes keeping the area clean and dry. The strips should be allowed to fall off naturally, which typically occurs within 7 to 14 days. If removal is necessary, it should be done gently to avoid reopening the wound.

Conclusion

Wound closure strips offer a convenient and effective method for closing certain types of wounds. Their ease of use and minimal scarring make them a popular choice for both healthcare providers and patients. However, their application is limited to specific types of wounds, and they are not suitable for all wound closure needs.