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The majority of hand cuts don't need stitches

treatment group after three months, according to the researchers.

All lacerations were deemed to require sutures before randomization and the lacerations treated with sutures in the study required on average 3.5 sutures to achieve wound closure. Patients were excluded from the study if: their cuts were larger than 2 cm; they came to the emergency department more than 8 hours after the time of their injury; bleeding could not be stopped after 15 minutes of direct pressure; cuts were associated with neurovascular, tendon, or bone injury; the cut involved the nail bed; the injury was actually a puncture wound or a cut secondary to a bite wound.

The study authors do not dispute that large wounds need to be closed with sutures after meticulous wound care, and they emphasize that their results cannot be generalized to cosmetically sensitive areas such as the face.


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Contact: Maureen McInaney
mmcinaney@pubaff.ucsf.edu
415-476-2557
University of California - San Francisco
8-Aug-2002


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