Modified Wound Closure Technique in de Quervain’s Tenosynovitis

de Quervain’s release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and longitudinal incisions. The wrist is a sensitive area, and patients often report residual pain post-release. We offer a modified technique o...

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Published inIndian journal of surgery Vol. 83; no. 6; pp. 1521 - 1523
Main Authors Zeiderman, Matthew R., Sonoda, Laura A., Phan, Eileen N., Szabo, Robert M.
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.12.2021
Springer
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Abstract de Quervain’s release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and longitudinal incisions. The wrist is a sensitive area, and patients often report residual pain post-release. We offer a modified technique on wound closure in de Quervain’s release to facilitate a smoother postoperative experience by taking in account the patient experience from the finish of release until the time of suture removal. Prolene™ sutures that require removal are preferred over absorbable sutures due to skin reactions that occur with absorbable sutures that may cause more scarring, pain, and irritation to the radial sensory nerve. Additionally, the placement of Steri-Strips beneath the knot and cut end of suture, as well as one on top of the construct, ensures that there is minimal opportunity for prominent, stiff knots or sharp ends of suture to bother the patient. Altogether, from suture choice to purposeful Steri-Strip placement, our simple and quick modifications place high value in patient comfort and cosmesis, leading to improved patient satisfaction.
AbstractList de Quervain's release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and longitudinal incisions. The wrist is a sensitive area, and patients often report residual pain post-release. We offer a modified technique on wound closure in de Quervain's release to facilitate a smoother postoperative experience by taking in account the patient experience from the finish of release until the time of suture removal. Prolene[TM] sutures that require removal are preferred over absorbable sutures due to skin reactions that occur with absorbable sutures that may cause more scarring, pain, and irritation to the radial sensory nerve. Additionally, the placement of Steri-Strips beneath the knot and cut end of suture, as well as one on top of the construct, ensures that there is minimal opportunity for prominent, stiff knots or sharp ends of suture to bother the patient. Altogether, from suture choice to purposeful Steri-Strip placement, our simple and quick modifications place high value in patient comfort and cosmesis, leading to improved patient satisfaction.
de Quervain’s release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and longitudinal incisions. The wrist is a sensitive area, and patients often report residual pain post-release. We offer a modified technique on wound closure in de Quervain’s release to facilitate a smoother postoperative experience by taking in account the patient experience from the finish of release until the time of suture removal. Prolene™ sutures that require removal are preferred over absorbable sutures due to skin reactions that occur with absorbable sutures that may cause more scarring, pain, and irritation to the radial sensory nerve. Additionally, the placement of Steri-Strips beneath the knot and cut end of suture, as well as one on top of the construct, ensures that there is minimal opportunity for prominent, stiff knots or sharp ends of suture to bother the patient. Altogether, from suture choice to purposeful Steri-Strip placement, our simple and quick modifications place high value in patient comfort and cosmesis, leading to improved patient satisfaction.
Audience Academic
Author Szabo, Robert M.
Phan, Eileen N.
Zeiderman, Matthew R.
Sonoda, Laura A.
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Cites_doi 10.1016/j.main.2013.09.002
10.5312/wjo.v9.i2.7
10.1002/art.20535
10.1093/asj/sjz036
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Issue 6
Keywords Cosmesis
de Quervain’s
Pain
Release
Tenosynovitis
Wound closure
Language English
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Snippet de Quervain’s release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and...
de Quervain's release, or first dorsal compartment release, is a commonly performed procedure. There are several approaches to surgery including transverse and...
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SubjectTerms Cardiac Surgery
Medical supplies
Medicine
Medicine & Public Health
Methods
Neurosurgery
Patient satisfaction
Pediatric Surgery
Plastic Surgery
Skin
Surgery
Surgical Techniques and Innovations
Sutures
Thoracic Surgery
Title Modified Wound Closure Technique in de Quervain’s Tenosynovitis
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