Singer et al identified factors affecting the final appearance following repair if a laceration or surgical incision. These can help to identify a patient who may require more aggressive management. The authors are from the State University of New York at Stony Brook.


Factors associated with a worse appearance after healing:

(1) wound on an extremity

(2) wide wound

(3) infection

(4) incomplete apposition of the wound edges

(5) trauma to adjacent and underlying tissue

(6) use of electrocautery


A wound with one or more of these factors may have a suboptimal appearance.


Other issues not mentioned:

(1) tendency to form keloid or hypertrophic scar

(2) use of drugs that impair healing like corticosteroids


Adequate debridement would affect a traumatic wound but would be less important in a laceration or surgical incision.


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