J Korean Soc Emerg Med.  2012 Dec;23(6):862-868.

Investigation of Non-analgesic Subcutaneous Suture and Skin Bond in Patients with Deep Facial Lacerations

• Koh CY
• Kim HJ
• Cho YS
• Jun DH
• Kim JW

Abstract

PURPOSE
To evaluate the effectiveness of non-analgesic subcutaneous suture with an adhesive agent.
METHODS
We sutured lacerated wounds with an adhesive agent using a non-analgesic method and measured pain and patient satisfaction. We classified three steps (I: entering the needle, II: pulling the fiber, III: tying) in the suture sequence and evaluated the pain (painfulness, tolerance, painlessness) for each step.
RESULTS
Of 276 patients admitted within the period, 111 were enrolled in this study. The mean wound characteristics were 11+/-4 mm (depth) and 23+/-18 mm (length). Overall, 83(75%) patients were sutured without additional analgesics. On a pain scale, all steps were measured at over 90% with respect to tolerance and painlessness. In step II, tolerance (63%) and painfulness (10%) was higher than in the other steps (p<0.05). The mean rate of satisfaction was 4.7 (group 1, 4.8; group 2, 4.6; group, 3; 4.6, group 4, 4.7 (p=0.673).
CONCLUSION
Non-analgesic subcutaneous suture with adhesive agent was very effective for patients who were admitted to the emergency department with deep facial lacerations with a length of no more than 2 cm.

Keyword

Facial laceration; Analgesia; Subcutaneous suture; Adhesive agent; Pain

MeSH Terms

Adhesives
Analgesia
Analgesics
Emergencies
Humans
Lacerations
Needles
Patient Satisfaction
Skin
Sutures
Adhesives
Analgesics