Dr. Bill Lear details use of GluSeal and HEMIGARD adhesive retention suture device, along with some barbed suture, for an upper shin wound closure.
Using a 2-0 quill bi-directional suture, he starts in the middle with the quill and goes on each side of the wound. Placing the quill first then putting on the HEMIGARD device.
“This is a method that lets us use a different method of layered closure than a simple, interrupted buried suture,” said Dr. Bill Lear, M.D.
It is necessary that the skin is nice and clean and dry. Intermittently have someone blotting so that there is no disruption in inserting the sutures and closing the wound seamlessly.
As Dr. Bill Lear, M.D maintains some tension on the wound, he finishes the HEMIGARD retention suture knot and then cut the ends of the quill from the skin.
In the video below, you can see the wound is closed using a HEMIGARD suture holding the middle of it, and GluSeal to seal the wound instead of using top sutures.“GluSeal is glue from GluStitch (Incorporated). These are individually packed and I apply the acrylate glue to the wound and use steri-strips for the top of these wounds.”
Dr. Lear suggests using long reinforced steri strips to keep the edges of the wound together and it makes sure patients keep this entire apparatus clean and dry.
Visit YouTube to view the entire how-to video from Dr. Bill Lear, M.D.