How to create multiple punctate relaxing incisions: Step 1 (large photo)

source-image
Oct 01, 2009
By dvm360.com staff

After administering general anesthesia, prepare the skin around the lesion for aseptic surgery. Then inject a local long-acting analgesic agent (e.g. bupivacaine) around the wound.

Undermine the skin around the wound. If it is not possible to appose the skin edges after undermining, consider using multiple punctate relaxing incisions.

Begin wound closure with a continuous intradermal suture, using 2-0 or 3-0 absorbable suture material on a swaged cutting needle. If the skin edges do not appose as the suture is tightened (A) or if the suture tightens with tension, make punctate relaxing incisions in the skin adjacent to the wound edges (B) on both sides of the wound. Make the incisions in staggered rows, parallel to the wound edges, which are usually parallel to the long axis of the wound.

Place the first row about 1 cm from the wound edge on both sides. Make the first incisions about 1 cm long, and space them about 0.5 cm apart. Beginning with the second row, stagger each incision in respect to the preceding row. Make additional rows of similar incisions as needed to attain relaxation and skin edge apposition. Usually two rows on either side of the wound are sufficient to attain wound closure.

Step by Step Article

ADVERTISEMENT

Photo galleries

Vet-spiration: Don't worry, get happy with your weekly dose of motivation from the veterinary world

FIRSTLINE - Jul 18, 2014

By dvm360.com staff

Vet-spiration: Don't worry, get happy with your weekly dose of motivation from the veterinary world

Vet-spiration: Your weekly dose of happy from the veterinary world

FIRSTLINE - Jul 11, 2014

By dvm360.com staff

Vet-spiration: Your weekly dose of happy from the veterinary world

Skills Laboratory: Eyelid laceration repair: A step-by-step guide

VETERINARY MEDICINE - Jul 01, 2014

By Juliet R. Gionfriddo, DVM, MS, DACVO

Use care when repairing lacerations of the eyelid to ensure that functionality of the eye and cosmetic appeal are maintained for the patient.