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July 1965

Recent Results With Sutureless Wound Closure in Children

Author Affiliations

From the Pediatrics Service, USAF Hospital Andrews, Andrews Air Force Base, Assistant Chief, and Georgetown University Medical Center, Clinical Instructor of Pediatrics.

Am J Dis Child. 1965;110(1):42-45. doi:10.1001/archpedi.1965.02090030048006

MATERIALS for suturing have improved over the centuries but the needle and suture method remains far from ideal. The inadequacies of thread suture were experienced by the early Egyptians who found the advantages of using adhesive plaster for complicated wounds.1 The same technique of applying adhesive plaster was used with modifications until the Second World War.

In 1942, a new method was proposed, using adhesive plaster applied to wound edges. Sutures were then used to unite the adhesive apposing the wound edges.2 More recently, cellophane tape has been used; but the lack of porosity led to accumulation of secretions, wound edge separation, and poor healing.3 The improved adhesive plasters still resulted in skin irritation and accumulation of secretions, thereby relegating the material to a secondary role in treatment of traumatic wounds.

In 1960, a report was published, describing the successful development and clinical appraisal of a completely

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