摘要：

An unsightly operation scar may have a negative effect on the psyche of pediatric patients. We employed a subcuticular suture for closing all wounds. In addition, we used absorbable sutures for closing the subcuticular layer to avoid pain when sutures are removed. A skin incision is made along a cleavage line. The subcutaneous adipose tissue is sutured with an absorbable suture, and the dermal layer is closed with mono-filament absorbable sutures. We do not use a non-absorbable suture for this layer because tension on the wound is usually mild in children. The subcuticular layer is sutured with a 5-0 mono-filament absorbable suture and surgical tape is applied for six months to prevent widening of the scar. Even when a wound is contaminated by micro-organisms, for example during surgery for acute appendicitis with generalized peritonitis, we use the same technique for primary closure of the wound. Thorough prophylaxis for wound infection is essential in this situation. Antibiotics are commenced intraoperatively. The peritoneal cavity is irrigated with a massive amounts of saline. The wound is brushed with povidone iodine solution. Knotted sutures are employed and surgical tape is not applied to the wound. Postoperatively, an aminoglycoside antibiotic is used in combination with a wide spectrum antibiotic. Although this wound closure technique takes from twenty to forty-five minutes, the patient will grow up without any psychological problems related to the operation scar.

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