skin closure

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>
> 1. What kind of fascial closure if it comes together without tension:
> running or interrupted and what suture?


1 loop PDS continuous mass closure
(There's solid evidence for this in G/Surg literature


> 2. Any role for retention sutures?


Never ever ever

>
> 3. Skin closure: when and how - complete closure , place wicks or drains?


Skin clips always.  Never drain.
(occasionally you have to open a few clips if there is some superficial
infection.  This is almost always a very small part of the wound and heals
well)

Karim

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