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https://thriveap.com/blog/laceration-time-clock-when-it-safe-suture#:~:text=A%20so%20called%20%E2%80%9Cgolden%20period%E2%80%9D%20for%20laceration%20closure%2C,years%2C%20this%20%E2%80%9Cgolden%20period%E2%80%9D%20has%20steadily%20become%20longer.
https://thriveap.com/blog/laceration-time-clock-when-it-safe-suture
A so called “golden period” for laceration closure, 6 hours or less, was originally designated based on research done in the 1970’s. This study found that wounds closed within three to five hours were less likely to become infected.
https://www.jailmedicine.com/do-uncomplicated-lacerations-need-to-be-closed-within-six-hours/
Uncomplicated lacerations can, indeed, wait more than 6 hours to be repaired. “There is a common misconception that all wounds must be either sutured within a few hours or left open and relegated to slow healing and an unsightly scar.”
https://lacerationrepair.com/wound-blog/the-golden-period/
The idea of the golden period is a pretty old one. It arises from (surprise surprise) cruel animal data. Way back in 1898, Professor Paul Leopold Friedrich lacerated the skin of guinea pigs, then inoculated the wounds with bacteria. He then determined that if the surrounding skin was not excised within 6 hours, the animals died.
https://www.aafp.org/afp/2017/0515/p628.html
Head wounds may be repaired up to 24 hours after injury.8 Factors that may increase the likelihood of infection include wound contamination, laceration length greater than 5 cm, laceration located ...
http://www.wikem.org/wiki/Laceration_repair
Irrigation optional for face/scalp wound as long as: Not a bite wound; Not a contaminated wound; Not older than 6 hours Often best to avoid irrigation of face and opt for cleaning with gauze to help prevent tissue distortion; Anesthesia. Can be topical or injected. Topical LET for open wound, EMLA for intact skin EMLA needs to be left on 1-2 hours
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