Scheinman Marcel
From the Department of Surgery, Weill Medical College of Cornell University New York, N.Y.
Private Practice, Lawrence, Nassau County, N.Y.
Plast Reconstr Surg Glob Open. 2024 Sep 10;12(9):e6148. doi: 10.1097/GOX.0000000000006148. eCollection 2024 Sep.
Despite public and medical professionals' misconceptions about the timing of laceration repair and its consequences, it has been shown that the concept of the "golden period" has not been established, and in many uncomplicated wounds, may extend beyond 24 hours. This author presents his experience with delaying primary repairs, which may represent one of the largest published casuistries.
A retrospective review of cases over a 14-year practice and review of the literature on the topic of the golden period and delayed primary repair of lacerations were performed.
Of a total of 6408 lacerations repaired, 313 were identified as planned delayed repairs (4.9%). The time of delay was estimated to be between 3 and 28 hours from the injury until treatment. There were no reported complications on the delayed repairs.
Delayed repair of uncomplicated wounds does not increase the rate of infection or impact the final cosmetic outcome and may be applied safely by qualified professionals in carefully selected cases.
尽管公众和医学专业人员对撕裂伤修复时机及其后果存在误解，但研究表明，“黄金期”的概念并未确立，在许多无并发症的伤口中，修复时间可能超过24小时。本文作者介绍了其延迟一期修复的经验，这可能是已发表的最大规模的案例分析之一。
对14年临床实践中的病例进行回顾性分析，并查阅关于黄金期及撕裂伤延迟一期修复主题的文献。
在总共6408例修复的撕裂伤中，313例被确定为计划性延迟修复（4.9%）。延迟时间估计为受伤至治疗之间3至28小时。延迟修复未报告有并发症。
无并发症伤口的延迟修复不会增加感染率或影响最终的美容效果，合格的专业人员在精心挑选的病例中可安全应用。
