<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0319</journal-id>
<journal-title><![CDATA[Medicas UIS]]></journal-title>
<abbrev-journal-title><![CDATA[Medicas UIS]]></abbrev-journal-title>
<issn>0121-0319</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-03192018000200065</article-id>
<article-id pub-id-type="doi">10.18273/revmed.v31n2-2018008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Principios en técnicas de suturas de piel: una guía para estudiantes]]></article-title>
<article-title xml:lang="en"><![CDATA[Principles of skin suture techniques: a student guide]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Cely]]></surname>
<given-names><![CDATA[Adriana Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda-Díaz]]></surname>
<given-names><![CDATA[Audrey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alviar]]></surname>
<given-names><![CDATA[Juan Dario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>65</fpage>
<lpage>76</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-03192018000200065&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-03192018000200065&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-03192018000200065&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: las heridas en la piel son un evento altamente frecuente en los servicios de urgencias, las cuales en su mayoría van a requerir ser suturadas por el personal de salud disponible, tratando de lograr buenos resultados funcionales y cosméticos. Este procedimiento puede definirse como la aproximación de los bordes de una herida por medio de puntos, utilizando suturas, instrumental quirúrgico y agujas adecuadas dependiendo del área lesionada; para lograr una adecuada sutura se requieren conceptos claros como tipo de sutura y aguja, técnica quirúrgica, localización anatómica de la herida y cierre sin tensión.  Objetivo: guiar la adecuada práctica de técnicas de suturas de piel por parte de estudiantes y profesionales en el área de la salud.  Temática: en este artículo se realizó una descripción precisa de cada uno de los pasos para lograr una adecuada sutura de piel, priorizando en el uso de ilustraciones para alcanzar un mejor aprendizaje.  Conclusiones: los resultados en la realización de una sutura de piel dependerán de un adecuado conocimiento y uso del material e instrumental quirúrgico además del dominio de los principios básicos de la técnica quirúrgica. MÉD.UIS. 2018;31(2):65-76.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: skin wounds are a highly frequent event presenting in the emergency department, most of which require to be sutured by the health care givers available at the moment, while trying to obtain good functional and aesthetic results. This procedure can be defined as the approximation of wound edges by stitches requiring special surgical instruments and sutures depending on the affected area; to accomplish an adequate skin suture clear concepts of the different types of materials, surgical technique, anatomic location and free tension closure are needed.  Objective: to provide an adequate guide in suture techniques to medical students and health care professionals.  Methods: a precise description of the different steps to obtain an adequate skin suture is made in this article, giving great importance to the use of illustrations to facilitate a better learning process.  Conclusions: the results obtained after the making of a skin suture will depend on adequate knowledge, the use of appropriate materials and instruments and the complete grasp of the basic principles in surgical technique. MÉD.UIS. 2018;31(2):65-76.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Suturas]]></kwd>
<kwd lng="es"><![CDATA[Técnicas de sutura]]></kwd>
<kwd lng="es"><![CDATA[Piel]]></kwd>
<kwd lng="es"><![CDATA[Cuidados de la Piel]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos Quirúrgicos Reconstructivos]]></kwd>
<kwd lng="en"><![CDATA[Suture]]></kwd>
<kwd lng="en"><![CDATA[Suture Techniques]]></kwd>
<kwd lng="en"><![CDATA[Skin]]></kwd>
<kwd lng="en"><![CDATA[Skin Care]]></kwd>
<kwd lng="en"><![CDATA[Reconstructive Surgical Procedures]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thorne]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Techniques and principles in plastic surgery]]></article-title>
<collab>C</collab>
<source><![CDATA[Wolters Kluwer. Grabb and Smith&#8217;s plastic surgery]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Wolters Kluwer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goldman]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Travelute]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Wound closure materials and instruments]]></article-title>
<source><![CDATA[Elsevier. Dermatology. 3ed]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Edimburgo ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Usatine]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Coates]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laceration and incisión repair]]></article-title>
<source><![CDATA[Mosby. Pfenninger and fowler&#8217;s procedures for primary care. 3ed]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Mosby]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ollague]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zabielinski]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nouri]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anesthesia in dermatologic surgery]]></article-title>
<source><![CDATA[lackwell. Dermatologic surgery, step by step]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Oxford ]]></publisher-loc>
<publisher-name><![CDATA[Blackwell]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McGee]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Local and topical anesthesia]]></article-title>
<source><![CDATA[Saunders. Roberts and hedges&#8217; clinical procedures in emergency medicine]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vinycomb]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Sahhar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of local anesthetics for digital nerve blocks a systematic review]]></article-title>
<source><![CDATA[J Hand Surg Am]]></source>
<year>2014</year>
<volume>39</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>744-51</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chowdhry]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Seidenstricker]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cooney]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Hazani]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Wilhelmi]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do not use epinephrine in digital blocks myth or truth? Part II: A retrospective review of 1111 cases]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2010</year>
<volume>126</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>2031-4</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Simon]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Hern]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Wound management principles]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Marx]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hockbergr]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Walls]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Rosen&#8217;s Emergency medicine. 8va ed]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hochberg]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Marion]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suture choice and other methods of skin closure]]></article-title>
<source><![CDATA[Surg Clin North Am]]></source>
<year>2009</year>
<volume>89</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>627-41</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Choudhary]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Nouri]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Jungcharoensukying]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Elsaie]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suturing techniques]]></article-title>
<source><![CDATA[Dermatologic Surgery, Step by Step. Nouri K]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Oxford ]]></publisher-loc>
<publisher-name><![CDATA[Blackwell]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kandel]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bennett]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of stitch type on flap tip blood flow]]></article-title>
<source><![CDATA[J Am Acad Dermatol]]></source>
<year>2001</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>265-72</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richard]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Methods of wound closure]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Roberts and Hedges&#8217; Clinical Procedures in Emergency Medicine]]></source>
<year>2014</year>
<edition>6</edition>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richard]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Principles of wound management]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Roberts and Hedges&#8217; Clinical Procedures in Emergency Medicine. 6ta ed]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernandez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jimenez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Busto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zabaleta]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Aguinagalde]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Zulaika]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual sobre suturas, ligaduras, nudos y drenajes]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Donostia - San Sebastián ]]></publisher-loc>
<publisher-name><![CDATA[Osakidetza]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wirth]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bouletreau]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cirugía de los traumatismos de los tejidos blandos y de las heridas faciales]]></article-title>
<source><![CDATA[EMC - Cirugía plástica reparadora y estética]]></source>
<year>2012</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-14</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Revol]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Servant J-M]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suture]]></article-title>
<source><![CDATA[EMC - Techniques chirurgicales - Chirurgie plastique reconstructrice et esthétique]]></source>
<year>2010</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moy]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Waldman]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Hein]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of sutures and suturing techniques]]></article-title>
<source><![CDATA[J Dermatol Surg Oncol]]></source>
<year>1992</year>
<volume>18</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>785-95</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hochberg]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Murray]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Townsend]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Beauchamp]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Principles of operative surgery]]></source>
<year>2012</year>
<page-range>253-63</page-range><publisher-loc><![CDATA[Sabiston Textbook of surgery. Texas ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Efron]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ger]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of adhesive tape (Steri-Strips) to secure skin grafts]]></article-title>
<source><![CDATA[Am J Surg]]></source>
<year>1968</year>
<volume>116</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>474</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fortet]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pata]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Olaso]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Guztke]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suturas básicas y avanzadas en cirugía menor]]></article-title>
<source><![CDATA[Semergen]]></source>
<year>2002</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>89-100</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
