Why
surgical incisions are preferably made parallel to cleavage/Langer’s lines-
explain anatomically?
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The reticular layer of dermis of skin contains bundles of collagen fibers which run in parallel rows. The direction of bundles of collagen fibers are responsible for cleavage/Langer’s line which run longitudinally in the limbs and circumfrentially in the neck and trunk.
Incisions
made parallel to cleave lines will cut fewer collagen fibers. As a result the
wound heals faster and does not lead to formation of ugly scar.
Making
an incision perpendicular to the cleavage lines can lead to increased stress on
the wound borders and disruption of more collagen fibers, which can accelerate
healing and raise the risk of problems such wound dehiscence (re-opening of the
wound).
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