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Foot laceration - before and after

In lacerations of the foot, the goal is to approximate the margins of the wound as exactly as possible. The goal is a slightly elevated and everted wound closure margin that over time will flatten to a more attractive scar. For deeper lacerations, a subcuticular closure with absorbable suture will minimise tension on the skin layer itself. A surgical drain is also seen placed to remove pus, blood and other fluids that may accumulate in the wound. Although, drains have tendency to become occluded or clogged, resulting in retained fluid that can contribute to infection and delayed wound closure and healing. A case sent to us by @fortbendmd of a severely injured foot, before and after it was sutured.