Indications Lacerations of volar surfaces of hand and fingers, where simple interrupted sutures may cut through the skin Some wounds under tension, instead of a layered closure, if skin tension is not marked Parallel lacerations Scalp lacerations or lacerations with edges that are macerated, irregular, or have thick or thin edges Contraindications Absolute contraindications None Relative contraindications Wounds under marked tension Wounds that may be contaminated or relatively old and would be at higher risk of infection if closed by sutures, such as small bites to hands or feet, puncture wounds, or high-velocity missile wounds Wounds involving deep structures (eg, nerves, blood vessels, ducts, joints, tendons, bones) may require specialized techniques or referral to a surgical specialist, as should those covering large areas or involving the face or hands.