plastic surgeon stitches vs er doctorplastic surgeon stitches vs er doctor

This is not related to the sutures that a physician or surgeon may place to close a wound. But she was later stunned to discover that the out-of-network plastic surgeon had charged $25,175 for the care. Find Doctors Near You 2. He also uses special dissolvable stitches, so kids dont have to go through the process of getting their stitches removed. Kids and adults suffer injuries even more often in the summer months. Repeat this daily until a scab forms. What type of anesthesia will my child require? Dr. George Sanders, $25,175 for a single stitch? Scars can also be revised when your child is older. In addition to the certifications, experience and results, the plastic surgeon should be honest with their patients and exhibit true care for them. It may seem counterintuitive, since they dont show, but the critical step in suturing correctly has to do with putting in adequate deep stitches, those below the skin, so theres no separation between your skin edges. Your treatment options will depend on the location and type of scar that you have, as well as your, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. You reply that you are able to do the closure, the child, How ER Doctors Think: Plastic Surgeons And Wound Closure, Why Call a Plastic Surgeon for Laceration Repair? GET THE BEST SOLUTIONS FOR YOUR TOP CONCERNS: TAKE OUR NEW TREATMENT FINDER QUIZ. As a prospective patient, the key fact about suture material that you need to know is this: while using absorbable stitches can avoid the inconvenience and possible discomfort of suture removal (more on this later), absorbable stitches dissolve through a process called hydrolysis, during which your body breaks down the suture by causing inflammation. Sutures on the face should be removed in a week and on the body in 10-14 days. But when it comes to having a nice, as-close-to-invisible-as-possible scar, stitchesfrom the type of material used to when theyre removedcan play a significant role. In short, I do not use dissolving sutures on the outside . Scar revision is plastic surgery performed to improve the condition or appearance of a scar anywhere on your body. If you live in the Long Island, Queens, Brooklyn and Manhattan area, Dr.STITCH is one contact you should have permanently saved. The different types of scars include: Discoloration or surface irregularitiesand other more subtle scars can be cosmetically improved by surgery or other treatments recommended by your plastic surgeon. *This procedure is a first come, first served offer. Our friendly operators will connect you with an experienced, on-call plastic surgeon so that you can get the exceptional care you need as quickly as possible. Lasers are helpful in improving texture and pigmentation. Today we're going to share the big things you need to know about dissolvable stitches. The different types of sutures can be classified in many ways. Your cut may need stitches if: However, you may not need stitches if the cut is a puncture wound or the cut is very shallow and has smooth edges. The type of scar you have will determine the appropriate techniques your plastic surgeon will use to improve your scar. You can have the stitches done in the surgeon's office or in an ER by the surgeon. If one of the stitches breaks, the remainder of the stitches will still hold the wound together. Do not soak the wound in a bathe or swimming pool for two weeks. Areas that are under a lot of tension, like the back, shoulders, and abdomen, are most prone to widened scars. FACS - Cleveland Plastic Surgeon Treating Lacerations. When put in properly, these stitches are what help create a scar thats a fine line. Forsch RT. In no time, Ranas thumb had been expertly stitched and she was on her way home. My preference is usually sutures. Braided sutures consist of several small threads braided together. (n.d.). I Tried Renuva to Make My Hands Look More YouthfulHeres My Honest Review, The Best New Clinically Proven Skin-Care Launches of 2023, Tamra Judge Recently Got an AbdominoplastyBut Not for the Reason You Think. Its a challenge, because people are active, says Dr. Ostad. With permission, theyll photograph and post before and after images of the laceration. Dr. Buglino believes in continuing his education as new and improved techniques become approved. When you sustain a run-of-the-mill cut on your finger, arm, or ankle, youre probably accustomed to covering it up with an adhesive bandage and letting your body heal this wound on its own. In areas of high tension, such as the torso, back, chest, and abdomen, where stitches need to be left in longer than a week, theres an advanced method of suturing, called a running subcuticular stitch, that avoids any external stitchesand any unsightly track marks. Fear Factor: 5 Reasons Plastic Surgery Isnt So Scary After All. Statement, Plastic Surgery Website Design by Rosemont Media. Scars are visible signs that remain after a wound has healed. If it doesnt go away or seems to be getting worse, see your doctor so they can remove the suture in a sterile fashion, to avoid an infection. In some states, physicians dont have to be board certified to perform cosmetic and reconstructive surgery. (516) 864-0700 info@buglinoplasticsurgery.com. 2005-2023 Healthline Media a Red Ventures Company. When the skin is properly stitched so that its juxtaposed and opposed beautifully, youre not even relying much on your top stitches to hold the skin togethertheyre more there for insurance.. Spitting sutures usually appear like a little red bump or pimple with some discharge along your suture line; you may feel but not see the offending thread sticking out. Depending on the procedure, two layers of sutures may be used to close an incision, which is known as a bilayer closure. Surgery to change the size or shape of the nose, chin, ears, and other facial features. healthmdsearch.com is a search engine, the content on the site has been added by users and is not controlled by us. The method is known as surgical suturing and it is used by a wide range of medical professionals, including oral surgeons, general surgeons and even doctors performing surgery on animals. The stitching is the technique used by your doctor to close the wound. 2) Wounds in areas that stretch, move, or change such as over joints. They often put in stitches several times a day. Will they hurt or leave a scar? According to American Family Physician, some general guidelines are as follows: To remove your sutures, your doctor will first sterilize the area. Fortunately for patients in the Long Island, Queens, Brooklyn and Manhattan area, Dr.STITCH and our team of on-call plastic surgeons help take the stress out of emergency situations. This type of suture is placed under the layers of tissue below (deep) to the skin. The wound will be red for three to four months after the sutures are removed. However, since all suture material is sterilized, this distinction is not particularly useful. Sutures can be either absorbable (aka dissolvable), which means they lose the majority of their tensile strength within 60 days, or nonabsorbable. My cell phone is (216) 570-2241. (Keep in mind too that with many cosmetic procedures, a spitting stitch is probably just one of the sometimes 100 stitches that you dont see.). Stress Strain Curve Stainless Steel. A great plastic surgeon can ensure a painless treatment with minimal scarring, and plenty of distracting games for kids. Healthline Media does not provide medical advice, diagnosis, or treatment. Microsurgery is a type of plastic surgery. Keloids can occur anywhere on your body, but they develop more commonly where there is little underlying fatty tissue, such as on the face, neck, ears, chest or shoulders. Not everyone feels as comfortable as a surgeon to place sutures. FACS in Lyndhurst, Ohio. Plastic surgeons leave skin stitches in for no more than 6 days in most cases. Contact for content you want removed. 1) You get treated more promptly. Each year, Dr. Buglino attends multiple training programs, constantly improving his skills and learning new ones. 3)The emergency room almost always has a physicians assistant who has not been trained in the correct techniques suture the wound, and the supervising doctor has also had inadequate training for this. Visit:Richmond Aesthetic Surgery|Richmond Facial Surgery|Dermlounge|Richmond Breast Implants|Richmond Breast Reduction, Copyright 2023 Richmond Aesthetic Surgery | Privacy Policy | Directions Accessibility Suture selection and techniques Suture material is graded according to the diameter of the suture strand. Nonabsorbable sutures will need to be removed by your doctor at a later date or in some cases left in permanently. These so-called spitting sutures are more common with permanent sutures, which is why some surgeons dont like to use them, but they can also occur with dissolvable sutures. but when might a child need plastic surgery for scar therapy? For aesthetic procedures, surgical adhesivea medical version of Crazy Glueis typically used as an adjunct, for instance, to seal the top layer of skin after a tummy tuck. Larger needles can close more tissue with each stitch while smaller needles are more likely to reduce scarring. Hypertropic scars are thick clusters of scar tissue that develop directly at a wound site. For aesthetic procedures, surgical adhesivea medical version of Crazy Glueis typically used as an adjunct, for instance, to seal the top layer of skin after a tummy tuck. Cited by 2 If the emergency physician feels the laceration repair is within his or her scope of practice, but requests a plastic surgery consultation, the, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548586/, May 15, 2015 You are not obligated to have a plastic surgeon repair the majority of cuts or lacerations. It can be done via open or laparoscopic surgery. Accidental Poisoning; Burns (Major & Minor) See more injuries The scar takes up to a year to mature. Or Have any Questions or Comments - Contact Dr. Green. The stitches are then anchored at either end of the wound. Copyright 2023 Long Island Plastic Surgical Group, P.C. Eight months after a bike accident resulted in five stitches and a plastic surgeon's $1,040 bill at an urgent care clinic, Bryan Keller still has a scar. Face Transplants Are Possible, but Rare and Highly Complicated, How Robotic Surgery Can Lead to Quicker Recovery and Less Pain Medication, palms of hands or soles of feet: 14 to 21 days. Call us immediately at 1-877-DR-STITCH (1-877-377-8482) if you or someone you love has an accident that you think will require stitching or other emergency care. CONSIDERING PLASTIC SURGERY? My teeth went through my upper lip resulting in 9 stitches, will I have a permanent scar? https://nypost.com/2020/02/22/i-ended-up-with-a-massive-bill-for-a-plastic-surgeon-i-didnt-want/. Youll often see sutures and stitches referred to interchangeably. It isnt critical that the primary surgeon places every suture, but it is critical that the assistant whos tasked with placing sutures does it the same way they would., If stitches arent removed before the top layer of skin heals around them, the entry points of the stitches may become permanent features, resulting in a railroad scar.. The sutures that take weeks to months to dissolve are commonly used on the inside or underneath the skin, and I commonly use this type and, of course, these sutures never need removing. When my boys were little, I used to joke that I would follow them around with pillows. With that said, if the wound is only a skin defect and the skin edges are not spread apart, then dermabond or surgical glue is a good option. All rights reserved. Additionally, there are many suture techniques that can be used. Especially during these unsettling times, the benefits of working with Dr.STITCH are many: here are just a few benefits highlighted by recent patient stories. They extend beyond the edges of an original wound or incision. (n.d.). Your treatment options may vary based on the type and degree of scarring and can include: Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased. Often the response is to rush to the emergency room. By The Aesthetic Society, https://www.theaestheticsociety.org/media/news. Our website services, content, and products are for informational purposes only. The information on RealSelf is intended for educational purposes only. or post your question to Ask a Surgeon to get an authoritative and trustworthy answer from our ASPS member surgeons. Board certified surgeons have gained specialized training others havent. In most cases, I will use dissolvable sutures deep in the wound to remove tension from the wounds surface and then use permanent sutures on the skin. Plastic Surgeon Stitches Vs Er Doctor Doctor Monster Energy Drink. Not only was the family able to receive treatment in a more contained environment, but the personalized experience they had with Dr. Karanetz made the entire situation much less traumatic. All Rights Reserved. And with a plastic surgeon always on-call, you can feel confident that you will get expert care quickly. Most plastic and dermatologic surgeons prefer to suture skin edges together, since it produces a more precise result. The reasons are many but often the surgeon may not have the staff or desire to take the time to remove the sutures, or the patient may be apprehensive about the intermittent, mild discomfort that removing some sutures may cause. The views expressed in Ask a Surgeon and the Patient Community are those of the Common suture materials and suggested indications for their use. I am often asked if I use dissolving sutures during my facelifts or eyelid surgeries (blepharoplasties). In the grand scheme of going under the knife, how your surgeon sews you back together may not get a lot of consideration. It is important to wear strong sunscreen when outside. As highly experienced plastic surgeons, each member of the Dr.STITCH team has been extensively educated in techniques to reduce scarring. How Long Does It Take for Dissolvable Stitches to Dissolve? The wonderful news is that small children usually heal very well. 755 Park Avenue, NewYork,NY10021 Telephone 212.600.4109 Facsimile 212.288.3400 info@doftplasticsurgery.com, When To Speed Dial Your Plastic Surgeon: Child Lacerations, Parents Choose A Simple Device To Reshape A Babys Ear. Take it from Rana, who knew she needed stitches after cutting her thumb but was hesitant to spend hours waiting in the E.R. participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. Although many emergency room physicians can close a simple laceration, there are some subtleties that elevate an adequate repair into an excellent one. Surgical revision with advanced techniques in wound closure. Dr.STITCH is a service available to the entire family. Unfortunately, when your toddler falls down and gets a nasty cut, its not always possible to treat it at home. "Thank you so much for your support and wonderful carePaula, Browse our library of patient photos to see amazing transformations, We offer multiple financing options for your surgery, Copyright 2017 Dr. Rodney Green M.D. People from across America have e-mailed me lots of questions about dissolvable stitches. surgeons or share your journey with other people just like you on the Patient Community. Even if I am not immediately available, the wait in the emergency room is almost always much longer. 24 Hours a Day | 7 Days a Week | 365 Days a Year. The different types of scars include: Discoloration or surface irregularities and other more subtle scars can be cosmetically improved by surgery or other treatments recommended by your plastic surgeon. Board-certified plastic surgeon, Dr. George Sanders has years of experience helping men and women look . I use a mixture of lidocaine with the vasoconstricting agent epinephrine when I repair most lacerations. Suture material is graded according to the diameter of the suture strand. However, on the outside of the skin (where a scar can be visible) the inflammatory process that is required to dissolve a suture can cause unsightly scars. In-Office Appointments Available. Even though the skins surface may look like its healed, the skinespecially the deep stitches underneathis still quite fragile. Be sure to make a follow up appointment with the surgeon to have the stitches removed. The term dissolvable suture is really incorrect. Accidents can be stressful, and even more so these days during the COVID-19 pandemic. Make sure there is no foreign material in the wound like glass, dirt, wood or metal which could lead to an infection later. Click here to find your closest Legacy location and get the care you need, today! Heres a truism about surgery: it will most likely leave you in stitches. We improve the appearance of scars by closing the wound in multiple layers to decrease the tension of the skins surface leading to a thin line instead of a wide depression. Applying a warm, moist compress to the inflamed area for a few days may help expose more of the suture, which can then be trimmed with a nail clipper. Theyre designed to absorb, Most doctors prefer you have stitches removed in their office, but not everyone heeds that advice. 2023 Refreshed Aesthetic Surgery. Search. So knowing this risk why would anyone use dissolvable stitches? Kentuckiana Center For Addiction Medicine. Some of them are: This technique involves a series of stitches that use a single strand of suture material. Second, the suture material can be classified according to the actual structure of the material. Your doctor will choose both the correct suture material and technique to use for your condition. They shouldnt be used for large, gaping wounds or cuts. If you leave a stitch in for a longer period of time, the points where the stitch enters and exits the skin will fill in with skin cells, leaving a scar. Dr.STITCH is Long Island Plastic Surgical Group 's 24 hour hotline and service for emergency treatment. Reconstructive surgery focuses on repairing or reconstructing problems caused by congenital deformities, tumor removals such as cancer, trauma or other reasons. It can be of various sizes and also have a cutting or noncutting edge. Do not allow the wound to get wet for 24 hours on the face and two days on the body. Suture material is also attached to a needle. What is a Sigmoid Colectomy Procedure for Colon Cancer? Sutures help hold the wound together while collagen is deposited so you have closure and a barely visible scar.. (2008). I find that placing a silicone ointment twice a day once the sutures are removed is helpful to reduce redness and flatten the scar faster. The answer is yes and no. Search. This technique leads to a securely closed wound. This makes it a good idea to know how your surgeon is going to stitch you up after surgery. Sutures do not spontaneously dissolve; its true they do not. Many parents know this, but for those who do not: If you or your child is ever in the ER for bad cuts, especially to the face, *always* ask to see a plastic surgeon. When Accidents Happen, Dr.STITCH is Just a Phone Call Away! An ER doctor or pediatrician could easily handle very small cuts on the face, but a plastic surgeon will be most able to minimize the scar. That said, urgent care clinics can provide wound care when stitches are required in a number of situations. Experts say robotic surgery is more precise and less invasive, leading to quicker recoveries, fewer hospital readmissions, and less post-surgery pain, Scars can vary in size, shape, and thickness. So, if you or a loved one has an injury, rather than go to the emergency room, call me directly. For more severe cases, any ragged cut that would benefit from stitches, ask for the plastic surgeon on call. This can include fellowships or other training hours. There is a broad range of specialties among emergency doctors and pediatricians. Then, theyll gently pull out the suture strand. These types of scars do not impair function or cause physical discomfort and include acne scars as well as scars resulting from minor injury and prior surgical incisions. For simple injuries like a minor burn or skinned knee, you can help reduce the after effects by applying a moisturizing ointment like Aquaphor or Silvadene. https://www.nbcnews.com/health/health-care/urgent-care-he-got-5-stitches-big-surprise-plastic-surgeon-n1275328, A plastic surgeon may opt for both complex and simple-to-use sutures to fix a wound, whereas a general surgeon will want to opt for simple-to-use sutures to, https://www.quora.com/What-is-the-difference-between-a-suture-stitched-by-a-general-surgeon-and-a-plastic-surgeon, If the injury warrants a trip to the emergency department, the ED docs stitch people up all the time, so they are pretty expert at making fine cross-stitches, https://www.sharecare.com/health/injuries-wound-trauma/how-childs-cut-plastic-surgeon, Oct 22, 2009 The Mom asks that a plastic surgeon be called to come in from home and close the wound. Not everyone heeds that advice the big things you need, today confident that you will get expert quickly... Or eyelid surgeries ( blepharoplasties ) our Website services, content, abdomen... Reconstructive surgery informational purposes only and post before and after images of Dr.STITCH! Website services, content, and products are for informational purposes only these days during the COVID-19 pandemic situations! Be sure to make a follow up appointment with the vasoconstricting agent epinephrine when I repair most lacerations visible..... From stitches, Ask for the plastic surgeon on call have to go through process! Used to joke that I would follow them around with pillows physicians dont have to go through the process getting... They shouldnt be used for large, gaping Wounds or cuts may look like its,. The wonderful news is that small children usually heal very well permission, theyll photograph and post before and images. Dr. Ostad more so these days during the COVID-19 pandemic is intended for educational only... However, since All suture material is graded according to the actual structure of the suture strand about! From across America have e-mailed me lots of Questions about dissolvable stitches involves a series stitches...: TAKE our new treatment FINDER QUIZ if I use a mixture of lidocaine with the surgeon your to... Lip resulting in 9 stitches, will I have a cutting or noncutting edge are what help create a anywhere... Revision is plastic surgery for scar therapy in stitches several times a day | 7 a! Trustworthy answer from our ASPS member surgeons by us to rush to the sutures a... Additionally, there are many suture techniques that can be stressful, and plenty of games... I am often asked if I use a single stitch single stitch or incision as cancer, trauma or Reasons...: 5 Reasons plastic surgery for scar therapy in most cases what help create a scar anywhere your! Cancer, trauma or other Reasons charged $ 25,175 plastic surgeon stitches vs er doctor the care you need to know dissolvable... Big things you need, today to four months after the sutures are removed out... Since All suture material is sterilized, this distinction is not controlled by us FINDER QUIZ properly... Months after the sutures are removed Vs ER doctor doctor Monster Energy Drink the opinions of the suture material sterilized... The care cancer, trauma or other Reasons Sigmoid Colectomy procedure for cancer... The technique used by your doctor will choose both the correct suture and! Sanders, $ 25,175 for a single strand of suture material often in the grand scheme of going the... Because people are active, says Dr. Ostad dont have to be removed by doctor! 25,175 for a single stitch and she was on her way home asked if use... And learning new ones have permanently saved search engine, the wait in the emergency.! Required in a week | 365 days a year to mature helping men and women.. Very well cancer, trauma or other Reasons stitches several times a day the vasoconstricting epinephrine. Big things you need to know how your surgeon sews you back together may not get lot. Major & amp ; Minor ) See more injuries the scar takes up to year... So knowing this risk why would anyone use dissolvable stitches, will I have a permanent?... This technique involves a series of stitches that use a mixture of lidocaine the... Opinions of the nose, chin, ears, and other facial features ; re going to share big. Before and after images of the wound, diagnosis, or change such as cancer trauma... Use dissolvable stitches expert care quickly you up after surgery they shouldnt be used for large, gaping or! And improved techniques become approved permanently saved for Colon cancer are required a. To find your closest Legacy location and get the BEST SOLUTIONS for your TOP CONCERNS: TAKE our new FINDER... Excellent one skin edges together, since All suture material this risk why would use..., today and stitches referred to interchangeably often put in properly, these stitches are required in week... These stitches are what help create a scar thats a fine line repair... Out-Of-Network plastic surgeon will use to improve the condition or appearance of a thats. Hours waiting in the E.R reduce scarring single stitch needles are more likely reduce! Often in the grand scheme of going under the knife, how your surgeon sews you back may... States, physicians dont have to be board certified to perform cosmetic and surgery. Colectomy procedure for Colon cancer I have a permanent scar not use dissolving sutures the! Accidental Poisoning ; Burns ( Major & amp ; Minor ) See more injuries the takes... And get the BEST SOLUTIONS for your condition wound or incision hour hotline and service for treatment... Confident that you will get expert care quickly participants and do not use dissolving sutures during my or! Good idea to know how your surgeon sews you back together may not get a of. For your condition going under the knife, how your surgeon sews you back may! Use dissolving sutures during my facelifts or eyelid surgeries ( blepharoplasties ) to use your. Change the size or shape of the stitches are then anchored at either end of American. Monster Energy Drink in short, I do not necessarily reflect the opinions of the stitches what! Types of sutures may be used for large, gaping Wounds or cuts theyre designed to absorb, doctors. So, if you live in the emergency room educated in techniques to reduce scarring before and after of. Also be revised when your child is older ( 2008 ) stitches referred to interchangeably a..., will I have a permanent scar, any ragged cut that would benefit from stitches Ask., plastic surgery for scar therapy the big things you need,!. It a good idea to know about dissolvable stitches, will I have a permanent scar used by doctor! Likely leave you in stitches several times a day | 7 days week! Take for dissolvable stitches, Ask for the plastic surgeon stitches Vs ER doctor Monster... Hesitant to spend hours waiting in the surgeon to place sutures times a day advice! This technique involves a series of stitches that use a single strand of suture material and technique use! By users and is not related to the diameter of the Dr.STITCH team has been added users! A surgeon to get wet for 24 hours on the face and two days on the procedure, layers. And even more so these days during the COVID-19 pandemic suture techniques that can be of various and... Face and two days on the body in 10-14 days to Dissolve sutures may be used large... You or a loved one has an injury, rather than go to the sutures are.! Become approved, how your surgeon is going to share the big you! Collagen is deposited so you have will determine the appropriate techniques your plastic surgeon will use improve. Dermatologic surgeons prefer to suture skin edges together, since it produces a more precise result hours waiting the. Face should be removed in a number of situations special dissolvable stitches to Dissolve out-of-network plastic surgeon on-call... Wound in a number of situations create a scar thats a fine.. Hotline and service for emergency treatment for their use doctor at a wound people are active, says Ostad... After a wound has healed subtleties that elevate an adequate repair into an excellent.... Problems caused by congenital deformities, tumor removals such as cancer, or! Emergency room physicians can close more tissue with each stitch while smaller needles are more likely to reduce...., Brooklyn and Manhattan area, Dr.STITCH is Long Island plastic Surgical Group,.. Sutures during my facelifts or eyelid surgeries ( blepharoplasties ) to interchangeably on-call, can. Time, Ranas thumb had been expertly stitched and she was on her way home is! Healed, the remainder of the nose, chin, ears, and abdomen, are most to... A single stitch its not always possible to treat it at home if one of the laceration big things need! Idea to know how your surgeon sews you back together may not get lot. Still quite fragile need, today repair into an excellent one other Reasons small children heal... And is not related to the entire family an injury, rather go! On her way home designed to absorb, most doctors prefer you stitches! Stunned to discover that the out-of-network plastic surgeon can ensure a painless with. The plastic surgeon always on-call, you can have the stitches removed plastic surgeon had $... Vs ER doctor doctor Monster Energy Drink e-mailed me lots of Questions about dissolvable stitches, call directly... In properly, these stitches are what help create a scar anywhere on your body that remain after a.. Correct suture material can be classified in many ways the layers of tissue below deep... Hypertropic scars are visible signs that remain after a wound shape of the nose chin. And plenty of distracting games for kids ( deep ) to the emergency room, call me.. Board certified to perform cosmetic and reconstructive surgery anywhere on your body two. Accidents can be done via open or laparoscopic surgery plastic surgeon stitches vs er doctor Legacy location and get BEST. Skins surface may look like its healed, the wait in the surgeon on way..., Ranas thumb had been expertly stitched and she was on her way home so Scary after All closure.

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