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Flashcards in Wound closure Deck (21):
1

Name 3 types of wound closure

Primary wound closure
Delayed primary
Secondary

2

Times to use delayed primary closure

Resolve infection
achieve debridement
before granulation tissue

3

When do you use secondary closure?

After granulation tissue

4

Primary wound closure is used on?

Surgical incisions
lacerations

5

Considerations for primary wound closure

Anatomic location
regional blood supply
tissue loss

6

Considerations for primary wound closure

Anatomic location
regional blood supply
tissue loss

7

Would head wounds be good for primary closure? Why?

Yes
limited motion
vascular

8

Are eyelids good for primary closure?

Yes highly vascular

9

What types of wounds are not suited to primary closure?

Tensions and motions
tissue considerations such as infections

10

For none surgical wounds avoid what type of suture?

Braided

11

3 common reasons for failure of primary wound closure

Tension
infection
devitalization

12

give me 4 ways to manage tension in a primary wound closure?

Tension relieving sutures
tissue undermining
tension relieving incisions
plasty procedures

13

give me 4 ways to manage tension in a primary wound closure?

Tension relieving sutures
tissue undermining
tension relieving incisions
plasty procedures

14

3 tension relieving sutures?

Near far far near suture
vertical mattress
horizontal mattress

15

What sutures do you use to pre suture something?
for how long?

large mattress sutures
4-8 hours

16

2 reasons to do delayed primary closure?

Resolve infection
achieve debridement

17

Big consideration for time line for delayed primary closure?

Needs to be before granulation tissue formation (3-5 days)

18

Success of delayed primary closure is dependant on what 2 things?

Resolution of infection
tension management

19

Secondary closure is done when?

After granulation tissue forms

20

Big advantages of secondary closure?
1 disadvantage

Allows resolution of infection
Host debridement

Tissue less manipulative

21

3 alternatives to closure?

Second intention
skin grafts
flaps