Flashcards in Wounds, Chapter 15 P91-93 Deck (11)
Define the following terms:
1. Primary wound closure
Suture wound closes immediately (a.k.a. “first intention”)
2. Secondary wound closure
Wound is left open and heals over time without sutures (a.k.a. “secondary intention”); it heals by granulation, contraction, and epithelialization over weeks
(leaves a larger scar)
3. Delayed primary closure (DPC)
Suture wound closes 3 to 5 days AFTER incision
(classically 5 days)
How long until a sutured wound epithelializes?
After a primary closure, when should the dressing be removed?
When can a patient take a shower after a primary closure?
Anytime after POD #2 (after wound epithelializes)
What is a wet-to-dry dressing?
Damp (not wet) gauze dressing placed over a granulating wound and then allowed to dry to the wound; removal
allows for “microdébridement” of the wound
What inhibits wound healing?
Infection, ischemia, diabetes mellitus, malnutrition, anemia, steroids, cancer, radiation, smoking
What reverses the deleterious effects of steroids on wound
What is an abdominal wound dehiscence?
Opening of the fascial closure (not skin); treat by returning to the O.R. for immediate fascial reclosure