WOUND CLOSURE

  • What are the three types of wound healing?
    • Primary closure / intention
    • Secondary intention
    • Tertiary intention:
      • Delayed Primary Closure: DPC
  • What is primary intention?
    • When the edges of a clean wound are closed in some manner immediately:
      • For example:
        • Suture
        • Steri-Strips®
        • Staples
  • What is secondary intention?
    • When a wound is allowed to remain open:
      • And heal by granulation, epithelization, and contraction:
        • Used for dirty wounds:
          • Otherwise an abscess can form
  • What is tertiary intention?
    • When a wound is allowed to remain open for a time and then closed:
      • Allowing for débridement and other wound care to reduce bacterial counts prior to closure:
        • Delayed primary closure (DPC)

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