patient requiring wound closure

Question 1

The goals of wound repair for lacerations and incisions are to:

Answer 1

(a) Achieve hemostasis
(b) Prevent infection
(c) Preserve function
(d) Restore appearance
(e) Minimize patient discomfort

Question 2

What Phase of Wound Healing
Days 0-5: No gain in wound strength

Answer 2

Phase I - Initial Lag phase

Question 3

What Phase of Wound Healing
Days 5-14: Rapid increase in wound strength occurs. At week 2, the wound has achieved only 7% of its final strength.

Answer 3

Phase II - Fibroplasia phase

Question 4

What Phase of Wound Healing
Day 14 until healing is complete: Further connective tissue remodeling. Up to 80% of normal skin strength achieved.

Answer 4

Phase III - Final Maturation phase

Question 5

Non-absorbable skin sutures or staples are used to give the wound strength during what phases

Answer 5

First two

Question 6

Indications for Wound Repair

Answer 6

(1) Lacerations that are open and less than 12 hours old (< 24 hours on the face).
(2) Repair of sites where a lesion has been surgically removed.

Question 7

Contraindications for wound repair are:

Answer 7

(1) Wounds more than 12 hours old (> 24 hours old on the face)
(2) Animal and human bite wounds
(3) Puncture wounds