SR Chapter 15: Wounds

Question 1

Primary wound closure

Answer 1

Healing by “first intention”

Suture wound closes immediately

Question 2

Secondary wound closure

Answer 2

Wound is left open and heals over time without sutures: heals by granulation, contraction, and epithelialzation over weeks (leaves a large scar)

Question 3

Delayed primary clousre

Answer 3

Suture wound closes 3-5 days after incision (classically 5 days)

Question 4

How long until a sutured wound epithelializes?

Answer 4

24-48 hours

Question 5

After primary closure, when should the dressing be removed?

Answer 5

POD 2

Question 6

When can a patient take a shower after primary closure?

Answer 6

After POD 2: after the wound epithelializes

Question 7

What is a wet-to-dry dressing?

Answer 7

Damp (not wet) dressing placed over a granulating wound and then allowed to dry the wound; removal allows for microdebreidement of the wound

Question 8

What reveres the deleterious effects of steroids on wound healing?

Answer 8

Vitamin A

Question 9

What is abdominal wound dehiscence?

Answer 9

Opening of the fascial closure (not skin); treat by returning to OR for immediate fascial reclosure

Question 10

What is Dakin solution?

Answer 10

Dilute sodium hypochlorite (bleach) used in contaminated wounds