Surgical Wound Healing Flashcards
wound edges brought together
primary intention
dermis without total penetration
primary
with gauze, or drainage system
secondary
granulation
secondary
delayed closure
tertiary
7 stages of skin healing
- vascular/inflammatory
- re-epithelization
- granulation
- fibroplasia, matrix formation
- wound contraction
- neovascularization
- matrix, collagen remodeling
epidermal cells from wound edge
re-epithelization
granulation forms
3-5 days after wound formation
fibronectin scaffold
fibroplasia and matrix formation
differentiation of myofibroblasts
fibroplasia and matrix formation
centripental movement of edges
wound contraction
low o2 tension activates
macrophage derived angiogenic factor
low o2 tension induces
neovascularization
fragmentation of venule basement membrane
neovascularization
pseudopodia
neovascularization
type 3 collagen replaced by type 1
matrix and collagen remodeling
protein deficiency
infection, inability to synthesize cells
negative nitrogen balance
wound remodeling impaired
vitamin k deficiency
hematoma
anticoags
hematoma formation
steroids
impairs wound healing
macrophage derived angiogenic factor
neovascularization