Surgical Wounds Flashcards
Primary Intention
Edges approximated during surgery
- suture, staples, dermal glues
Secondary Intention
Left open after surgery, healing with scar tissue
Tertiary Intention
Delayed primary closure
- Initially wound left open then after short time edges are approximated
Positive signs Day 1-4
Edges approximated
Normal inflammation
Min to mod drainage
Negative signs Day 1-4
No signs of inflammation
Tension along incision line
Day 1-4 Dressing
Dry or non adherent gauze
positive signs day 5-9
No inflammation
No Drainage
New epithelium along line
Healing ridge present
Negative signs day 5-9
Drainage Little to no new pink epithelium Absent or partial healing ridge S/s of infection Dehiscence (gape)
Day 10-14 Positive
Suture/staples removed
Pink incision site
Tiny openings post removal
Day 10-14 negative
Signs of inflammation/infection
Drainage
Dehiscence
Absent healing ridge
Day 15 - 1-2 years Positive
Pale to pink scar progressing to white/silver
Will be darker in darkly pigmented skin
Day 15 - 1-2 years Negative
Keloid or hypertrophic scarring
Scar Removal
Face 3-5 Scalp 7 Chest 7-10 Abdoment 7-10 Extremities 7-10 Ear 10-14 Bach 12-14 Foot 12-14
Most common Surgical dressing
Dry-non adherent gauze
Bordered Foam
May see beta dine dabs along incision line as well
What would you use a moist dressing? and what type?
- Viable tissue exposed
- Impregnated gauze cut fit over opening
- Dry over the rest
