Wound closure Flashcards
Name 3 types of wound closure
Primary wound closure
Delayed primary
Secondary
Times to use delayed primary closure
Resolve infection
achieve debridement
before granulation tissue
When do you use secondary closure?
After granulation tissue
Primary wound closure is used on?
Surgical incisions
lacerations
Considerations for primary wound closure
Anatomic location
regional blood supply
tissue loss
Considerations for primary wound closure
Anatomic location
regional blood supply
tissue loss
Would head wounds be good for primary closure? Why?
Yes
limited motion
vascular
Are eyelids good for primary closure?
Yes highly vascular
What types of wounds are not suited to primary closure?
Tensions and motions
tissue considerations such as infections
For none surgical wounds avoid what type of suture?
Braided
3 common reasons for failure of primary wound closure
Tension
infection
devitalization
give me 4 ways to manage tension in a primary wound closure?
Tension relieving sutures
tissue undermining
tension relieving incisions
plasty procedures
give me 4 ways to manage tension in a primary wound closure?
Tension relieving sutures
tissue undermining
tension relieving incisions
plasty procedures
3 tension relieving sutures?
Near far far near suture
vertical mattress
horizontal mattress
What sutures do you use to pre suture something?
for how long?
large mattress sutures
4-8 hours
