Wound closure

Question 1

‘Tidy’ wounds can be closed primarily if they are less than ? hours old, i.e.
lacerations, abrasions and injuries with minimal ? ?.

Answer 1

12

skin loss

Question 2

‘Untidy’ wounds include wounds with marginal ?, ? injuries or ? injuries with skin loss. These require wound ? with removal of debris/ ? tissue.

Answer 2

necrosis
crush
tearing
excision
dead

Question 3

Delayed closure is indicated if they are more than ? hours old or heavily
?, where the wound will be ? and inspected daily for further ? or inflammation. The wound will then be closed at ?-? hours if it is satisfactory.

Answer 3

6
contaminated
dressed
necrosis
48-72

Question 4

ABDO wound closure

Proper technique is essential to avoid ? and ?;

• Mass closure (? fascial closure with ?suture) for a ? incision, with ?cm bites ?cm apart.
• ? closure for other abdominal incisions.
• Sutures should be removed at ? days.

Answer 4

dehiscence 
herniation
continuous
one
midline
1 1
layered
10

Question 5

Inflam changes around a wound/suture

-calor (?)
-Rubor {?).
Tumour {?).
Dolor {?) .
Function laesa {loss of ?).

Answer 5

heat
erythema
swelling
pain
function

Question 6

Outline the management of an infected surgical wound.

Depending on the severity of the wound infection, the patient may need ?treatment, oral / IV ? alone, or re-intervention on the ?/ in theatre to
open, ?, debride, ? and pack the wound. ? are always recommended.

Answer 6

no
ABx
ward
drain
rinse
cultures