Wound Healing

Question 1

What wounds do we treat via Direct Suturing?

Answer 1

Clean incised wounds less than 6 hours post injury

Question 2

What wounds do we treat via wound excision?

Answer 2

Lacerated and contaminated wounds

Question 3

What wounds do we treat via Wound Debridement?

Answer 3

Infected wounds, or those greater than 24 hours in duration

Question 4

How long doss the phase of inflammation last ?

Answer 4

5-11 days

Question 5

Explain phase of proliferation

Answer 5

Lasts 3 weeks, consists of fibroblastic proliferation and collagen deposition

Question 6

Explain the phase of remodeling

Answer 6

Lasts 3 weeks-6months, consists of collagen and CT deposition, the most effective phase for wound healing.

Question 7

Explain healing by primary intention

Answer 7

Occurs in sutured clean wounds, leaves no disfigurement

Question 8

Explain healing by secondary intention

Answer 8

Occurs in infected and gaping wounds. The open wounds is allowed to close naturally

Question 9

Explain healing by tertiary intention?

Answer 9

Occurs in heavily contaminated wounds. Deeper structures are closed while the skin is left open, then closed once clean.

Question 10

What is Wound dehiscence?

Answer 10

When the wound closure fails and it re-opens

Question 11

How is keloid formation a failure of wound healing?

Answer 11

Leaves excessive scar tissue. Occurs in exaggerated inflammatory process.