wound management

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wound management & dressing wound management greeshma anna thomas wound is a break in the integrity of the skin or tissues it is simply a disruption of any tissues- soft tissue or bone or internal organs. definition 1. clean wound herniorraphy excisions infective rate is less than 2% 2. clean contaminated appendicectomy gb, biliary and pancreatic surg. gastrojejunostomy infective rate is 10% classification 3. contaminated acute abdominal conditions open fresh accidental wounds. infective rate is 15-30% 4. dirty infected abscess drainage pyocele infective rate is 40-70% 1.) primary healing ( first intention) occurs in a clean incised wound or surgical wound wound edges can be approximated with sutures. there is more epithelial regeneration than fibrosis scar will be linear, and smooth 2.) secondary healing (second intention) occurs in a wound with extensive soft tissue loss like in major trauma, burns. heals slowly with fibrosis. leads into a wide often hypertrophied …

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ials or excess exudates or crusts. ideally done under aseptic precautions using warm sterile isotonic ns management wound is inspected and classified as per type of wound if it is in the vital area then, make sure abcs are maintained incised wound- primary suturing done after thorough cleaning lacerated- wound is excised and primary suturing done crush or devitalised wound- there will be oedema and tension in wound so after thorough cleaning of wound oedema is allowed to subside for 2-6 days then delayed primary suturing is done. deep devitalised wound- after debridement it is allowed to granulate completely and later secondary suturing is done specific management 1- to promote wound healing by primary intention . 2- to prevent infection . 3- to assess the healing process 4- to protect the wound from mechanical trauma . 5- to absorb drainage. 6- to prevent contamination from bodily discharge. dressing made up …

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wound management & dressing wound management greeshma anna thomas wound is a break in the integrity of the skin or tissues it is simply a disruption of any tissues- soft tissue or bone or internal organs. definition 1. clean wound herniorraphy excisions infective rate is less than 2% 2. clean contaminated appendicectomy gb, biliary and pancreatic surg. gastrojejunostomy infective rate is 10% classification 3. contaminated acute abdominal conditions open fresh accidental wounds. infective rate is 15-30% 4. dirty infected abscess drainage pyocele infective rate is 40-70% 1.) primary healing ( first intention) occurs in a clean incised wound or surgical wound wound edges can be approximated with sutures. there is more epithelial regeneration than fibrosis scar will be linear, and …

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