Canis ISSN: 2398-2942

Wound closure: delayed primary

Contributor(s): Kyle Mathews

Introduction

  • Wound closure by direct apposition after local infection has been controlled → healing by primary intention.

Uses

  • Contaminated wounds, devitalized tissue, necrosis.

Advantages

  • Much decreased infection rate compared with first day closure of contaminated wounds.
  • Allows for evaluation of tissues with questionable viability.
  • Can use surgical drain at closure to further decrease infection rate.

Disadvantages

  • Increased dressing costs compared to primary closure.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Johnston D E (1990) Care of accidental wounds. Vet Clin North Am Small Anim Pract 20 (1), 27-46 PubMed.


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