ISSN 2398-2942      

Wound closure: secondary

icanis

Introduction

  • Wound closure is delayed until granulation tissue has formed in the wound.
  • Indication: wounds with significant swelling, necrotic tissue or contamination to prevent primary closure.

Uses

  • Achieve greater functional and cosmetic result compared with second intention healing Wound: secondary intention healing on the extremities.
  • Haired epithelium produced over wound bed.

Advantages

  • Decreased risk of subsequent infection compared with primary closure Wound closure: primary.
  • Reduces healing time and chances of scar tissue formation compared with second intention healing.

Disadvantages

  • Less suitable for severely contaminated/infected wounds, large skin defects, considerable associated soft tissue damage, necrotic debris, exudate or where wound debridement is necessarily inadequate to preserve vital structures.
  • Infection more likely than with second intention healing.
  • Undermining skin edges and tension sutures or other reconstructive techniques usually required.

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, if criteria for secondary wound closure are satisfied before closure.

Further Reading

Publications

Refereed papers

Other sources of information

  • Manual of Canine and Feline Wound Management and Reconstruction. (1999) Eds. Fowler D and Williams JM BSAVA, Cheltenham.
  • Small Animal Wound Management (2nd Edition) (1997) Swaim SF and Henderson RA. Williams and Wilkinson, Baltimore.

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