Equis ISSN 2398-2977

Wound: primary closure

Contributor(s): Graham Munroe, Rachel Murray, Patrick Pollock, Vetstream Ltd

Introduction

  • To allow first intention healing with minimal epithelialization or formation of granulation tissue   Wound: healing - stages  .

Primary closure

  • Wound closed immediately.

Delayed primary closure

  • Primary closure delayed until wound free of signs of infection and debris but before granulation tissue forms.

Uses

  • Achieves good functional and cosmetic result.

Advantages

  • Rapid healing.
  • Minimal scar tissue.

Disadvantages

  • Not suitable for moderately or severely contaminated wounds, considerable associated soft tissue damage or wounds with a significant skin deficit.
  • Infection more likely than with secondary closure or second intention healing.

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 primary wound closure are satisfied before closure.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Quinn G (2010) Equine practice: management of large wounds in horses. In Pract 32 (8), 370-381 VetMedResource.
  • Theoret C (2005) Wound management. Vet Clin North Am Equine Pract 21 (1), 1-240 ScienceDirect.
  • Trotter G W (1989) Techniques of wound closure. Vet Clin North Am Equine Pract (3), 499-511 PubMed.


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