Equis ISSN 2398-2977

Wound: secondary closure

Synonym(s): Delayed secondary closure

Contributor(s): Larry Booth, Rachel Murray, Vetstream Ltd

Introduction

  • Primary closure is delayed until granulation tissue   Wound: granulation 02  has formed in the wound.
  • Indication: wounds with significant swelling, contamination or evidence of infection, thus preventing primary closure.

Uses

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

Advantages

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

Disadvantages

  • Not 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.
  • Tension on suture line greater than in wound closed by primary closure due to wound expansion and loss of skin elasticity.
  • Undermining skin edges and tension sutures usually required.

Requirements

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Prognosis

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

Further Reading

Publications

Refereed papers


ADDED