Surgical Strategies to Promote Cutaneous Healing
| Autor: | Jennifer Lynn Schiefer, Paul Christian Fuchs, Ines Maria Niederstätter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
reconstructive ladder
medicine.medical_specialty medicine.medical_treatment wound healing Review 030207 dermatology & venereal diseases 03 medical and health sciences Cicatrix 0302 clinical medicine Dirty wounds Suture (anatomy) plastic surgery Surgical site medicine Humans Surgical Wound Infection 030212 general & internal medicine Foreign Bodies micrograft Debridement integumentary system business.industry Plastic Surgery Procedures Surgery Anti-Bacterial Agents Plastic surgery buried skin graft Medicine split-thickness skin graft Cutaneous wound business Wound healing debridement |
| Zdroj: | Medical Sciences, Vol 9, Iss 45, p 45 (2021) Medical Sciences |
| ISSN: | 2076-3271 |
| Popis: | Usually, cutaneous wound healing does not get impeded and processes uneventfully, reaching wound closure easily. The goal of this repair process is to restore the integrity of the body surface by creating a resilient and stable scar. Surgical practice and strategies have an impact on the course of wound healing and the later appearance of the scar. By considering elementary surgical principles, such as the appropriate suture material, suture technique, and timing, optimal conditions for wound healing can be created. Wounds can be differentiated into clean wounds, clean–contaminated wounds, contaminated, and infected/dirty wounds, based on the degree of colonization or infection. Furthermore, a distinction is made between acute and chronic wounds. The latter are wounds that persist for longer than 4–6 weeks. Care should be taken to avoid surgical site infections in the management of wounds by maintaining sterile working conditions, using antimicrobial working techniques, and implementing the principles of preoperative antibiotics. Successful wound closure is influenced by wound debridement. Wound debridement removes necrotic tissue, senescent and non-migratory cells, bacteria, and foreign bodies that impede wound healing. Additionally, the reconstructive ladder is a viable and partially overlapping treatment algorithm in plastic surgery to achieve successful wound closure. |
| Databáze: | OpenAIRE |
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