Page 168 - Clinical Managers Orientation Binder
P. 168

4/11/2019











                               Surgical wounds



                               Primary intention
                                                                Secondary Intention
                                Wound edges are
                                  approximated and secured       Wounds that are left open
                                                                  and allowed to
                                  with sutures, staples or
                                  adhesive tapes                 Heal by scar  tissue formation

























                               Surgical Wounds closed by Primary Intention





                               Status  there are two choices
                                  *Newly Epithelialized  (Maturation Phase)
                                      • Completely epithelialized (closed) for 30 days or less
                                          No gap in incision line
                                      • No s&s of infection
                                      • No exudate
                                  *Not healing
                                      • Not completely epithelialized
                                      • Presence of s/s of infection
                                      • Exudate
                                      • Periwound inflammation and or irritation













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