Closing the MOST Complicated AND Simple Wounds

What are the different options for wound closure?

When should we close by primary intention? How about secondary intention?

What is delayed primary closure and when is that a good option?


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In this final video in the wound healing and wound care series I'm going to go through the various types of wound closure. I'm going to take you through various options depending on the clinical situation.

In that clean or clean contaminated case without significant delay and no tension you ,may consider primary closure. Here you may use staples, sutures, steristrips or derma bond...we're going to talk about it.

In that contaminated or dirty case or if you have a delay in wound closure of 4-12h for limbs or up to 24h for the face you may consider healing by secondary intention.

In that exlap for a perforated viscus with fecalent or purulent contamination you may consider delayed primary closure to decrease your risk of surgical site infection.


Check out these AMAZING timestamps and fast forward if you need to:

Start 00:00
What are the 3 types of wound closure? 01:30
Primary intention 01:57
Healing by Secondary intention 08:05
Delayed Primary Closure 11:22


REFERENCES
StatPearls - Wound Closure Techniques: https://citizensurgeon.co/woundclosure
Sabiston Textbook of Surgery - https://citizensurgeon.co/Sabiston

WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified adult and pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!

DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!

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