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traumatic wound

Complications: - infection risk depends more on site than time of suturing after injury [1] Management: - clean wound & disinfect prior to suturing - wounds of the head & upper extremities may be sutured after 6 hours [1] - effect of hyperbaric oxygen on wound healing is uncertain [2] Notes: - the dogma that traumatic wounds should not be sutured after 6 h is based on an animal experiment by PL Friedrich in 1898

Related

culture of wound wound care wound dressing

Useful

lesion trauma

Specific

gunshot wound open wound of head/neck/trunk

General

wound

References

  1. van den Baar MTM et al. Is time to closure a factor in the occurrence of infection in traumatic wounds? A prospective cohort study in a Dutch level 1 trauma centre. Emerg Med J 2010 Jul; 27:540. PMID: 20584955
  2. Eskes A, Ubbink DT, Lubbers M, Lucas C, Vermeulen H. Hyperbaric oxygen therapy for treating acute surgical and traumatic wounds. Cochrane Database Syst Rev. 2010 Oct 6;(10):CD008059 PMID: 20927771