Wound Closure Decision Making

These flashcards cover key concepts related to decision-making in wound closure, including criteria for closure, risks associated with different approaches, and options for wound management.

What are the risks of closing a wound too soon?

The wound may contain non-viable tissue or be contaminated, leading to dehiscence or abscess formation.

What color indicates viable tissue in wound management?

Viable tissue typically appears as a dark red color and should bleed when cut.

What signs should be present for a wound to be considered ready for closure?

There should be signs of viable tissue, no signs of infection (like pus), and no gross contaminants.

What is the 'golden period' for wound management?

The 'golden period' is the first six hours post-injury, during which wounds are ideal for primary closure.

What type of wound management involves a delayed primary closure?

Delayed primary closure is performed generally within three to five days of wounding when the wound shows improvement.

What are the downsides of open wound management?

It is labor-intensive, expensive, can be uncomfortable for the animal, and has an increased risk of hospital-acquired infections.

What are the benefits of second intention healing?

It allows wounds to heal without closure and can be more financially manageable for owners.

What is a significant risk associated with second intention healing for distal limb wounds?

The risk of developing a physiologic tourniquet due to wound contraction.

What is the first step in primary closure management?

Performing a single definitive debridement before closing the wound.

What does granulation tissue refer to in wound healing?

Granulation tissue is fibrovascular tissue that forms and fills in defects during wound healing.