Wound Healing Intention Types

Intentions of Wound Healing

A. First Intention

• Description: This method involves the early suturing of a clean incision.

• Key Features:

  • Results in minimal tissue loss.

  • Healing occurs quickly with a minimal scar.

  • Typical example: surgical incisions.

B. Second Intention

• Description: This process is used for wounds that are gaping and irregular.

• Key Features:

  • Healing occurs by granulation tissue formation and contraction.

  • Results in a more prominent scar as the wound heals naturally.

  • Common in wounds like ulcers or traumatic lacerations.

C. Third Intention

• Description: This method involves delayed closure of a wound.

• Key Features:

  • Increasing granulation occurs before the wound is sutured, usually at a later stage.

  • Results in wider scars compared to first intention.

  • Typically used when there is a risk of infection or when the wound is dirty.

  • Example scenarios include deep tissue wounds or those with significant contamination.