Podcast
Questions and Answers
What type of wound results from planned surgical treatment?
What type of wound results from planned surgical treatment?
- Traumatic wound
- Intentional wound (correct)
- Unintentional wound
- Chronic wound
Which term refers to wounds that do not progress through normal stages of healing?
Which term refers to wounds that do not progress through normal stages of healing?
- Chronic wounds (correct)
- Acute wounds
- Superficial wounds
- Intentional wounds
What characterizes an acute wound?
What characterizes an acute wound?
- Heals slowly without intervention
- Goes through the normal healing process (correct)
- Has an intact epithelial cover
- Is caused by unintentional trauma
Which of the following is a characteristic of an open wound?
Which of the following is a characteristic of an open wound?
What type of injury does an abrasion represent?
What type of injury does an abrasion represent?
Which of the following describes a closed wound?
Which of the following describes a closed wound?
What is a common cause of unintentional wounds?
What is a common cause of unintentional wounds?
How does an abrasion typically heal?
How does an abrasion typically heal?
What is the primary definition of a wound?
What is the primary definition of a wound?
Which type of wound is characterized by being caused by sharp instruments during surgical procedures?
Which type of wound is characterized by being caused by sharp instruments during surgical procedures?
Which of the following is NOT a cause of wounds as mentioned?
Which of the following is NOT a cause of wounds as mentioned?
What type of wounds can result from accidents like gunshots or stabbings?
What type of wounds can result from accidents like gunshots or stabbings?
Which of the following does NOT represent a type of mechanical wound?
Which of the following does NOT represent a type of mechanical wound?
What is one example of a closed wound?
What is one example of a closed wound?
Which type of wound is characterized by skin or mucous membrane necrosis?
Which type of wound is characterized by skin or mucous membrane necrosis?
What are the characteristics of surgical trauma wounds compared to accidental wounds?
What are the characteristics of surgical trauma wounds compared to accidental wounds?
What is a critical feature of an ideal suture material?
What is a critical feature of an ideal suture material?
Which of the following statements about contaminated wounds is correct?
Which of the following statements about contaminated wounds is correct?
What are the components of wound healing?
What are the components of wound healing?
During the early phase of wound healing, which process is primarily focused on establishing hemostasis?
During the early phase of wound healing, which process is primarily focused on establishing hemostasis?
What is true about the phases of wound healing?
What is true about the phases of wound healing?
Which type of suture material is considered superior when managing infection risk?
Which type of suture material is considered superior when managing infection risk?
What is the primary aim of the hemostasis and inflammatory phase of wound healing?
What is the primary aim of the hemostasis and inflammatory phase of wound healing?
Which of the following accurately describes the vascular response in the early phase of wound healing?
Which of the following accurately describes the vascular response in the early phase of wound healing?
What is the primary role of fibroblasts during wound healing?
What is the primary role of fibroblasts during wound healing?
What color characterizes healthy granulation tissue?
What color characterizes healthy granulation tissue?
Which factor acts as a co-enzyme in the maturation of collagen fibers?
Which factor acts as a co-enzyme in the maturation of collagen fibers?
During which phase of wound healing does collagen synthesis primarily occur?
During which phase of wound healing does collagen synthesis primarily occur?
What happens to the capillaries during the late phase of wound healing?
What happens to the capillaries during the late phase of wound healing?
Which process occurs first during epithelization?
Which process occurs first during epithelization?
What type of collagen is primarily produced in the early phases of wound healing?
What type of collagen is primarily produced in the early phases of wound healing?
What characteristic indicates unhealthy granulation tissue?
What characteristic indicates unhealthy granulation tissue?
What is the primary function of the platelet/fibrin plug in wound healing?
What is the primary function of the platelet/fibrin plug in wound healing?
Which cells are predominantly involved during the first 24 hours of acute cellular inflammation?
Which cells are predominantly involved during the first 24 hours of acute cellular inflammation?
Which of the following substances are released to increase vascular permeability during the inflammatory response?
Which of the following substances are released to increase vascular permeability during the inflammatory response?
What is the main role of monocytes/macrophages after 2-5 days post-injury?
What is the main role of monocytes/macrophages after 2-5 days post-injury?
What are the key nutrients needed for collagen synthesis during the intermediate phase of wound healing?
What are the key nutrients needed for collagen synthesis during the intermediate phase of wound healing?
When does the process of epithelialization begin after an injury?
When does the process of epithelialization begin after an injury?
What is a potential consequence of the neutrophil's activity during the inflammatory response?
What is a potential consequence of the neutrophil's activity during the inflammatory response?
Which of these phases follows immediately after the inflammatory response in the wound healing process?
Which of these phases follows immediately after the inflammatory response in the wound healing process?
What is the expected tensile strength of a wound site after 1 year of healing?
What is the expected tensile strength of a wound site after 1 year of healing?
Which vitamin deficiency is specifically noted to cause failure of collagen maturation?
Which vitamin deficiency is specifically noted to cause failure of collagen maturation?
What factor is NOT directly mentioned as affecting wound healing?
What factor is NOT directly mentioned as affecting wound healing?
What is the significance of hydroxylation of lysine and praline in collagen?
What is the significance of hydroxylation of lysine and praline in collagen?
What change occurs to scar tissue as it matures?
What change occurs to scar tissue as it matures?
Which class of medication is known to inhibit macrophages and interfere with wound healing processes?
Which class of medication is known to inhibit macrophages and interfere with wound healing processes?
Which of the following conditions is noted to delay wound healing?
Which of the following conditions is noted to delay wound healing?
What does a good blood supply in a wound site promote?
What does a good blood supply in a wound site promote?
Flashcards
Wound
Wound
An injury that breaks the skin or mucous membrane, caused by a mechanical, chemical or biological force.
Abrasion
Abrasion
A wound caused by friction or scraping against a rough surface, leaving the skin superficial and abraded.
Cut Wound
Cut Wound
A wound caused by a sharp object, resulting in a clean, incised cut.
Stab Wound
Stab Wound
Signup and view all the flashcards
Shot Wound
Shot Wound
Signup and view all the flashcards
Chemical Wound
Chemical Wound
Signup and view all the flashcards
Burns
Burns
Signup and view all the flashcards
Electricity Wound
Electricity Wound
Signup and view all the flashcards
Intentional Wounds
Intentional Wounds
Signup and view all the flashcards
Unintentional Wounds
Unintentional Wounds
Signup and view all the flashcards
Superficial Wounds
Superficial Wounds
Signup and view all the flashcards
Deep Wounds
Deep Wounds
Signup and view all the flashcards
Acute Wounds
Acute Wounds
Signup and view all the flashcards
Chronic Wounds
Chronic Wounds
Signup and view all the flashcards
Open Wounds
Open Wounds
Signup and view all the flashcards
Closed Wounds
Closed Wounds
Signup and view all the flashcards
Ideal Suture Material
Ideal Suture Material
Signup and view all the flashcards
Wound Healing
Wound Healing
Signup and view all the flashcards
Early Phase of Wound Healing
Early Phase of Wound Healing
Signup and view all the flashcards
Coagulation & Platelet Plug Formation
Coagulation & Platelet Plug Formation
Signup and view all the flashcards
Components of Wound Healing
Components of Wound Healing
Signup and view all the flashcards
Stages of Wound Healing
Stages of Wound Healing
Signup and view all the flashcards
Proliferative Phase of Wound Healing
Proliferative Phase of Wound Healing
Signup and view all the flashcards
Remodeling Phase of Wound Healing
Remodeling Phase of Wound Healing
Signup and view all the flashcards
Platelet Activation
Platelet Activation
Signup and view all the flashcards
Platelet/Fibrin Plug
Platelet/Fibrin Plug
Signup and view all the flashcards
Acute Cellular Inflammation
Acute Cellular Inflammation
Signup and view all the flashcards
Neutrophils
Neutrophils
Signup and view all the flashcards
Monocytes/Macrophages
Monocytes/Macrophages
Signup and view all the flashcards
Proliferative Phase
Proliferative Phase
Signup and view all the flashcards
Epithelialization
Epithelialization
Signup and view all the flashcards
Nutrients for Collagen Synthesis
Nutrients for Collagen Synthesis
Signup and view all the flashcards
What layer is fragile and needs moisture to grow?
What layer is fragile and needs moisture to grow?
Signup and view all the flashcards
Wound healing in elderly
Wound healing in elderly
Signup and view all the flashcards
What type of wound heals quickly with minimal cell migration?
What type of wound heals quickly with minimal cell migration?
Signup and view all the flashcards
How smoking affects wound healing
How smoking affects wound healing
Signup and view all the flashcards
What happens to cells in the first 24 hours of wound healing?
What happens to cells in the first 24 hours of wound healing?
Signup and view all the flashcards
How malnutrition impacts wound healing
How malnutrition impacts wound healing
Signup and view all the flashcards
Impact of steroids on wound healing
Impact of steroids on wound healing
Signup and view all the flashcards
When does cell proliferation begin in wound healing?
When does cell proliferation begin in wound healing?
Signup and view all the flashcards
How do cells move and stop during wound healing?
How do cells move and stop during wound healing?
Signup and view all the flashcards
Debilitating diseases and wound healing
Debilitating diseases and wound healing
Signup and view all the flashcards
How vascularity affects wound healing
How vascularity affects wound healing
Signup and view all the flashcards
What is the process of forming new blood vessels called?
What is the process of forming new blood vessels called?
Signup and view all the flashcards
Describe healthy granulation tissue.
Describe healthy granulation tissue.
Signup and view all the flashcards
Influence of wound type and environment
Influence of wound type and environment
Signup and view all the flashcards
Describe unhealthy granulation tissue.
Describe unhealthy granulation tissue.
Signup and view all the flashcards
Role of oxygen in wound healing
Role of oxygen in wound healing
Signup and view all the flashcards
Study Notes
General Surgery Department
- Located at Damietta University, Faculty of Medicine.
Wounds
-
Definition: Disruption of the continuity of skin, mucous membrane or soft tissue caused by physical, chemical, or biological insult.
-
Causes:
- Mechanical: Abrasions, cuts, stab wounds, insect bites, or gunshot wounds
- Chemical: Burns, frostbite
- Electrical: Electrical injury
-
Classification:
- Closed (blunt): e.g. motor vehicle accidents, falls
- Open (penetrating):
- Accidental: gunshot, cuts, stab wounds, bites.
- Surgical: caused by sharp instruments.
-
Intention:
- Intentional: planned treatment
- Unintentional: traumatic/accidental
-
Severity
- Superficial
- Deep
-
Onset:
- Acute: normal/timely healing
- Chronic: fails to go through the normal stages of healing, no timely progress in healing
-
Types of Open Wounds
- Abrasions: Scraping away superficial layers of skin
- Penetrating wounds: Pressure by sharp objects (e.g., nail, needle).
- Incised wounds: A neat cut wound (e.g., surgical scalpel)
- Lacerations: Severe violence with blunt objects (e.g., road traffic accident)
- Stab wounds: Caused by sharp, flat objects (e.g., knife)
- Bites: Caused by animal or human teeth
- Stings: Caused by insects, spiders, or scorpions
- Cut wounds: Caused by sharp objects with minimal blunt force
-
Types of Closed Wounds
- Crushed wounds: Extreme pressure smashing skin and underlying tissue
- Contusions (bruises): Intradermal bleeding from minor capillaries with interstitial tracking.
-
Important characteristics of lacerated wounds: Severely traumatized, devascularized, irregular in shape, usually contaminated, risk of high infection
Wound Healing
- Definition: Physiological process where the body repairs damaged tissue to restore form and function.
- Components: Wound contraction, granulation tissue formation, epithelialization
- Hemostasis & Coagulation: Blood clot formation
- Inflammation: Characterized by redness, heat, pain, and swelling
- Proliferative Phase: Cellular proliferation, cellular migration, angiogenesis (formation of new blood vessels). Synthesis of collagen
- Remodeling Phase: Capillary regression. Collagen synthesis. scar formation.
Wound Complications
- Wound Failure (Dehiscence): Wound gaps after closure.
- Stretching of the scar: In wounds with delayed healing due to infection.
- Hypertrophied scar: More cellular, vascular scar.
- Keloid formation: Extreme overgrowth of scar tissue beyond the original wound.
- Contracture: Scar tissue shortening, resulting in joint deformity.
- Surgical Site Infection: Infection at the site of the surgery.
- Injury and ischemia (reduced blood supply in tissues), lymphedema/hematoma/seroma (fluid buildup and abnormal accumulation of blood): Post surgical complications.
Wound Management
- General: Follow ATLS protocol, wound assessment, tetanus prophylaxis.
- In the Theatre:
- Wound cleansing
- Wound debridement
- Ligature/electrocautery for bleeding points
- Proper wound dressing (e.g., non-allergic, allow gas exchange)
- Sutures:
- Primary sutures: applied at the time of injury
- Delayed primary sutures: applied 5-7 days later to doubtful wounds
- Secondary sutures: applied to clean wounds after granulation.
- Reconstruction: replacing lost skin or tissues.
- Additional Management of Keloids/Hypertrophic Scars: pharmacologic therapy, pressure, lasers, radiation therapy, compression garments, surgical excision
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.