1. WOUNDS.pptx

WOUNDS PROF. (DR.) KARTIK SAXENA MS, FICS, FAIS, FIAGES, FEHS PROFESSOR OF SURGERY MANIPAL UNIVERSITY COLLEGE MALAYSIA MELAKA, MALAYSIA DEFINITION WOUND •Breach in the continuity of skin or mucous membrane ULCER •Persistent breach in the continuity of skin or mucous membrane CLASSIFICATION...

WOUNDS PROF. (DR.) KARTIK SAXENA MS, FICS, FAIS, FIAGES, FEHS PROFESSOR OF SURGERY MANIPAL UNIVERSITY COLLEGE MALAYSIA MELAKA, MALAYSIA DEFINITION WOUND •Breach in the continuity of skin or mucous membrane ULCER •Persistent breach in the continuity of skin or mucous membrane CLASSIFICATION OF WOUNDS TIDY • Surgical incisions UNTIDY • Crushing, tearing CLASSIFICATION OF WOUNDS 1. Clean 2. Clean Contaminated 3. Contaminated 4. Dirty CLASSIFICATION OF WOUNDS OPEN • Incised • Abrasion • Lacerated • Crush • Penetrating CLOSED • Contusion • Hematoma CLASSIFICATION OF WOUNDS CLASSIFICATION OF WOUNDS CLASSIFICATION OF WOUNDS WOUND HEALING WOUND HEALING PHASES OF WOUND HEALING FACTORS EFFECTING WOUND HEALING MANAGEMENT OF WOUNDS • Resuscitation • Cleaning, Dressing • Hemostasis • Splint • Fluids • Inj TT MANAGEMENT OF WOUNDS INCISED • Primary Suturing LACERATED • Excision & Primary Suturing CRUSHED • Debridement, excision • Delayed Primary Suturing DEEP DEVITALISED • Debridement • Secondary Suturing/ Grafting COMPARTMENT SYNDROME • CALF, FOREARM • CLOSED INJURY  HEMATOMA  INCREASED PRESSURE • COMPRESSION OF VESSELS • PALLOR, PARAESTHESIA, PULSELESNESS, PAIN, SWELLING, COLDNESS •RX - FASCIOTOMY