Wound Terminology
Bandage
collection of extravasated blood trapped in the tissue or in an organ resulting from incomplete hemostasis after surgery.
Hematoma
a cut produced surgically by a sharp instrument that creates an opening into an organ or space in the body.
Incision
stab wound for a drainage system.
Puncture
In which phase is collagen formed from fibroblasts to promote healing
Reconstruction phase.
Most surgical wounds heal by?
Primary Intention
protrusion of an internal organ through a wound or surgical incision, especially the abdominal wall.
Evisceration
fluid, cells, or other substances that have been slowly exuded, or discharged from cells through small pores or breaks in cell membrane.
Exudate
torn piece of tissue that results in a section being completely removed or left hanging by a flap.
Avulsion
passage or escape into the tissues; usually of blood, serum, or lymph.
Extravasations
a tissue reaction to injury.
Inflammatory Response:
gentle washing of an area with a stream of solution delivered through an irrigating syringe
Irrigation
termination of bleeding begins as soon as the injury. Clot begins to form minutes to hours after initial injury
Hemostasis
contaminated wound left open and closed later, after infection is controlled. Suturing two layers of granulated tissue together in the wound
Tertiary Intention
separation of surgical incision or rupture of wound closure.
Dehiscence
producing or containing pus.
Purulent
discolorations of the skin or mucous membrane
Ecchymosis
displays a fever, tenderness and pain at the wound site, edema, and an elevated WBC
Wound Infection
bandage made of large pieces of material to fit a specific part of the body
Binder
long end of the T-tube exits through the abdominal incision or through a separate surgical wound.
T-tube
initial increase in blood elements antibodies, electrolytes, plasma proteins and water flow out of the blood vessel and into the vascular space.
Inflammatory
process of wound healing, starts during the inflammatory phase, minimal scarring results. In surgery starts during wound closure
Primary Intention
any injury to the body’s tissues that involves a break in the skin
Wound
thin and watery, composed of serum portion of blood
Serous
the removal of fluids from a body cavity, wound, or other source of discharge by one or more methods
drainage
used when small amounts (100-200 ml) of drainage anticipated
Jackson-Pratt drain
condition caused by invasion of pathogenic microorganisms
Infectious Process
tissue, or soft, pink, fleshly projections that consists of capillaries surrounded by fibrous collagen.
Granulation
collagen formation occurs, usually begins on the 3-4th day and lasts for 2 to 3 weeks after initial injury.
Reconstruction
when a wound must granulate, occurs when skin edges are not close together or when pus has formed.
Secondary Intention
band of scar tissue that binds together two anatomical surfaces normally separated; most commonly found in the abdomen.
Adhesion
composed of or pertaining to blood.
Sanguineous
used for larger amounts (up to 500 ml) of drainage
Hemovac drainage system
Patient will have increase thirst, restlessness, rapid, thready pulse, decreased blood pressure, decreased urinary output, and cool, clammy skin are signs of
Internal Bleeding
are used for wounds with little exudate.
Dry dressings
device that functions by applying negative pressure to wounds.
Vacuum-assisted closure
from the 3rd week up to 2 years after the initial injury. Wound gains strength, scar formation, may develop a keloid (over growth of collagenous tissue) or hypertrophic scarring during this phase.
Maturation
Wound care on these wounds must be performed daily to encourage wound debris removal and to allow for granulation tissue formation.
Secondary intention
infection of the skin characterized by heat, pain, redness, and edema.
Cellulitis
thin and red, composed of serum and blood.
Serosanguineous