Wound Healing
Key Terms
Suturing Techniques
Hemostasis
Classification of Surgical Wounds
100
Once the wound is determined to be infection free, it will be closed through first intention closure and allowed to finish healing. 

What is Third Intention. 

100

Abnormally large fluid volume in tissue between the body's cells.

What is Edema. 

100

Each stitch is individually placed, tied, and cut for the length of the wound. 

What is Simple Interrupted.

100

The arrest or control of bleeding and can occur by blood vessel spasm, platelet plug formation and blood coagulation. 

What is Hemostasis.

100

Primary closure; open/mechanical drainage. Clean Contaminated.

What is Class II 

200

The wound is left open and allowed to heal from the inside out, granulation tissue forms causing closure by contraction. 

What is Second Intention. 

200

Partial or total separation of tissue after closure. 

What is Dehiscence.

200

Long, straight incisions when the wound edges easily evert.

What is Simple Continuous.

200

Chemical agents that aid in hemostasis.

What is Chemical Methods of hemostasis. 

200

Primary closure; no inflammation. Clean.

What is Class I.

300

Wound heals rapidly, no separation of the edges, minimal scarring.

What is First Intention.

300

Protrusion of the viscera through the edges of a totally separated wound.

What is Evisceration.

300

First throw is a single suture technique at the end of the wound, multiple subcuticular bites are made opposite each other the length of the wound.

What is Subcuticular.

300

Hemostasis may be enhanced by the application of either extreme cold or heat to body tissues to create coagulation.

What is Thermal Methods of hemostasis.

300

Perforated viscus; microbial contamination. Dirty/Infected.

What is Class IV.

400

Tensile strength of the wound is gradually getting stronger throughout this phase.

What is Maturation or Differentiation phase (phase 3).

400

Fluid with high content of protein and cellular debris that has escaped from blood vessels and has been deposited in tissue/tissue surfaces, usually result of inflammation.

What is Exudate.

400

Two-bite suture technique. First small bite is placed close to the wound edge, second bite is placed slightly behind the first bite and deeper in the tissue.

What is Interrupted Vertical Mattress. 

400

Achieved with the use of several types of devices to control bleeding until a clot forms. 

What is Mechanical Methods of hemostasis.

400

Acute inflammation; open traumatic wound. Contaminated.

What is Class III. 

500

Fibroblasts increase and bridge the wound edges, wound has approximately 25-30% tensile strength during this phase. 

What is the Proliferation phase (phase 2).
500

Abnormal tract between two epithelium-lined surfaces that is only opened on one end.

What is Sinus Tract Formation. 

500

Suture is placed so the knot is located under the layer to be closed and is not projecting outward.

What is Buried. 

500

During surgical procedures, two types of bleeding may be encountered. 

What is gross bleeding from a severed or injured blood vessel and/or diffuse oozing from a denuded surface. 
500

Wound that has been breached by a foreign object or had leakage from the gastrointestinal (GI) tract. 

What is Class III. 

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