traumatic wound
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Complications
- infection risk depends more on site than time of suturing after injury[1]
Management
- clean wound & disinfect prior to suturing
- wounds of the head & upper extremities may be sutured after 6 hours[1]
- effect of hyperbaric oxygen on wound healing is uncertain[2]
Notes
- the dogma that traumatic wounds should not be sutured after 6 h is based on an animal experiment by PL Friedrich in 1898
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References
- ↑ Jump up to: 1.0 1.1 1.2 van den Baar MTM et al. Is time to closure a factor in the occurrence of infection in traumatic wounds? A prospective cohort study in a Dutch level 1 trauma centre. Emerg Med J 2010 Jul; 27:540. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20584955
- ↑ Jump up to: 2.0 2.1 Eskes A, Ubbink DT, Lubbers M, Lucas C, Vermeulen H. Hyperbaric oxygen therapy for treating acute surgical and traumatic wounds. Cochrane Database Syst Rev. 2010 Oct 6;(10):CD008059 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20927771