Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury

Eliya, Martha C; Banda, Grace W

doi:10.1002/14651858.cd008574.pub2

Cited by 8 publications

(6 citation statements)

References 23 publications

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“…The basic principles of wound care need to be followed to achieve optimal function and a favourable aesthetic outcome for the patient. 3 The gold standard treatment plan continues to use a multistep approach best known by the acronym, "TIME." First, nonviable tissue must be debrided from the wound.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Acute wounds can be either superficial, involving the epidermis and superficial dermis, or full-thickness, in which the subcutaneous layer is also compromised. Approximately 11 million acute wounds occur in the United States each year.…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 11 million acute wounds occur in the United States each year. [1][2][3] Acute wounds can be either superficial, involving the epidermis and superficial dermis, or full-thickness, in which the subcutaneous layer is also compromised. 4 Soft tissue loss because of infection or trauma can be especially challenging and is commonly treated in a staged fashion.…”

Section: Introductionmentioning

confidence: 99%

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The bolster technique utilising small intestinal submucosa wound matrix: A novel approach to wound treatment

Collini¹,

Stevenson

Hodde

2019

International Wound Journal

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Managing acute wounds with soft tissue loss can be very challenging for both patients and physicians. Successful wound healing depends on several factors including exudate control, prevention of infection, and moisture balance. In this case series, we describe a novel combination treatment method utilising small intestinal submucosa wound matrix (SISWM) with the bolster technique as a way of assisting the integration of collagen‐based wound treatment products into the base of complex wounds with the intent of restoring a dysfunctional extracellular matrix. In case 1, a 44‐year‐old female presented with an acute wound resulting from a spider bite to the posterior aspect of the right knee. In case 2, a 12‐year‐old male sustained multiple injuries to his right foot from an all‐terrain vehicle accident. In case 3, an 80‐year‐old female on anticoagulants sustained an avulsion injury to her left lower leg. In case 4, a 41‐year‐old female sustained a severe complex avulsion injury to the dorsal left forearm sustained from a dog bite. All patients were successfully treated with SISWM and the bolster technique, and their wounds healed completely within 6 weeks. The bolster technique, when combined with an SISWM, is a novel method designed to enable the SISWM to impart its wound healing properties to these complex traumatic wounds. This case series presents treating clinicians with a different treatment methodology to assist the patient in achieving a successful outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The bolster technique utilising small intestinal submucosa wound matrix: A novel approach to wound treatment

Collini¹,

Stevenson

Hodde

2019

International Wound Journal

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“…A recent Cochrane review attempted to compare primary closure vs DPC for nonbite traumatic wounds within 24 hours after injury, but no studies could be identified that met the inclusion criteria. 91…”

Section: Timing Of Wound Closurementioning

confidence: 99%

Wilderness Medical Society Practice Guidelines for Basic Wound Management in the Austere Environment: 2014 Update

Quinn

Wedmore

Johnson

et al. 2014

Wilderness & Environmental Medicine

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In an effort to produce best-practice guidelines for wound management in the austere environment, the Wilderness Medical Society convened an expert panel charged with the development of evidence-based guidelines for the management of wounds sustained in an austere (dangerous or compromised) environment. Recommendations are made about several parameters related to wound management. These recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks or burdens for each parameter according to the methodology stipulated by the American College of Chest Physicians. This is an updated version of the original guidelines published in Wilderness & Environmental Medicine 2014;25(3):295-310.

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“…Delayed primary closure consists of initial adequate debridement followed by wound dressing, careful wound reassessment at 48 h, repeat debridement and dressing if necessary, and, finally, closure 48 h or longer after initial inspection, but only if the wound is clean and free of foreign material and contaminated and devitalized tissue [31]. Simple closure techniques using strips, sutures, or staples can be employed if the wound edges can be brought together without undue tension.…”

Section: Basic Wound Assessment and Managementmentioning

confidence: 99%

Wound Management in Disaster Settings

et al. 2014

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BackgroundFew guidelines exist for the initial management of wounds in disaster settings. As wounds sustained are often contaminated, there is a high risk of further complications from infection, both local and systemic. Healthcare workers with little to no surgical training often provide early wound care, and where resources and facilities are also often limited, and clear appropriate guidance is needed for early wound management.MethodsWe undertook a systematic review focusing on the nature of wounds in disaster situations, and the outcomes of wound management in recent disasters. We then presented the findings to an international consensus panel with a view to formulating a guideline for the initial management of wounds by first responders and subsequent healthcare personnel as they deploy.ResultsWe included 62 studies in the review that described wound care challenges in a diverse range of disasters, and reported high rates of wound infection with multiple causative organisms. The panel defined a guideline in which the emphasis is on not closing wounds primarily but rather directing efforts toward cleaning, debridement, and dressing wounds in preparation for delayed primary closure, or further exploration and management by skilled surgeons.ConclusionGood wound care in disaster settings, as outlined in this article, can be achieved with relatively simple measures, and have important mortality and morbidity benefits.

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Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury

Cited by 8 publications

References 23 publications

The bolster technique utilising small intestinal submucosa wound matrix: A novel approach to wound treatment

The bolster technique utilising small intestinal submucosa wound matrix: A novel approach to wound treatment

Wilderness Medical Society Practice Guidelines for Basic Wound Management in the Austere Environment: 2014 Update

Wound Management in Disaster Settings

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