Document Detail


Surgical management of wounds.
MedLine Citation:
PMID:  1682028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical management of a wound whether elective or post-traumatic requires strict adherence to certain basic precepts if a successful outcome is to be expected: 1. The patient must be stabilized. 2. Blood supply to the tissues must be adequate in order for the wound to heal. 3. All necrotic tissue must be debrided as it provides an excellent medium for bacterial growth. 4. Wound irrigation is necessary to remove foreign matter, hematoma, and decrease contaminants, e.g., bacteria. 5. Deep structures may be repaired as appropriate to help restore function. 6. Antibiotics and tetanus prophylaxis protocol are administered as appropriate. 7. Wound closure is performed as indicated, i.e., primary closure, delay primary closure, secondary intention (granulation).
Authors:
J S Rosen; J E Cleary
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in podiatric medicine and surgery     Volume:  8     ISSN:  0891-8422     ISO Abbreviation:  Clin Podiatr Med Surg     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1991-12-17     Completed Date:  1991-12-17     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8604974     Medline TA:  Clin Podiatr Med Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  891-907     Citation Subset:  IM    
Affiliation:
Evan's US Army Community Hospital, Fort Carson, Colorado.
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MeSH Terms
Descriptor/Qualifier:
Debridement
Foot / surgery
Foot Injuries
Fractures, Bone / surgery
Humans
Wound Healing / physiology
Wounds and Injuries / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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