Description & phases of surgical wound treatment in Lubbock, Texas.

Surgical wounds are incisions in the skin made during a medical procedure. All wound care needs are specific to each individual patient, as all surgical wounds are different.

They can differ in size, and healing time depending on a variety of factors including age, health, and the type of surgery performed.


Phases of Wound Healing

Wound healing has classically been described to occur in three phases, regardless of the mechanism of injury. These phases are the inflammatory, the proliferative, and the remodeling phases.

The inflammatory phase

The inflammatory phase is the body’s natural response to injury and takes place immediately after the wound is formed. The wounding triggers a localized release of inflammatory mediators that encourage vasodilation.

The inflammatory phase of wound healing is responsible for the classical signs of inflammation that occur in response to an injury: erythema, heat, edema, pain, and decreased function.

The Proliferative Phase

The wound starts to rebuild itself in the proliferative phase. Granulation tissue, comprising collagen and extracellular matrix, fills the wound defect and angiogenesis also occurs. As the wound defect fills, the wound gradually contracts and epithelial tissue begins to form at the wound edges.

The Remodelling Phase

The final stage of wound healing is remodeling, which occurs once the wound is closed. In this phase, the wound regains its tensile strength as the collagen fibers within the wound remodel and reorganize themselves. It is also during this phase that the wound vascularised and returns to its original state of blood supply.

How does a wound heal?

In healthy people, most wounds heal within a couple of weeks but this can vary depending on the type of operation you had.

The way a wound heals can be divided into several phases, which may overlap.


· Immediately after the cut, cells called platelets in your blood form clumps and release chemicals to stop the bleeding.

· In the first few days, blood flow to your wound increases and white blood cells arrive to fight infection and remove dead tissue. New cells arrive to start repairing the wound.

· From three days to three weeks, new blood vessels grow to bring nutrients to your wound and new tissue starts to develop.

· Finally, from three weeks up to about a year, the new tissues laid down in the wound are gradually replaced and re-organized. Your scar gradually gets stronger, paler, and more like normal skin.

Monitoring wound

While the wound is healing, it’s important to keep an eye on it and check for signs of infection. You can learn what to look out for in the section below: Wound infections.

Sometimes a lump can form around the scar. This is called a hematoma let GP or surgeon know if you feel any lumps.

You may wish to keep your wound out of the sun while it’s healing. While sunlight doesn’t affect healing, the top layer of your skin produces a pigment called melanin that gives your skin its color. So if you expose your skin to the sun while your wound is healing, the scar might look different from the skin around it.

Dressings

It’s not always necessary to have a dressing on a surgical wound but if you do need one, it’s purpose is to:

· absorb any fluid weeping from your wound

· provide the best conditions for healing

· protect the area as your wound heals

Incision Care Tips

After some surgeries wound, you may be given special instructions other than these for taking care of the incision. Be sure to follow those instructions carefully.

Don’t expose your incision to direct sun for 3 to 9 months after surgery. As an incision heals, the new skin that is formed over the cut is very sensitive to sunlight and will burn more easily than normal skin. Bad scarring could occur if you get sunburn on this new skin

Treatment Reference

 

 

 

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