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Classification and management of acute wounds

Lookup NU author(s): Professor David Leaper

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Abstract

Acute wounds are aetiologically and pathophysiologically diverse, features that impact on their natural history and guide management. Wound healing is a dynamic process and requires appropriate shifts in perspective in the clinical management of the wound, and is reflected in the terminology and classification systems which address different domains of the wound. Wound management begins with assessment and classification and may continue well after the wound has clinically healed. Before a wound can be closed, it may need to be prepared by toilet and debridement and protected against infection by appropriate prophylactic measures. Judgement and surgical skill are necessary to decide whether a wound is best allowed to heal by first, second or third intention. Wounds may be directly closed by approximation of edges or by transfer of tissues. © 2007 Elsevier Ltd. All rights reserved.

Publication metadata

Author(s): Kumar S, Leaper DJ

Publication type: Review

Publication status: Published

Journal: Surgery

Year: 2008

Volume: 26

Issue: 2

Pages: 43-47

Print publication date: 01/02/2008

ISSN (print): 0263-9319

ISSN (electronic): 1532-7361

URL: http://dx.doi.org/10.1016/j.mpsur.2007.11.003

DOI: 10.1016/j.mpsur.2007.11.003

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