Surgical Treatment of Wounds Secondary

Surgical debridement is an important stage in the treatment of any damage to the skin and soft tissue. This may require secondary debridement, that is, surgery at the site of injury after infections or other complications occur. In this article we will look at what secondary surgical debridement is, what types of this procedure exist and what are the indications for its implementation.

Secondary surgery is surgery performed on infected wounds after primary procedures have been performed. Such intervention may be necessary in cases where initial treatment has not produced the desired result, or if complications have arisen during initial treatment. Secondary operations may be required if the wound becomes suppurated, bleeding develops, fistulas form, etc. Such operations often take place in more difficult conditions than primary ones, and therefore require special attention and experience from the doctor.

There are several types of secondary processing. Among them there are local and general. Local, in turn, can be external and internal. This also includes drainage

**Surgical treatment of a wound** is a set of measures for the treatment and removal of purulent-necrotic tissue in order to eliminate the purulent focus. The main issue is the removal of necrotic masses in compliance with the following rules: the maximum possible preservation of viable tissues of the patient; accurate execution of sanitizing operations; prevention and treatment of hypovolemic shock; effective pain relief; sanitation and adequate drainage.

Often, when a patient is admitted to a hospital, his wounds are not subjected to adequate primary treatment due to the nature of the victim’s injuries. In this case, either there is no access to the wound (for example, open injuries: injury, explosion), or there are no qualified specialists or there is no necessary equipment. Therefore, the patient may be hospitalized for secondary surgical treatment of the wound, since during the initial examination, doctors could conclude that final treatment of the wound is necessary only after a certain period has passed. As a rule, secondary treatment can be carried out within a few days, and sometimes this period is much longer.