Surgical Treatment of Wounds Primary Delayed

Surgical treatment of a wound is one of the most important procedures in providing medical care to victims. It is aimed at cleansing the wound of contaminants, preventing infection and creating optimal conditions for its healing. Depending on the time that has passed since the wound was received, several types of surgical treatment are distinguished, including primary delayed treatment.

Primary delayed surgical treatment of the wound is performed on the second day after injury. Unlike immediate primary treatment, which is carried out immediately after a wound, a delayed procedure allows you to evaluate the condition of the wound, conduct additional studies and prepare the patient for surgery, if necessary.

The main purpose of primary delayed debridement is to remove mechanical contaminants, foreign bodies and necrotic tissue that may impede wound healing. The procedure is performed under local or general anesthesia in the operating room. The surgeon examines the wound, assesses its depth, the degree of damage to surrounding tissues and decides on the need for additional measures.

During initial delayed debridement, the following steps are performed:

1. Cleansing the wound. Using saline or antiseptic solutions, the wound surface is thoroughly washed to remove dirt, germs and other contaminants.

2. Removal of foreign bodies

Surgical debridement (C.W.D.) is a set of measures aimed at ensuring the complete elimination of pathology in the affected area, which consists of removing pathologically altered tissues through surgery from the affected area of ​​the human body, followed by rehabilitation to quickly restore the function of damaged structures.

Primary X, o, p, is an immediate surgical intervention to remove foreign bodies from the body, remove damaged and ischemic tissue, restore the anatomical tissue defect and normal blood supply. Primary X,o p does not include the process of activation of reparative regeneration of the epithelium or dermis, accompanied by the formation of granulation tissue. For this form of X, o r, urgent measures are needed to stop the spread of infectious processes and the inflammatory process in tissues.

Such an X,o is considered deferred. p, in which the operation is postponed for several hours, days, weeks (sometimes months), provided that the patient still has indications for surgery associated with the occurrence of pathological processes in the areas of the wound defect. When determining indications for delayed X,o. It should be taken into account that the terms of delayed processing can be extended as much as possible no more than until grounds for its early implementation arise. The timing of delayed X, O., R is greatly influenced by factors of a local and general nature, which are complications after the initial primary treatment of the wound.