Healing (Intention)

Healing is the process of repairing damaged tissue. There are several types of healing depending on how tissue regeneration occurs.

Primary healing (first intention) is a natural process in which the edges of a wound or incision after surgery are aligned and connected. This occurs by carefully suturing the edges of the wound and observing the rules of asepsis. Granulation tissue forms at the site of injury.

Secondary healing means that the edges of the wound remain separated. The resulting cavity is filled with granulation tissue, and epithelial tissue begins to grow along the edges. This healing process takes longer.

With tertiary healing (third intention), the wound does not heal for a long time, granulations form very slowly. As a result, a rough scar remains at the site of damage. This is the most unfavorable option for tissue regeneration.

Thus, depending on the characteristics of the process, primary, secondary and tertiary healing of wounds and injuries are distinguished. Timely and correct treatment determines which type of healing prevails and how successfully damaged tissues are restored.



Healing is the process of tissue restoration after injury or surgery. There are several types of healing, each of which has its own characteristics and is used depending on the type of injury or surgery.

Primary healing is a natural process that begins after the wound has been cleared of dirt and bacteria. During this healing process, granulation tissue is formed, which protects the wound from infection and promotes healing.

Secondary healing is used in operations where the edges of the wound do not match and remain separated. In this case, granulation tissue is formed, which fills the space between the edges of the wound. Epithelial tissue then begins to grow on the surface of the granulation tissue, resulting in scar formation.

Tertiary healing is used for severe injuries when the wound is severely damaged and cannot heal naturally. In this case, the formation of granulation tissue occurs slowly, and a scar forms on the surface of the wound.



Healing (Intention): The body's process of repair

Healing is an incredibly complex and challenging process that allows the body to repair damaged tissue and return to normal function. One important aspect of healing is the distinction between primary, secondary and tertiary healing, which vary depending on the nature of the wound and its healing conditions.

Primary healing, also known as first intention healing, occurs when a wound or incision created during surgery is sutured with sutures and the edges of the wound are firmly attached to each other. This method is used in cases where the wound has a straight and clear shape, and its goal is to achieve the best functional and cosmetic result. As a result of primary healing, granulation tissue is formed, which is then filled with epithelial tissue, restoring the integrity of the skin surface.

Secondary healing differs from primary healing in that the edges of the wound remain separated and the wound heals without the use of sutures or suturing. In this case, a wound cavity is formed, which is filled with granulation tissue. Granulation tissue consists of blood vessels, fibroblasts and immune cells that help repair damaged tissue. As the granulation tissue heals, epithelial tissue begins to grow along the edges of the wound, restoring the protective layer of the skin.

Tertiary healing (third intention) occurs in cases where the wound initially cannot be sutured using the primary method and a more complex healing procedure is required. In this case, the wound is left open for a certain period of time to allow cleansing and granulation of the wound. After this, the wound can be sutured and the healing process continues as during primary healing. However, tertiary healing may take longer and may leave a scar at the wound site.

Wound healing is a complex biological process that requires the interaction of various cells, growth factors and chemical signals. It can be complicated by various factors such as infection, insufficient blood supply, immune system dysfunction and other medical conditions. Proper wound care, adherence to aseptic principles, and timely seeking of medical attention can significantly contribute to successful healing.

In conclusion, healing is an amazing process that allows the body to repair damaged tissue. Various healing methods such as primary, secondary and tertiary healing are used depending on the nature of the wound and its conditions. Understanding these methods and their features allows medical professionals to make the right decisions and optimize the healing process. In addition, proper wound care and adherence to doctors' recommendations play an important role in successful healing and prevention of complications. Healing is an ongoing and amazing proof of the body's ability to heal and adapt.