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Related Experiment Videos

Healing by secondary intention.

G Bernstein1

  • 1Division of Dermatology, University of Washington, Seattle.

Dermatologic Clinics
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

Secondary intention healing is a viable wound closure alternative. Decisions for secondary healing depend on wound biology, location, depth, and skin characteristics, sometimes followed by later revision.

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Area of Science:

  • Wound healing
  • Surgical closure
  • Dermatology

Background:

  • Secondary intention healing is a common alternative to surgical wound closure.
  • Understanding wound healing biology and contraction effects is crucial for appropriate selection.
  • Factors influencing the decision include wound location, tumor excision completeness, depth, and surrounding skin.

Purpose of the Study:

  • To outline the criteria for selecting wounds for secondary intention healing.
  • To emphasize the importance of wound biology and regional effects in decision-making.
  • To present secondary healing as a potential initial strategy, possibly followed by revision.

Main Methods:

  • Review of wound healing principles.
  • Analysis of factors influencing wound closure decisions.

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  • Clinical considerations for secondary intention healing.

    • Main Results:

    • Secondary intention healing is appropriate for select wounds.
    • Decision-making integrates wound characteristics and healing biology.
    • Initial secondary healing may be followed by later surgical revision.

    Conclusions:

    • Secondary intention healing is a valuable approach when primary closure is not optimal.
    • Careful assessment of wound parameters guides the choice between primary and secondary healing.
    • A staged approach, starting with secondary healing and planning for revision, can be effective.