The optimal length of time between injury and incision repair has not been adequately defined. The goal is to achieve wound union as soon as possible. When repair is made within the first 24 hours, the risk of infection is reduced and the wound healing results are satisfactory.
Especially in injuries caused by falling or shattering an object, the possibility of a foreign body in the wound area should be carefully evaluated, and in case of doubt, x-ray. should be evaluated. Some objects, such as glass, may not always be detected with x-ray. The presence of a foreign body will increase the risk of infection and will affect wound healing and subsequent patient comfort. In some cases, it is not possible to see and remove small subcutaneous foreign objects. In this case, widening the wound area to search for foreign objects such as glass or metal may cause much more damage. If the location of the object does not pose a risk, does not put pressure on the vascular and nerve structures, and does not restrict movement, the object should be removed. It can be left in place and the wound can be closed. However, irritating substances such as wood chips must be removed as they may be a source of infection.
The depth of the wound, its area and the injured tissues are carefully examined, and any tendon, nerve and vascular damage is checked; In some cases, such as tendon, large vessel or large nerve injuries, repair is required under operating room conditions.
In wounds with crushed, fragmented and delayed wounds and tissues with impaired blood supply, dead tissues in the wound area must be removed, this process is called debridement. After debridement, a clean wound closure is achieved.
Active bleeding at the wound site makes wound repair difficult and may subsequently lead to hematoma formation. Therefore, direct pressure for 10-15 minutes or certain chemicals or suturing of the bleeding vessel It may be necessary to start the closure process by stopping the bleeding after it is closed with the help of a wound.
Although washing the wound and open wound is often done with isotonic solution or sterile water, it is not superior to washing with tap water in terms of infection risk. For this reason, open wounds can be easily washed with tap water. Betadine and chlorhe in open wounds Washing the inside of the wound with antiseptic materials such as Ksidine is not recommended, but it is a preferred method for dirty wounds.
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