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Chapter 31 - Fundamentals of Wound Healing, Dressings, and Drains

Published online by Cambridge University Press:  18 August 2022

By
Steve Moutrey
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter explores some of the fundamental issues surrounding wound healing. It is important that perioperative practitioners understand the physiological process of wound healing as it plays a key role in the patient’s ability to maintain homeostasis and recover from surgery. A wound is any break in the continuity of the skin. Understanding the process of wound healing provides insight into understanding wound assessment and the choice of appropriate dressings and drains. The principles outlined in this chapter will apply equally to wounds caused by trauma, surgical incisions, intravenous cannulation, and invasive haemodynamic monitoring.

Keywords

Wound healingDrainsDressingsSurgeryTissuePhases of healingSurgical siteHaemostasisInfection
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 347 - 355
Publisher: Cambridge University Press
Print publication year: 2022

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References

Sorg, H., Tilkorn, D. J., Hager, S., et al. Skin wound healing: an update on the current knowledge and concepts. European Surgical Research 2017; 58: 81–94.Google Scholar
Krafts, K. P. Tissue repair: the hidden drama. Organogenesis 2010; 6: 225–233.CrossRefGoogle ScholarPubMed
Martin, M.. Physiology of wound healing. In Flanagan, M. (ed.), Wound Healing and Skin Integrity: Principles and Practice. Chichester: Wiley-Blackwell, 2013.Google Scholar
Son, D. and Harijan, A.. Overview of surgical scar prevention and management. Journal of Korean Medical Science 2014; 29: 751–757.Google Scholar
Young, A. and McNaught, C.-E.. The physiology of wound healing. Surgery 2011; 29: 475–479.Google Scholar
AL-Khamis, A., McCallum, I., King, P. M., and Bruce, J.. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database of Systematic Reviews 2010; 1: CD006213.Google Scholar
Chhabra, S., Chhabra, N., Kaur, A., et al. Wound healing concepts in clinical practice of OMFS. Journal of Oral and Maxillofacial Surgery 2017; 16: 403–423.CrossRefGoogle ScholarPubMed
Schultz, G., Chin, G., Moldawer, L., Diegelmann, R.. Principles of wound healing. In Fitridge, R. and Thompson, M. (eds.), Mechanisms of Vascular Disease: A Reference Book for Vascular Specialists. Adelaide: University of Adelaide Press, 2011.Google Scholar
Han, G. and Ceilley, R.. Chronic wound healing: a review of current management and treatments. Advances in Therapy 2017; 34: 599–610.CrossRefGoogle ScholarPubMed
Guo, S. and DiPietro, L. A.. Factors affecting wound healing. Journal of Dental Research 2010; 89: 219–229.CrossRefGoogle ScholarPubMed
Tanner, J., Kay, J., and Chambers, K.. Avoiding inadvertent peri-operative hypothermia. Nursing Times 2016; 112: 10–12.Google Scholar
Walter, C. J., Dumville, J. C., Sharp, C. A, and Page, T.. Systematic review and meta-analysis of wound dressings in the prevention of surgical-site infections in surgical wounds healing by primary intention. British Journal of Surgery 2012; 99: 1185–1194.Google Scholar
Yao, K., Bae, L., and Yew, W. P.. Post-operative wound management. Australian Family Physician 2013; 42: 867–870.Google Scholar
Payne, C. and Edwards, D.. Application of the single use negative pressure wound therapy device (PICO) on a heterogeneous group of surgical and traumatic wounds. Eplasty 2014; 14: e20.Google Scholar
Durai, R. R, Mownah, A., and Ng, P. C. H.. Use of drains in surgery: a review. Journal of Perioperative Practice 2009; 19: 180–186.Google Scholar

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