Millions of people get affected by surgical site infections (SSI) every year. To dress up the wound after cleansing and to apply phase-oriented dressing is an important type of prevention from SSI. Dressing not only prevents the SSI but also helps the patients to cure and heal their wounds. Nothing can be more important to mankind in comparison to healing and dressing a wound. These things were also performed in ancient times, dating back to 2200 Bc. One of the old medical texts has mentioned the three healing gestures, one among them is medical equipment online like wound dressing and making plaster.
People of ancient times often used mud or clay mixture with plants and herbs to absorb percolate and cure wounds. They also use oil as an important ingredient in plaster, as it sticks to the wound. It also lowers down the growth of bacteria. Nowadays we use advanced techniques and ingredients to cure wounds but the motive remains the same, to heal the wound and prevent it from infection. If somehow infection occurs, we should be able to manage it, especially after surgery by buying medical equipment online.
Although we have very advanced technology and techniques in current medical science, still most of the healthcare-associated infections (HAI) cause SSI. SSI patients often remain threatened. SSI leads them to stay longer in hospitals, which increases the costs of patients.
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Damages caused by SSI
- Most of the hospital Mortality and Morbidity is caused by SSI
- It is caused by skin flora bacteria, which surrounds the surgical incision, like, staphylococcus, aureus, methicillin-resistant.
So, after the operation we should be very careful about dressing the wound and prevent it from SSI, this phase of surgery is very critical.
Wound healing can be considered as a complicated process of replacing mislaid and enervated tissue layers and cellular structures. The homo adult wound curing process can be categorized into 3 or 4 dissimilar phases. Ancient authors referred only to 3 phases inflammatory, fibrillar, and maturation, which has also been denoted as inflammatory, proliferation, and remaking. The concept of four phases includes the inflammatory phase, the hemostasis phase, proliferation phase, and the remaking phase. While in three phases concept the hemostasis phase is restrained within the inflammatory stage.
Wound Healing Types
Primary wound closure
This kind of process is used when the patient has lost a lot of blood tissue and new blood vessels and keratinocytes have to travel only a little distance to get the wound cured. These particular kinds of wounds or surgical incisions usually get incontinently closed with medical equipment online like stitches, staples, glue-like DermaBond, or tapes. This process is also called first intention healing and the other name it got is primary wound closure.
If the wound is very sharp, jagged, uneven, and rough, it may be delayed sometimes to heal up the wound, cause normal surgeons can not treat it, you will have to go for a more skilled plastic surgeon or orthopedic surgeon. The other thing that can delay healing wounds is when a long time has passed (4-8 hours) in these kinds of situations the surgeon may go and prefer to perform secondary closure healing.
Secondary wound closure
This kind of process is usually chosen by surgeons when the first one doesn’t work. Although every next wound is renovated via primary wound closure. But when the patient has gone through large tissue damage and infections. There occurs a large gap between tissue cells, we can’t guess the new required tissue for filling up the gap between two edges of wounds, so it requires a more complex process. This process is also called secondary intention healing.
This kind of wound often results in a large and annoying scar. And one only expects the secondary intention healing process will take more time as it needs granulation tissue formation and it has to fill up the large gap between two edges of the wound. But no need to worry surgical removal of dead tissue can be used in this process.
Tertiary wound closure
This type of process is usually performed when the patient is unhealthy and unstable and when the patient gets adequately infected and the presence of foreign ingredients tends to poor circulation in the injured area. It also needs to be performed when a very long time has passed since the injury took place and when components got crushed. This process is also called delay healing and tertiary intention healing. It gets the delayed healing name because it takes a lot of time. Firstly the wound is left open for staging by primary intention healing. When staging, the wound is cleaned, subsequently, damaged tissue is removed. Then after some time, many periods of observations need to be held, then is to perform primary intention healing, but if there is evidence of healing, viable tissue, and when we can clearly see the improvement in circulation when the body’s natural defenses takes over.
There are many injuries that lead to performing tertiary intention healing. These are the ones that are previously closed by primary technique but have come apart. It often happens due to adequate tension on a joint and also happens during the abdominopelvic surgeries. The flaws that tertiary intention healing has, it takes a long time to repair a wound, it can pronounce more scars and the probability of infections are greater.
Our focus here is to make you understand how critical the operations and the surgeries are, a single mistake made in surgery, in dressing wounds, and other operational processes can lead you to get affected by surgical site infections, which further leads you to stay longer in hospitals, increase your costs, etc. So, be careful while going through all these processes and buy medical equipment online to ensure complete safety.