Name of the Procedure:

Treatment of superficial wound dehiscence; simple closure

Common name(s): Wound re-closure, Simple wound repair
Technical/medical term: Treatment of superficial wound dehiscence; simple closure

Summary

This procedure involves the simple, straightforward re-closure of a superficial wound that has reopened (dehisced). It typically entails cleaning the wound and re-suturing the edges to promote proper healing.

Purpose

The procedure addresses superficial wound dehiscence, where the edges of a previously closed wound have started to separate. The main goal is to prevent infection, expedite healing, and restore the integrity of the skin.

Indications

• Separation of a surgical wound or injury
• Mild to moderate opening of the wound edges
• Minimal underlying tissue involvement
• No signs of severe infection or deep tissue damage

Preparation

• Clean the wound area and remove any debris
• Local anesthesia may be administered to numb the area
• No fasting typically required

Procedure Description

1. Cleaning the wound with antiseptic solutions.
2. Local anesthesia is applied to numb the area.
3. Aligning the wound edges carefully.
4. Closing the wound with sutures, staples, or adhesive strips.
5. Applying a sterile dressing over the wound.

Duration

Approximately 30 minutes to 1 hour.

Setting

Outpatient clinic or minor procedure room within a hospital.

Personnel

• Primary care physician or surgeon
• Nurse or medical assistant

Risks and Complications

Common risks:

• Mild pain or discomfort
• Minor bleeding
• Redness or swelling

Rare risks:

• Infection
• Allergic reaction to anesthesia
• Poor wound healing or recurrence of dehiscence

Benefits

• Promotes faster and more effective healing
• Reduces the risk of infection
• Restores normal appearance and function of the skin

Recovery

• Keep the wound clean and dry
• Follow instructions for changing dressings
• Avoid heavy lifting or strenuous activities as advised
• Follow-up appointments to monitor healing
• Expected recovery time: 1-2 weeks

Alternatives

• Allowing the wound to heal by secondary intention (naturally, without re-suturing)
• Use of medical-grade adhesives or steri-strips without suturing

Each alternative has its own set of benefits and drawbacks compared to a simple wound closure procedure. Healing by secondary intention may take longer and increase the risk of infection, while adhesives may not be suitable for all wound types.

Patient Experience

During the procedure, patients may feel a slight pinch or pressure from the anesthesia. Once numbed, there should be no pain. Post-procedure, mild discomfort and slight soreness can be managed with over-the-counter pain medication. Proper wound care and adherence to post-procedure instructions will contribute to a smooth recovery.