{"id":597,"date":"2022-12-07T18:28:24","date_gmt":"2022-12-07T18:28:24","guid":{"rendered":"https:\/\/perioperative1001.slc-courses.ca\/?p=597"},"modified":"2022-12-07T18:54:27","modified_gmt":"2022-12-07T18:54:27","slug":"module-7-b-phases-of-wound-healing","status":"publish","type":"post","link":"https:\/\/perioperative1001.slc-courses.ca\/?p=597","title":{"rendered":"Module 7: B. Phases of Wound Healing"},"content":{"rendered":"\n<h2>Phases of Wound Healing<\/h2>\n\n\n\n<p>When a wound is present, the human body goes to great lengths to restore skin integrity and protect itself from fluid loss and potential pathogens. There is a set process for wound healing, which <a id=\"post-477-_Int_LBqTMdyH\"><\/a>includes these phases:<\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-21\" class=\"h5p-iframe\" data-content-id=\"21\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 7: Phases of Wound Healing\"><\/iframe><\/div>\n\n\n\n<p>(Bak, 2019)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Factors Affecting Wound Healing<\/h5>\n\n\n\n<p>There are <a id=\"post-477-_Int_ySNmDbC2\"><\/a>numerous factors that can affect a wound\u2019s ability to heal. Some include:<\/p>\n\n\n\n<ol><li>Surgical site infection (SSI)<\/li><li>Patient susceptibility<\/li><li>The severity of the illness<\/li><li>Microbial contamination by the patient\u2019s microflora<\/li><li>Exogenous wound contamination<\/li><li>Surgical technique<\/li><li>The patient\u2019s nutritional status<\/li><li>Oxygenation levels of the surrounding tissue<\/li><li>Hypothermia in the patient<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Surgical Methods of Wound Closure<\/h5>\n\n\n\n<p>Wounds can be closed surgically using sutures, <a id=\"post-477-_Int_7Gi5vHXt\"><\/a>staples, or skin adhesives. Each method has its own advantages and disadvantages:<\/p>\n\n\n\n<div class=\"wp-container-4 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"128\" height=\"128\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-477-5.png\" alt=\"\" class=\"wp-image-483\"\/><figcaption><p><strong>Suture material<\/strong><\/p><\/figcaption><\/figure><\/div><\/div>\n\n\n\n<div class=\"wp-container-2 wp-block-column\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"128\" height=\"128\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-477-6.png\" alt=\"\" class=\"wp-image-484\"\/><figcaption><p><strong>Staples<\/strong><\/p><\/figcaption><\/figure><\/div><\/div>\n\n\n\n<div class=\"wp-container-3 wp-block-column\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"128\" height=\"128\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-477-7.png\" alt=\"\" class=\"wp-image-485\"\/><figcaption><p><strong>Skin adhesives<\/strong><\/p><\/figcaption><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Suture Characteristics and Types<\/h5>\n\n\n\n<p><a id=\"post-477-_Int_SgirdVd0\"><\/a> Sutures are the material used to close and approximate wounds, which promote healing and reduce infection risk.<\/p>\n\n\n\n<ol><li><a id=\"post-477-_Int_QwI2Ic7I\"><\/a> A ligature or tie refers to suture material used to prevent bleeding by tying off and occluding blood. It can also isolate tissue to be excised.<\/li><li>A free tie refers to a single strand used by the surgical team to ligate a blood vessel.<\/li><\/ol>\n\n\n\n<p>Suturing refers to the act of sewing and approximating tissues by bringing them together. Suture material has three <a id=\"post-477-_Int_zbBHC6vI\"><\/a>distinctive characteristics &#8212; physical, handling, and tissue retention. Suture selections are determined by the wound location, type of repair and patient attributes.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83e\udde9 Practice Activity: Physical Characteristics<\/h5>\n\n\n\n<p><strong>Complete the activity by dragging the text block into a drop zone. Select &#8220;Check&#8221; when you feel confident in your answer(s).<\/strong><\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-24\" class=\"h5p-iframe\" data-content-id=\"24\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 7: Physical Characteristics\"><\/iframe><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83e\udde9 Practice Activity: Handling Characteristics<\/h5>\n\n\n\n<p><strong>Complete the activity by dragging the text block into a drop zone. Select &#8220;Check&#8221; when you feel confident in your answer(s).<\/strong><\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-25\" class=\"h5p-iframe\" data-content-id=\"25\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 7: Handling Characteristics\"><\/iframe><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Tissue-Reaction Characteristics<\/h5>\n\n\n\n<p>Since the suture is made of foreign material, there will be some tissue reaction. This begins at the time the suture penetrates the tissue. The inflammation continues until the suture is encapsulated for non-absorbable sutures or absorbed for absorbable sutures. Types of reactions:<\/p>\n\n\n\n<ul><li>Inflammatory and fibrous cell<\/li><li>Absorption<\/li><li>Potentiation of infection<\/li><li>Allergic<\/li><\/ul>\n\n\n\n<p>(Cromb, 2019 &amp; Phillips, 2020)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83e\udde9\ufe0f Practice Activity: Suture Material<\/h5>\n\n\n\n<p>Create a chart to help with your learning.<\/p>\n\n\n\n<p>Download\/print the chart (Practice Activity: Suture Material Chart (DOCX)) in Blackboard and fill in the blanks as you learn about various suture materials. This will help you make sense of the most common suture materials used in the operating room environment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Phases of Wound Healing When a wound is present, the human body goes to great lengths to restore skin integrity and protect itself from fluid loss and potential pathogens. There is a set process for wound healing, which includes these phases: (Bak, 2019) Factors Affecting Wound Healing There are numerous factors that can affect a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[20],"tags":[],"wf_post_folders":[9],"_links":{"self":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/597"}],"collection":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=597"}],"version-history":[{"count":2,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/597\/revisions"}],"predecessor-version":[{"id":617,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/597\/revisions\/617"}],"wp:attachment":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=597"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=597"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=597"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}