0% found this document useful (0 votes)
17 views28 pages

Comprehensive Guide to Wound Classification

Uploaded by

yonathan.zel12
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
17 views28 pages

Comprehensive Guide to Wound Classification

Uploaded by

yonathan.zel12
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

01 WOUND

Outlines
 Introduction
 Classification of Wounds
 Types of wound
 Wound Healing
Introduction
 Wound is a discontinuity or break in the surface epithelium.
 A wound is simple when only skin is involved. It is complex when it involves
underlying nerves, vessels and tendons.

Connective
Tissue
CLASSIFICATION OF WOUNDS

 Aim of classification: diagnosis and stratification, prognostic information,


guide management, uniformity of documentation
 Wounds can be classified using the following criteria:
 Time - acute, subacute, chronic
 Aetiology – surgical, penetrating trauma, blunt trauma, burns, frost bite
 Morphology – abrasion, incision, laceration, degloving, ulceration
 Degree of contamination – aseptic, contaminated, septic
 Complexity – simple, complex, complicated
 For Surgical wounds: CDC, ASEPSIS, Southampton
CLASSIFICATION OF WOUNDS
CLASSIFICATION OF WOUNDS

CDC Classification of Surgical Wounds


 Clean: Elective, not emergency, non-traumatic, primarily closed; no acute
inflammation; no break in technique; respiratory, gastrointestinal, biliary and
genitourinary tracts not entered.
 Clean-contaminated: Urgent or emergency case that is otherwise clean;
elective opening of respiratory, gastrointestinal, biliary or genitourinary tract
with minimal spillage (e.g. appendectomy) not encountering infected urine or
bile; minor technique break.
CLASSIFICATION OF WOUNDS

CDC Classification of Surgical Wounds


 Contaminated: Non-purulent inflammation; gross spillage from
gastrointestinal tract; entry into biliary or genitourinary tract in the presence of
infected bile or urine; major break in technique; penetrating trauma <4 hours
old; chronic open wounds to be graſted or covered.
 Dirty: Purulent inflammation (e.g. abscess); preoperative perforation of
respiratory, gastrointestinal, biliary or genitourinary tract; penetrating trauma
>4 hours old.
Types of wound
 Basically there are 2 types of wound;
1. Open Wounds
• They are the wounds with exposed underlying tissue and open to the
outside environment, for example, penetrating wounds. Types of open
wounds include:
 Lacerations
 Punctures
 Incisions
 Avulsions
 Abrasions
• They can be caused by falls, bites, burns, or accidents with sharp objects.
Types of wound
2. Closed Wounds
• Closed wounds occur without any exposure to the underlying damaged
tissue and organs and are generally caused through blunt trauma. Types of
closed wounds include:
 Contusions
 Blisters
 Seroma
 Hematoma
 Crush injuries
• While closed wounds may not be exposed to the air, they can still become
infected and develop into an abscess.
 Abrasion - In this wound, epidermis of the skin is scraped away exposing the

dermis.
- They are painful as dermal nerve endings are exposed.
- These wounds need cleaning, antibiotics and proper dressing.
 Lacerated - Caused by blunt injury such as fall on a stone or RTA.
- Edges are jagged.
- The injury may involve only skin and subcutaneous tissue or
sometimes deeper structures also.
- Due to the blunt nature of the object, there is crushing of the tissue

which may result in haematoma, bruising or even necrosis of the


tissue.
- Treated by wound excision and primary suturing.
- Provided they are treated within six hours of injury.
 Incised - Caused by sharp objects.
- This type of wound has a sharp edge.
- Less contaminated.
- Primary suturing is ideal for such wounds.
 Contusion - Can be minor soft injury without break in the skin, or major such

as when being run over by a vechile.


- Generally, it produces discolouration of the skin due to collection

of blood underneath.
 Hematoma - This refers to collection of blood usally following injury.
- It can occur spontaneously in patients who have bleeding
tendencles such as haemophilia.
- Depending upon the site, it can be subcutaneous, intramuscular
or even subperiosteal.
- A knee joint hematoma may need to be aspirated followed by
application of compression bandage. Small haematomas get
absorbed. If not, they can get infected.

Hematoma
 Whenever we want to treat a patiet wth any type of wound the first thing is
measure the vitals; pulse,Bp, tempreature, aspiration and heart rate.
Wound Healing
PHYSIOLOGY OF WOUND HEALING

Wound healing is a complex process involving coordinated interactions


between diverse immunological and biological systems
Wound healing is a continuous process but can be di fferentiated into four time-
dependent phases for understanding:
 Inflammation phase
 Proliferation phase
 Remodelling phase
 Scar Formation Phase
PHYSIOLOGY OF WOUND HEALING

Inflammatory Phase
 Injury results in the release of mediators of inflammation, mainly histamine
from platelets, mast cells and granulocytes.
 This results in increased capillary permeability.
 Later kinins and prostaglandins act and they play a chemotactic role for white
cells and fibroblasts.
 In the first 48 hours, polymorphonuclear (PMN) leukocytes dominate.
 They play the role of scavengers by removing the dead and necrotic tissue.
PHYSIOLOGY OF WOUND HEALING

Proliferative Phase
 Between 3rd and 5th days, polymorphonuclear leukocytes diminsh in number
but monocytes increase.
 By 5th or 6th day, fibroblasts appear, proliferate and eventually give rise to a
protocollagen.
protocollagen enhydroxylase
Protocollagen Collagen
 Fibroplasia along with cappillarybudding gives rise to granulation tissue.
 Epithelialization occurs mainly from the edges of the wound by a process of
cell migration and cell multiplication.
 This is mainly brought about by marginal basal cells. Thus, within 48 hours,
the entire wound is re-epithelialized.
PHYSIOLOGY OF WOUND HEALING

Remodelling Phase
 It is brought about by specialized fibroblasts.
 Because of their contractile elements, they are called myofibroblasts.
 It is the nature’s way of reducing the size of defect, therby helping the wound
healing.
 Wound contraction readily occurs when there is loose skin as in back and
gluteal region.
 Skin contraction is greatly reduced when it occurs over tibia (skin) or
malleolar surface.
PHYSIOLOGY OF WOUND HEALING

Scar Formation Phase


 Fibroplasia and laying of collagen is increased.
 Vascularity become less (devascularization).
 Epithelialization continues.
 Ingrowth of lymphatics and nerve fibers takes place.
 Remodeling of collagen takes place with cicatrisation, resulting in a scar.
PHYSIOLOGY OF WOUND HEALING

Classification of Wound Healing


 Primary intention
 Wound edges apposed
 Minimal scar
 Secondary intention
 Wound leſt open
 Heals by granulation, contraction and epithelialization
 More pronounced scar
 Tertiary intention
 Also called delayed primary intention
 Wound initially leſt open
 Edges apposed later when healing conditions are favourable
 Difference between 1” & 2” union of wound

FEATURES PRIMARY SECONDARY


CLEANLINESS CLEAN NOT CLEAN
INFECTION NOT INFECTED INFECTED
MARGINS SURGICALLY CLEAN IRREGULAR
SUTURES USED NOT USED
HEALING SMALL GRANULATION LARGE GRANULATION
TISSUE TISSUE
OUTCOME LINEAR SCAR IRREGULAR WOUND
COMPLICATION NOT FREQUENT FREQUENT
PATHOLOGY OF WOUND HEALING

 Chronic wound
 Necrotizing soſt tissue infections
 Compartment syndrome
 Scars
 Contractures
 Genetic syndromes: Ehlers-Danlos, cutis laxa, homocystinuria, osteogenesis
imperfecta
Common factors Affecting the Wound Healing
 Age : Old age.
 Poor nutrition : lack of protein, vitamins and minerals
 Chronic medical conditions : Diabetes (chronic Hyperglycemia) & immune
disorders
 Medications : chemo drugs, corticosteroids or immunosuppressive drugs
 Infection
 psychological factor : stress, anxiety and depresssion
 Wound Characteristics : Large, deep or complex wounds
THANK
YOU!!!

Done by : Meron Haftay


(MRT/R/012)

You might also like