What is the difference between managing a purulent wound?
A purulent wound heals by secondary intention and goes through several phases, each of which requires its own means. In the inflammation phase, water-soluble solutions and ointments are used to draw out secretions; in the granulation phase - drugs that protect young tissue. Using fatty ointments in the first phase is a common mistake: they create a film and interfere with outflow. If necessary, during dressing, the surgeon excises necrotic tissue and changes the drainage. Dressings are performed daily, sometimes twice a day.
Why bandaging is a medical procedure
Dressing is not just changing a bandage. At each visit, the surgeon assesses the condition of the wound: how is healing going, are there any signs of suppuration, dehiscence, or necrosis. It is during dressing that complications are most often identified, which at home go unnoticed until a severe stage.
In addition, the selection of the drug depends on the phase of the wound process: in the inflammation phase, some drugs are needed, in the granulation phase - completely different ones. Using a “universal” ointment at all stages slows down healing.
Clean and purulent wounds behave differently
- clean wound - sutured, heals by primary intention, dressings are less frequent, the task is not to cause infection
- purulent wound - requires daily treatment, washing, removal of discharge and necrotic tissue
When are the stitches removed?
The duration depends on the location and blood supply to the tissues: on the face - 4-6 days, on the torso - 7-10, on the limbs and in the joint area - 10-14 days. Removal too early leads to separation of the edges, too late - to a rough scar with transverse marks from the threads.