Management of an open clean wound seen 12 hours after the injury:
If the blood supply to the wound is adequate and bacterial invasion is absent, wound can be safely closed anytime following proper debridement and irrigation. If these established infection and tissue is of doubtful bility has been left in - situ, then the wound is left open and re-explored after 48 hours. If there is infection, and the doubtful ble tissue is now healthy, the deep tissues can be repaired and the wound is closed. If however there is fuher necrosis and infection, the wound is again debrided and left open.
Suturing
Debridement and suture
Secondary suturing
Heal by granulation
Wound Healing, Tissue Repair and Scar