Case Study On Wound Healing

ASSIGNMENT: CASE STUDY
Wound Closure: Sutures and Tapes

INTRODUCTION:
Sutures, or stitches, are the foremost unremarkably used technique to repair a cut
or wound. ... These delayed stratagies of closing a wound are performed solely
once thorough irrigation, or washing, of the laceration and exploration and removal
of any foreign waste or dirt. Once applicable, sutures are accustomed shut
the wound.
Sutures are of 2 types;
 Absorbable
 Non-absorbable
Absorbable sutures are sutures that are digested by enzymes in body itself. There is
no need of a doctor to remove it.
Non-absorbable sutures are the ones which cannot be digested by enzymes. In this
case doctors are required to remove the suture after some period or they are left
there itself.
Healing wounds by tapes is much better than mistreatment tapes is far higher than
using sutures as a result of quick and straightforward healing is by tapes. And also
by this we can avoid damaging good and healthy skin too and there’ll be no scars
that are caused by stitches. Also eliminating the risk of infection in point of
entering an d leaving the stitch needle and in dipping anesthetic syringe needle into
the wound and separation of wound edge.
Wound healing is a fancy method within which the skin and the tissues thereunder
it, repair themselves after injury. wound healing is portrayed in a exceedingly
timeline of physical attributes (phases) constituting the post-trauma repairing
process. In undamaged skin, the epidermis (surface layer) and dermis (deeper layer)
form a protecting barrier against the external surroundings. Once the barrier is
broken, a regulated sequence of biochemical events is set into motion to repair the
damage. This process is divided into predictable phases: blood
coagulation, inflammation, tissue growth tissue transforming , Blood clotting may
be considered to be part of the inflammation stage rather than a separate stage.
The wound healing method is not solely complicated however additionally fragile,
and its vulnerable to interruption or failure resulting in the formation of non-
healing chronic wounds. Factors that contribute to non-healing chronic wounds are
polygenic disease, blood vessel or blood vessel malady of maturity. Wound care
encourages and speeds wound healing via cleanup and protection from re-injury or
infection. Counting on every patient's needs, it will vary from the simplest first
aid to entire nursing specialties such as wound continence nursing and burn
center care.
KEYSTAGES IN HEALING OF WOUND

Hemostasis (blood clotting):
Inside the primary jiffy of injury, platelets in the blood begin to stay to the injured
site. This activates the platelets, inflicting a few things to happen. They transform
into an amorphous shape, more suitable for clotting, and they release chemical
signals to increase clotting. This results in the activation of fibrin, which forms a mesh
and acts as "glue" to bind platelets to each other. This makes a clot that serves to
plug the break in the blood vessel, preventing further bleeding.
Inflammation:
Throughout this phase, damaged and dead cells are cleared out with bacteria
and other pathogens ordust. This happens through the process of phagocytosis ,
where white blood cells "eat" waste by engulfing it. Platelet-derived growth
factors are released into the wound that cause the migration and division of
cells during the proliferative phase. After the wound has been inflicted,
homeostasis begins .The blood vessels constrict and seal themselves off because the
platelets produce substances that form a clot and halt haemorrhage. Once
equilibrium is achieved the blood vessels dilate, letting nutrients, white blood cells,
antibodies, enzymes and other useful components into the affected area to support
good wound healing and stave off infection. This is when someone would begin
to experience the physical effects of inflammation.
Proliferation (growth of new tissue):
In this phase, angiogenesis, collagen deposition, granulation tissue formation,

epithelialization, and wound contraction occur. In development , vascular endothelial
cells form new blood vessels . In fibro-plasia and granulation formation, fibroblasts
grow and form a new, provisional extracellular matrix (ECM) by releasing collagen
and fibro-nectin.At the same time , re-epithelialization of the stratum happens , in
which epithelial cells proliferate and 'crawl' atop the wound bed, providing
protection for the new tissue. In wound contraction, decreasing the size of the
wound by gripping the wound edges and contracting using a mechanism that
resembles that in smooth muscle cells. When the cells roles are close to complete,
unneeded cells undergo apoptosis.
In this wound healing stage, the wound begins to be remodeled with new, healthy
granulation tissue. For the granulation tissue to be shaped , the blood vessels should
receive a enough t amount of nutrients and oxygen. This new tissue is formed up of a
mixture of extracellular matrix and collagen, which allows for the development of a
new network of blood vessels to change the damaged ones (a process called
angiogenesis), In line with the AWMA. The color of the granulation tissue is an
indicator of the health of the wound. For example, a reddish or pinkish color
generally means that it is healthy, while a darker tissue is often an indicator of
infection or inadequate delivery of blood to the wound bed.
In addition to developing granulation tissues, the body transforms dead

mesenchymal cells into fibroblasts, which function as bridges that facilitate cells to
move round the affected site . If your wound is healthy, these fibroblasts begin to
appear within three days of the wound and will secrete liquids and collagen. This
secretion helps to strengthen the wound site. During proliferation, the wound
continues to grow stronger as the fibroblasts regularly reorganize aiding in the
development of new tissue and accelerate the healing method.
Maturation (remodeling):
Throughout maturation and remodeling, scleroprotein is realigned on tension lines,
and cells that aren’t any longer required are removed by programmed death,
or apoptosis. Maturation, additionally called reworking , is that the last stage of
the wound healing process. It happens once the wound has closed up and may
take as long as 2 years. Throughout this phase, the dermal tissues are overhauled to
reinforce their strength and non-functional fibroblasts are replaced by purposeful
ones. Cellular activity declines with time and also the range blood vessels within the
site decreases.
While it should seem that the wound healing process is finished once maturation
begins, it’s necessary to stay up the treatment plan. If the wound is neglected,
there’s risk of it breaking down dramatically because as it isn’t at its best strength.
Even after maturation, wound areas tend to stay up to 20 percent weaker than they
were at the beginning .
CONCLUSION:
The stages of wound healing are categorised into four serial and overlapping
phases – hemostasis phase, inflammation phase , proliferative phase and
remodeling phase. The events of healing are controlled and coordinated by living
matrix, hemostatic system, inflammatory cells or mediators and fibrinolytic system.
The wound in some cases are so deep that sutures are used. And in some cases the
depth isn’t so deep and can be easily healed with the help of wound tapes. Wound
tapes are straightforward to use.
-----------------------------------THE END-----------------------------------

Case Study On Wound Healing

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ASSIGNMENT: CASE STUDY

Wound Closure: Sutures and Tapes

Sutures are of 2 types;

KEYSTAGES IN HEALING OF WOUND

Proliferation (growth of new tissue):

In this phase, angiogenesis, collagen deposition, granulation tissue formation,

In addition to developing granulation tissues, the body transforms dead

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