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| Abnormal Wound Healing |
Stay within the boundaries of the original scar
Common areas of occurrence are the back, shoulders or sterum
Red is often raised and itchy
Resolves with time and often treated conservatively
2) keloid scars
Extend beyond the borders of the original scar
The public areas are of appearance of the sternum, the deltoid and the earlobe
More often the case with the very pigmented
Not heal spontaneously and demand treatment with bandages pressure, surgery, radiotherapy or topical steroids, relapses are common.
3) Chronic wounds
Laceration and open claims over 24
Require débribement, irrigation, and healing by secondary intention or tertiary
Wound sepsis is determined by counting the total number of bacteria per gram of tissue load (> 105 bacteria / gram of tissue)
Systemic antibiotics are not useful, however, antibiotic topical cream (silver sulfadiazine, bacitracin, Neosporin) for areas of partial thickness loss can be helpful. Note that some of these agents inhibit epithelialization and the early stages of wound healing
Biological dressings can be used
The final closing will take place until the bacterial contamination is controlled
The deep sutures should be minimized and monofilament. If signs of infection is in the revaluation, which is part of the wound is opened by removing the sutures
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