How to treat lacerations in humans. Treatment of lacerations. Emergency Medical Events

- damage to the skin or mucous membrane resulting from an impact that exceeds the ability of tissues to stretch. The cause of the occurrence is contact with a hard blunt object, "catching" on the skin and soft tissues. The laceration has uneven edges, significant detachment and scalping of the skin are often observed. Accompanied by bleeding, damage to muscles, nerves and blood vessels is possible. Diagnosis is based on history and clinical picture. Surgical treatment.

A laceration is a violation of the integrity of the skin, mucous membranes and soft tissues, resulting from a rupture under the action of a solid object. It can be formed in domestic accidents, road accidents, criminal incidents, falls from a height and industrial accidents. In summer residents, as a rule, it occurs during careless work with garden tools. Cyclists, motorcyclists, hunters, fishermen and heavy workers often suffer. physical labor. It is often observed in children, especially in the summer.

In most cases, it is located within the skin and subcutaneous tissue. Sometimes there is damage to muscles, blood vessels and nerves. Integrity violation internal organs is extremely rare. The laceration may be isolated injury or combined with other injuries: fractures of the bones of the limbs, fracture of the spine, damage chest, TBI, pelvic fracture, kidney injury, rupture Bladder and blunt trauma belly. Treatment of fresh lacerated wounds is carried out by traumatologists, infected - by surgeons.

Pathological anatomy of lacerations

Distinctive features of lacerated wounds are irregularly shaped patchwork edges, significant tissue damage in the walls of the wound channel, tissue exfoliation, skin scalping areas. The formation of a tissue defect due to their complete separation is possible. The depth of the wound channel, as a rule, is insignificant, while the affected area can reach large sizes in length and width. Bleeding is less than with incised wounds. Fabrics are often heavily contaminated, which is facilitated by the mechanism of injury: damage by a dirty garden tool, falling from a bicycle or motorcycle onto asphalt or gravel, falling on pieces of coal while working in a mine, etc.

Varieties of lacerations are crushed, bruised and scalped injuries. With crushed and bruised wounds, extensive destruction and necrosis of tissues is observed. Scalped wounds are characterized by partial or complete detachment of the skin from the underlying tissues without significant destruction. Scalped injuries of the scalp can occur when hair gets into moving mechanisms, scalped wounds of the lower and upper limbs- when hit under the wheels of road transport or in rotating mechanisms. Injuries caused by contact with moving machinery can also cause open fractures and traumatic amputations.

because of large area tissue damage and necrosis, lacerated wounds heal worse and suppurate more often than incised wounds. Healing by secondary intention or under a scab is characteristic. Healing by primary tension possible in favorable circumstances: with a small amount of damage, a relatively small area of ​​necrosis, the absence of gross defects in the skin and soft tissues, slight microbial contamination and a good state of the immune system.

Infection in lacerations develops faster than in stab or cut wounds. The first signs of infection (edema, hyperemia of the edges, sanious or mucous discharge) can be detected within a few hours after the injury, while in cut wounds, the infection usually develops about a day after the injury. This necessitates early appeal for medical care and further worsens the prognosis.

The wound process proceeds in three stages. At the stage of inflammation, necrotic tissues are destroyed and removed from the wound along with pus. Initially, the surrounding tissues swell, the lumen of the canal narrows or disappears, and blood clots and dead areas are "squeezed" out. Then the inflammation becomes purulent. The remaining dead tissue is melted. A demarcation shaft is formed around the damage zone, separating necrotic tissues from healthy ones.

After complete cleansing, the regeneration (recovery) phase begins, during which granulation tissue. Granulations gradually fill the entire defect and become denser. Then comes the phase of epithelialization, culminating in the formation of a scar. With extensive soft tissue defects, self-healing becomes impossible, it is necessary to close the granulations with the help of skin grafting. The duration of each phase of healing depends on the size of the injury, the degree of bacterial contamination, the amount of necrotic tissue, the presence of other traumatic injuries, and somatic diseases etc.

Symptoms of a laceration

When injured, pain occurs. The degree of dysfunction depends on the size, location and characteristics of the wound. An external examination reveals an irregularly shaped defect with uneven, often crushed edges. At the bottom of the defect is visible adipose tissue, less often - muscles and fragments of tendons. Abundant contamination with earth, gravel, coal and other components that have been in contact with tissues at the time of injury is possible. Sometimes pieces of clothing, metal, wood, etc. are visible in the wound.

In some cases, large scalped skin flaps(the skin hangs from the edge of the wound), detachment, complete crushing or separation of individual sections is observed. Around laceration hemorrhages and hematomas are often formed. Bleeding, as a rule, capillary or mixed, insignificant due to tissue crushing. When damaged large vessels bleeding is profuse, blood can pour out not only outside, but also in the area of ​​detachment.

If the tendons are damaged, the loss of function of the corresponding fingers is revealed. With compression or (less often) violation of the integrity of the nerves, disorders of sensitivity and movement are noted. At open fractures deformation and pathological mobility are detected, bone fragments are sometimes visible in the wound. A particularly severe picture is observed in traumatic amputations: the distal part of the torn off segment has uneven edges with hanging pieces of skin, protruding fragments of bones, muscles and tendons.

The general condition of the patient depends on the nature of the laceration. With minor injuries, the condition remains satisfactory, with extensive injuries, traumatic shock may develop due to both blood loss and neuropsychic stress associated with trauma, as well as severe pain caused by damage to large areas of the skin. Characterized by excitement, followed by lethargy and apathy. Initially, the patient is anxious, frightened, sometimes aggressive, cries, screams, complains of pain. The pupils are dilated, there is tachycardia, rapid breathing, clammy sweat, tremors and muscle twitching. Then the patient becomes lethargic, drowsy, indifferent. The skin is pale, lips with a bluish tinge, while maintaining tachycardia, there is a drop in blood pressure. AT severe cases possible loss of consciousness.

Treatment of lacerations

Treatment small damage carried out in the conditions of an emergency room or an outpatient surgical reception. Fresh wounds are washed abundantly, if possible, non-viable tissues are excised, sutured and drained. With successful healing, the sutures are removed for 8-10 days. infected wounds washed, if necessary, expand or open, remove pus and non-viable tissue and drain without suturing.

Patients with extensive fresh lacerations are hospitalized in the trauma department. At traumatic shock carry out anti-shock measures. The tactics of treatment are chosen taking into account the characteristics of the damage. If possible, carry out PST under local anesthesia or general anesthesia if not possible, wash and apply bandages with furacilin. The scalped areas of the skin are sutured, having previously applied perforations for a better outflow of fluid. With a significant tension of the edges on the sides, laxative incisions are made. The wound is drained. AT postoperative period prescribed antibiotics and analgesics.

With extensive suppuration, hospitalization in a surgical hospital is indicated. The wound is treated, if necessary, purulent streaks are opened, necrotic tissues are excised, washed and drained. Spend antibiotic therapy taking into account the sensitivity of the pathogen. To stimulate necrolysis, proteolytic enzymes are used, which also have anti-edematous and anti-inflammatory effects. Vacuum treatment, laser and ultrasound treatment, cryogenic exposure and other methods are used to accelerate wound cleansing.

In the healing phase, general strengthening treatment is prescribed, careful dressings are carried out using antibacterial and indifferent ointments that improve tissue trophism. In the presence of a large defect, after cleansing the wound and the appearance of granulations, secondary sutures are applied and free skin grafting or plastic surgery is performed with a displaced flap.

Lacerations are formed under the influence of hard blunt objects acting under acute angle to the surface of the body. A feature of a lacerated wound is a significant detachment, as well as scalping of the skin over a very large area. Moreover, the exfoliated area of ​​\u200b\u200bthe skin may lose nutrition and become necrotic. In addition, the uneven edges of lacerated wounds slow down the healing process.

A laceration on the leg is a fairly common occurrence. The most susceptible to the formation of such wounds are gardeners and summer residents, with careless handling of garden tools, as well as children, fishing enthusiasts, hunters and many others. No one is immune from this trouble.

What to do if a laceration occurs? It should be remembered that all wounds that are accidentally formed are bacterially contaminated, therefore, in order to prevent additional penetration of bacteria into the wound, when providing first aid, cotton swab moistened with an antiseptic solution (alcohol, iodine), remove contamination from the surrounding wound skin. Then lubricate the edges of the wound 5% alcohol tincture iodine, alcohol or brilliant green solution and apply aseptic bandage. In this case, it is not necessary to remove foreign bodies from the wound and wash it, when providing first aid. In addition, with extensive soft tissue injuries lower extremities, as well as fractures, to prevent even greater damage, immobilization is used. In the future, you should go to the hospital to the surgeon, who will determine further tactics laceration treatment.

If the laceration is small in size, then it can heal on its own, without the help of a specialist. But if, after a few days, swelling, redness appear around the wound, body temperature rises, you should consult a doctor immediately. Features of lacerations, in the form of uneven edges and significant exfoliation (scalping) of the skin, require careful treatment by a specialist. deep wounds need to be operated on. They are sewn up to speed up healing and prevent the formation of rough scars. This must be done on time so that there are no complications. The surgeon performs a wound dissection and revision of the wound channel, then cuts out the edges, walls and bottom of the wound, stops the bleeding and sutures the wound. As a result, the wound turns from torn and infected into incised and aseptic, which contributes to its rapid healing by primary intention.

Healing of lacerations usually occurs within two weeks. This process depends on many factors. Among them are:

Age of the patient: wounds heal most quickly in children.

Body weight: cachexia and obesity slow down the healing process.

The presence of secondary infection of the wound, which significantly lengthens and worsens the result of healing.

Chronic accompanying illnesses(tumors, cardiac vascular insufficiency, diabetes), which slow down the reparation process.

Radiation therapy and anti-inflammatory drugs for early dates can slow down the healing process.

It should be remembered that a wound, even the smallest one, can lead to the development of sepsis (blood poisoning) and further to lethal outcome. Also, at improper treatment, the development of nonspecific purulent infection, as well as anaerobic infection, tetanus, rabies. Therefore, one should not be surprised why wounds heal poorly. Ultimately, the patient may even lose a leg. Therefore, it would be better to consult a specialist immediately after receiving this injury and not to self-medicate.

Ointment for the treatment of lacerations
(drug with powerful regenerative action )

  • Stellanin - quickly clears the wound
  • Significantly speeds up healing

Treatment of lacerations is always difficult medical problem. The walls of such wounds are uneven, the edges of the wound are disconnected and far apart from each other. Almost every laceration terms treatment is delayed, and this is fraught with many complications.

For treatment, it is necessary to use drugs with a powerful antimicrobial and regenerative effect in order to prevent infection and suppuration from developing.

So what if:
a) The laceration was received recently.
b) The wound was received a few days ago, but healing does not occur, suppuration has begun.

a) A recent laceration

Stop the bleeding, treat the wound with a 3% hydrogen peroxide solution, grease the edges of the wound with iodine (or alcohol). If possible, see a doctor for debridement.
If this is not possible, then all measures must be taken so that the wound does not fester, the inflammation does not spread to adjacent tissues.

For treatment of lacerations applied ointment Stellanin, developed jointly with scientists from the Institute of Surgery. Vishnevsky (Moscow) and Russian Academy sciences for the treatment of wounds of the skin and soft tissues inespecially difficult cases.

Along with a pronounced antimicrobial and anti-inflammatory effect, Stellanin ointment is currently the only drug with STRAIGHT stimulation regeneration processes.

b) A lacerated wound was received a few days ago and its suppuration began

If possible, consult a doctor, he will perform surgical treatment of the wound. If this is not possible, then for getting rid of festering wound recommended ointment Stellanin-PEG.

Thanks to the hydrophilic excipient (polyethylene glycol), which is part of the Stellanin-PEG ointment, the wound quickly cleared of purulent contents. Simultaneously eliminated pathogenic microorganisms, inflammation is blocked, regeneration is stimulated.

Note #1:When treated with Stellanin-PEG ointmentextensive lacerationsthere is a rapid drying of the wound, which affects the affected nerve endings. To get rid of possible pain, it is recommended to treat the wound with a solution of Lidocaine before applying the ointment. Open the ampoule and moisten the surface of the wound, allow the preparation to be absorbed and then apply Stellanin-PEG ointment.

Note #2: At the final stage of treatment (when the wound has cleared of pus and inflammation has been eliminated)use Stellanin ointment 3%. Vaseline, which is part of the ointment, softens the newly formed skin, and the active pharmaceutical substancestimulates the restoration of damaged tissues.

Stellanin - a drug with a powerful regenerative effect

First of all, Stellanin has the widest antimicrobial spectrum actions - it is active against bacteria, fungi and viruses. Stellanin can be prescribed for any infection and be confident in the effectiveness of treatment, because. its action extends to gram-positive and gram-negative bacteria, anaerobes, fungi, viruses, "atypical" bacteria, protozoa.

It is especially important that all pathogens wound infection do not possess to Stellanin neither natural nor acquired resistance.

And most importantly, we succeededovercome processes that inhibit cell divisionin a big wound. Stellanin directly activates regeneration(both by stimulating the expression of genes of vascular growth factors VEGF-A and VEGF-B, and by multiple activation of mitochondrial functions, which leads to an increase in the energy supply of cells and tissues).

High efficiency the drug was confirmed by leading Russian scientists:

"Already in the first day treatment of wounds with Stellanin-PEG ointment, there is a positive trend in the healing process, inflammation decreases ... Young cells with a high level of metabolic processes". From the Report approved by the Director of the Institute of Surgery. A.V. Vishnevsky academician of RAM H V.D. Fedorov.

Conducted at the Research Institute of Surgery. A.V. Vishnevsky study showed that during the treatment festering wounds ointment Stellanin-PEG2.4 times faster sprouting of capillaries increases by 7.5 times the number of fibroblasts in the wound - the main cells involved in the restoration of damaged skin.

According to the combination of properties, today Stellanin-containing ointments have become the best drugs for the treatment of complex wounds, as evidenced by high level their clinical effectiveness.

Reviews about the treatment of wounds with Stellanin

– Hello. Thank you very much. The treatment has almost passed (a small scab remained on the wound). The wound did not heal for a long time, it was about 6 cm long and 1 cm wide. Now everything is almost overgrown, a huge THANK YOU to the developers of ointments (I used two: Stellanin and Stellanin-PEG). Stellanin took 1.5 tubes, and St. Peg - half. Sincerely and Best wishes O.L.

Oleg Leonidovich B. (St. Petersburg)

Drug Effects STELLANIN ® :

  1. BLOCK UP INFLAMMATION - interferes with the synthesis of inflammatory mediators - prostaglandins. As a result of a decrease in the level of these mediators, inflammatory process , eliminated pain and swelling.
  2. RESTORES BLOOD SUPPLY OF AFFECTED TISSUES – Stellanin activates vascular growth factors vegf-A and vegf-B (rapidly restores the affected blood vessels in the wound).
  3. STIMULATES SKIN REGENERATION – C tellanin repeatedly activates the function of mitochondria and increases their size. This mechanism determines the direct effect of Stellanin onwound healing,regeneration of healthy skin.
  4. HAS HIGH ANTIBACTERIAL ACTIVITY in against gram-positive and gram-negative bacteria, as well as aerobic and anaerobic microorganisms.

Laceration Repair (Wound Repair)

Description

A laceration is an injury that occurs when the skin, tissues, and/or muscles are torn or cut. Wounds can be deep or superficial, long or short, wide or narrow. Treatment of lacerations - cleaning, preparation and closing of the wound.

Reasons for the procedures

Minor wounds and cuts (small, small, non-bleeding and clean) do not require medical intervention. It is enough to treat the wound with an antibiotic and apply a bandage. Some require medical attention. The reasons are:

  • Damage to muscles, tendons, bones;
  • The wound shows dirt and foreign objects remaining after washing and processing;
  • Feel foreign body in depth, even if nothing is visible on examination;
  • Risk of developing tetanus (for example, a deep, lacerated wound, burn, feces, dirt, or saliva entering the wound);
  • Symptoms of tetanus develop 3-21 days after the injury: spasm or stiffness of the muscles of the jaw, neck, abdomen, or in the area near the wound;
  • Bleeding that continues after pressing the wound for 10-15 minutes;
  • The edges of the wound are torn or uneven;
  • Wound more than 2 cm, located in the area of ​​the joint and / or near it (knee, wrist, ankle);
  • The edges of the wound have parted and cannot be moved together;
  • The wound is located in the area of ​​application of high loads (joints, arms, legs, chest);
  • To reduce the risk of scarring.

Possible complications of laceration treatment

If a laceration is planned to be treated, the doctor will review the list possible complications which may include:

  • Infection;
  • Bleeding;
  • Noticeable scars;
  • Poor wound healing;
  • Allergic reaction to anesthesia.

Anesthesia

The type of anesthesia used depends on the type of wound, for example:

  • Local Anesthesia - Anesthetizes only a specific, usually small area. Used as an injection, used for small lacerations;
  • General anesthesia - blocks pain and immerses the patient in a state of sleep. Used for severe lacerations.

In some cases, the treatment and treatment of wounds is carried out without anesthesia.

2

Description of the laceration procedure

Wound preparation:

  • Cleaning:
    • Hair that will interfere with access and wound healing is removed;
    • The wound is washed sterile water, which will wash away dirt and debris;
    • An antiseptic or soap may also be used if the wound is deep and heavily soiled;
  • Wound preparation:
    • Torn edges can be cut off. This will reduce the likelihood of scars;
    • Damaged or dead tissue will be removed to prevent infection;
  • Wound closure:
    • The procedure is carried out after cleaning and disinfection of the wound;
    • The doctor chooses one of several ways to close the wound:
      • Dermabond skin glue;
      • A special patch, such as Steristrips;
      • Surgical staples.

Dermabond - Dermabond

Dermabond is a special adhesive that allows you to connect the edges of the wound together. Dermabond is used to treat wounds on the face, arms, legs and torso. It can also be used for lacerations smaller than 1-3 centimeters.

Dermabond is not suitable for lips, lacerations near the joints, deep lacerations, and lacerations on the arms and legs. The doctor brings together the edges of the wound. Then he inflicts thin layer glue. Warmth may be felt when the adhesive is applied. Dermabond is applied in three layers. The wound is fixed in a fixed position for 60 seconds. The doctor may apply a bandage to the wound. In some cases, additional suturing is needed.

Note: The adhesive acts as a protective coating. It is not applied directly to the wound or between its edges. Never attempt to apply Dermabond at home on your own. Getting glue inside the wound can prevent proper healing.

Steristrips

This adhesive tape is used for small lacerations that:

  • Clean;
  • Have relatively smooth edges;
  • Edges can be easily closed;

The doctor brings together the edges of the wound, and then puts a strip of plaster on top.

seams

Stitches are used to treat deep, bleeding wounds that have jagged edges, or damaged fat or muscle. The wound area is treated with iodine, after which a surgical protective film can be applied. This will maintain sterility.

If the wound is deep and there is damage to the muscles, surgery may be necessary to stitch them together. This will restore muscle and tissue. Sutures used under the skin are resorbable by the body. They don't need to be removed.

If the wound is not deep, or suturing under the skin is completed, the edges of the wound are sutured. Once the wound is sutured, the surgical area is treated with saline. Can also be applied antiseptic ointment. A bandage or elastic bandage may be applied over the seam.

Staples

Braces are best for the scalp, neck, arms, legs, torso, and buttocks. The skin around the wound is treated with iodine. The edges of the wound will be brought together and aligned. Staples are placed along the wound.

doctor uses saline solution to clean the area around the wound, after which it is treated with an antibiotic ointment. It is recommended to apply a transparent film dressing, such as Tegaderm, or a regular gauze dressing over the treated wound. A bandage will be used to protect the wound.

3

How long will the wound treatment take?

It depends on the type of laceration. The procedure can take from 15 minutes to an hour or more.

Will it hurt?

Soreness also depends on the type of wound. Severe lacerations will be very painful. The decision to use anesthesia is made by the doctor.

Wound care

In the hospital

After the procedure, staff can provide the following assistance:

  • Provides painkillers and antibiotics;
  • A blood test is performed. This is done most often after a bite or dirt getting into the wound;
  • The tetanus vaccine is given.

home care

When you return home, follow these steps to ensure a normal recovery:

  • Be sure to follow your doctor's instructions, such as:
    • Avoid strenuous activity;
    • Take antibiotics and painkillers as directed;
  • Ask your doctor about when it is safe to shower, bathe, or expose the surgical site to water:
    • If you need to keep the wound area dry, wrap it in a plastic bag while showering;
    • After a shower or bath, pat the wound dry without rubbing. In addition, no need to apply hydrogen peroxide or iodine. This will lead to tissue damage and slow healing.

Removal of material covering the wound depends on its type:

  • Dermabond falls behind on its own after 5-10 days;
  • Steristrips are usually removed in 5-10 days;
  • The stitches will be removed after 5-14 days;
  • Staples are removed after 5-10 days.

Note: Do not attempt to remove material covering the wound. Removing it on your own can lead to infection, scarring, or open wounds.

After healing of lacerations, scars may remain. The degree of scarring depends on the following:

  • Predisposition to the formation of scars (keloids);
  • Location, type and size of the wound;
  • The skill of the doctor.

Poor wound care, scratches, infections can lead to poor healing. If appears noticeable scar, for decreasing appearance scar can be used plastic surgery.

Communication with the doctor after treatment of a laceration

After returning home, you should consult a doctor if the following symptoms appear:

  • The wound reopens;
  • redness, warmth, swelling, discharge, or heavy bleeding at the site of the wound;
  • signs of infection, including fever, chills, or red streaks on the arms or legs;
  • Any other questions.

A lacerated wound is a traumatic injury soft tissues as a result of the tearing effect of any blunt mechanical damaging factor.

For most people, there is no significant difference between wounds. However, from the point of view of medicine, and traumatology in particular, between various wounds there is a huge difference. This difference primarily depends on how long the wound takes to heal, and what potential complications are expected during the healing period.

Slightly digressing from the topic, I would like to note one very important thing, understanding which it becomes clear why one wound heals quickly, and the other for weeks, or even months.

There are two main types of wound healing: healing by first intention and healing by secondary intention.

Healing by primary intention- this is the most favorable type of wound healing, in which the edges of the wound are even, close to each other and, when in contact, fit snugly against each other. There are no blood clots, infection or bleeding in the wound. In this case, the edges of the wound seem to stick together themselves. Wound healing by primary intention occurs within 7-10 days from the date of its receipt. After its healing, there is no rough scar and any serious complications. A typical example of such healing is a cut wound, for example with a knife or blade.

Wound healing by secondary intention- this is a type of wound healing, in which the edges of the wound are uneven, far apart from each other. The healing of such wounds usually occurs as if from the inside by gradually filling with young tissue. This tissue is discussed in detail in the article wound granulation. The duration of healing of such wounds is long and varies greatly depending on the size of the wounds. It can reach several weeks and even months and in most cases ends with the formation of a rough keloid scar. A typical example of such healing is any laceration.

What is a lacerated wound, and what are its features of healing?

The wound is called mechanical injury, in which damage occurs either to the skin or mucous membranes. In the vast majority of cases, the wound is characterized by a violation of the integrity of the skin. human body. A typical example of a torn is a rupture of the skin and deep tissues when they are overstretched, for example, when a limb gets stuck in any mechanisms or a rupture of the perineum during childbirth, and so on.

As a rule, the wound at the same time has uneven edges with many hemorrhages and necrosis of the edges of the skin. Without treatment, such a wound heals by secondary intention, i.e. for a long time, often accompanied by suppuration and in most cases leaves behind a rough scar.

There are two main methods of treating lacerations.

1) conservative method- it consists in performing banal dressings until the wound is completely healed. The wound heals by secondary intention. This type of treatment is acceptable only for small lacerations. In this case, the wound is most often treated with a 3% solution of hydrogen peroxide, its edges are smeared with iodine or alcohol, and a bandage with an antibacterial ointment is applied to the wound itself, for example, Levomekol ointment. This is discussed in more detail in the publication on ointments for rapid wound healing. With extensive lacerations, the duration of treatment is delayed and is fraught with the complications described above. That is why a different type of treatment is used to treat such wounds, such as:

2) Surgical treatment of the wound. The essence of this method of treatment is as follows. depending on the size of the wound or local anesthesia, or under anesthesia, torn and uneven edges of the wound are cut out with a scalpel (or, more correctly, excised) within healthy tissues. In this case, the edges of the wound become smooth and even, when they approach, the edges of the wound fit snugly against each other. Per additional information refer to the PST material of the wound (primary debridement). Most often, after surgical treatment of lacerated wounds, they are sutured with sutures applied to the skin, after which, in the absence of complications, they heal much faster, on average in 7-10 days (wound healing after surgical treatment occurs by primary, not secondary intention).

In conclusion, I would like to note that, regardless of the size of the laceration, with the exception of very small ones, the most favorable method treatment in terms of recovery and prevention of complications - surgical treatment of the wound. Moreover, the likelihood of complications directly depends on the timing of its implementation. To paraphrase the above, we can say the following - the earlier the surgical treatment of the wound is performed, the fewer complications are expected in the future and the Great chance its healing in terms of up to 10 days without the formation of rough scars.

That is why, in the presence of any lacerated wound, it is necessary on the very first day from the moment of its receipt to contact either the trauma center, or the duty surgeon or traumatologist, depending on the profile medical institution to which you are applying.

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