Method | Description | Use Case |
Primary Closure | Direct stitching of the wound edges together. | Small, clean wounds that can be easily brought together without tension. |
Closure by Secondary Intention | The wound heals naturally without surgical closure. | Small wounds that can heal from the inside out, though it may result in larger scars and longer healing times. |
Negative Pressure Wound Therapy (NPWT) | Uses a vacuum-sealed dressing to create negative pressure, promoting healing. | Wounds that benefit from reduced edema, increased blood flow, and stimulated granulation tissue formation. |
Skin Graft | Transplanting skin from a donor site to the wound. | Wounds that cannot be closed directly but have a healthy enough bed to support a graft. |
Dermal Matrices | Bioengineered scaffolds to replace or support the dermis. | Replacement or support of damaged or missing dermis, promoting cell regeneration. |
Local Flaps | Tissue adjacent to the wound is used to cover the defect, keeping its blood supply. | Larger or more complex wounds where skin grafts might not be successful. |
Regional Flaps | Tissue harvested from near the wound site, still connected to its blood supply, to cover defects. | Covering defects that cannot be closed by simpler means, utilizing nearby tissue segments. |
Distant Flaps | Tissue from a different part of the body, transferred to the wound area. | Complex wounds not adjacent to usable tissue, requiring microvascular techniques to reattach blood vessels. |
Free Flaps | The most complex method, transferring tissue along with its blood supply to the wound, requiring microvascular surgery. | Large or complex defects needing not just skin but possibly muscles, nerves, or bone reconstruction, especially when other methods are not viable. |
Reconstructive ladder
Kommentare