Healing by Secondary Intention

Aka: Healing by Secondary Intention, Secondary Healing

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II. Indications

  1. Prolonged delay between Laceration and treatment
    1. See Laceration Repair
  2. Minor soft tissue amputations without bone loss
  3. Less than 1 cm square in size
  4. No significant volar pulp loss
  5. If unsure
    1. Temporize with management below
    2. Arrange follow-up and possible graft in 1-2 days

III. Management

  1. Cleansing
  2. Debridement
  3. Healing by Secondary Intention
  4. Dressing Changes
    1. Twice daily for 2 days after injury, then daily
    2. Apply tube gauze and petroleum jelly
  5. Anticipatory Guidance
    1. Recovery in 2-3 weeks

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