Primary (immediate) closure versus delayed closure for non-bite traumatic wounds within 24 hours post injury

Added August 12, 2013

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There is no randomised controlled trial evidence to suggest the best timing for closure of traumatic wounds within clinical practice.

Traumatic wounds presenting within six hours of injury and considered ‘clean’ by the attending surgeon have traditionally undergone primary closure (closure soon after patient arrives at health facilities) with the rest undergoing delayed closure as a means of controlling potential infection. This review assessed the impact of time to wound healing and adverse effects of primary versus delayed closure in acute non-bite traumatic wounds presenting within 24 hours post injury.