Abrasion and crush wounds | |
At first the wound have to be cleaned with tap water. Then the | |
wound | |
is covered with an alginate dressing and covered with an adhesive | |
tape, | |
which can be non-sterile. The next day, the wound is evaluated. After | |
the removal of the dressing, it is washed with tap water. The next | |
steps | |
vary by locations; the facial wound is covered with a hydrocolloid | |
dressing and other wounds need to be covered with multi-layered | |
dressings (i.e. , Plusmoist(TM) ). After the dressings change, the | |
patient removes and changes the dressings everyday. The goal of the | |
treatment is an exudate-free and fully covered epithelialization. | |
Exposure of the wound to sunlight should be avoided, because | |
ultraviolet | |
light enhances pigmentations of the wound scar. | |
A contaminated wound have to be cleaned after local anesthesia is | |
applied. The foreign body must be removed completely. After that, the | |
procedure described as above is performed. | |
Deep wounds with exposure of fat, muscles or bones, are also | |
treated in the same manner. | |
Case-1: A facial abrasion wound | |
primary condition | |
3 days after | |
10 days after | |
Case-2: Upper lip defect by dog-bite | |
primary condition | |
4 days after | |
11 days after | |
21 days after | |
46 days after | |
67 days after | |