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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. Aft
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
applied. The foreign body must be removed completely. After that, t
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
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