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Medical Forum / General / General / April 2005

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Healing by first intent

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The Last Danish Pastry - 12 Apr 2005 21:57 GMT
Is there another word or phrase for "healing by first intent"?

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Clive Tooth
http://www.clivetooth.dk

Howard McCollister - 12 Apr 2005 23:32 GMT
> Is there another word or phrase for "healing by first intent"?

Primary wound closure.

HMc
David Rind - 13 Apr 2005 00:17 GMT
>>Is there another word or phrase for "healing by first intent"?
>
> Primary wound closure.
>
> HMc

I think of "primary wound closure" as something done by a doctor and so
not exactly synonymous. I would have thought "healing by primary
intention" would be the standard english medical phrase for what the OP
was asking about.

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David Rind
drind@caregroup.harvard.edu

Howard McCollister - 13 Apr 2005 02:11 GMT
>>>Is there another word or phrase for "healing by first intent"?
>>
[quoted text clipped - 6 lines]
> intention" would be the standard english medical phrase for what the OP
> was asking about.

"Primary intention" refers to apposition of the wound edges, IOW physician
closure of the wound...skin grafting at the time of the incision would also
fall into this category. The point is to minimize wound contraction, a
classic part of wound healing. Wound contraction is exacerbated in healing
by secondary intention, and this contraction contributes to unsightly
scarring and functional impairment in some cases such as across joints. In
some cases of a wound at high risk for infection, healing by *delayed*
primary intention is implemented, which generally refers to leaving the
wound open for a few days, debriding then closing the wound. Again, the
closure in this case is done by the physician to minimize wound contraction.

You could also call it "primary wound closure" or "delayed primary closure".
We're getting into semantics from the time of Halsted here.

HMc
Mark & Steven Bornfeld - 13 Apr 2005 17:56 GMT
>>>>Is there another word or phrase for "healing by first intent"?
>>>
[quoted text clipped - 22 lines]
>
> HMc

    I've seen wounds that were closed with good apposition of tissue edges,
but later break down, perhaps due to hematoma or infection, and wind up
granulating in.  In this case perhaps closure is primary INTENT, but
healing is by granulation (ie:secondary healing).

    Yeah, it's semantics ;-)

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

The Last Danish Pastry - 17 Apr 2005 22:00 GMT
> [snip]

My thanks to all those who contributed to this thread. Thank you.

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Clive Tooth
http://www.clivetooth.dk

 
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