1. Complications of wound healing

2. Hemorrhage
Blood dyscrasias or extensive malignancies or in alcoholics with cirrhosis patients

3. Hematoma
Localized collection of blood underneath tissue

4. Hypertrophic scars
Occurs when there is excess production of collagen tissues
Inappropriately large, red, raised and hard
Remains confined to the wound edge
Regress in time

6. Keloid formation Is an even greater protrusion of scar tissue
Extend beyond the wound edge
Tumors – like masses
They are permanent without any tendency to subside.
Pain, tenderness and hyperesthesia (increased sensitivity)
Scar can be excised but tend recur

9. Contracture Excessive contraction results in deformity
Shortening of muscle or scar tissue results from excessive fibrous tissue formation
Mainly seen in burns

12. Wound dehiscence
Separation and disruption of previously joined wound edges
Occurs due to – infection (may cause an inflammatory process)
- obese individuals – adipose tissue interfere with healing

14. Wound Evisceration Protrusion of wound contents
Occurs when wound edges separate to the extent that intestines protrudes through the wound

15. Adhesions
These are bands of scar tissue between or around organs or tissues
Adhesions may occur in the abdominal cavity or between the lungs and pleura

16. Wound infection
It is a serious consequence of a common cause of delayed wound healing
Causes -Due to lack of blood supply, lack of oxygen, contamination or exposure to pathogens.

18. Clinical manifestions
Increased bloody drainage
Purulent drainage
Odor from wound and drainage
Erythema around the entire wound
Increasing pain
Fever
Leukocytosis- WBC count above the normal
General malaise

19. Diagnostic measure Swab culture of wound drainage
While obtaining the swab – remove the excess visible drainage first – then swab the wound bed

20. Surgical wound – 4th or 5th post op day inflammation is expected.
Fever, tenderness, pain, disability and increased WBC count
Pus discharge usually foul smelling and purulent – varied in color