1. Prepared by : Dr. Bareka Salah
Normal Wound Healing
Prepared by : Dr. Bareka Salah

2. Wound closure:
Primary closure
Delayed primary closure
Secondary closure
Tertiary
Phase of Wound Healing:
Inflammatory
Proliferative phase
Remodeling phase

5. Chronic Wound

6. Chronic Wound

7. Factors contributing to impaired wound healing
A. Local factors
B. Systemic factors
Arterial insufficiency
Venus insufficiency
Edema
Infection
Pressure
Radiation
Foreign material
Necrotic tissue DM
Malnutrition
Vitamin deficiency
Chemotherapy
Smoking
Aging
Steroids

10. Excessive Wound Healing
Keloids
Hypertrophic scars

13. Etiology
Histology
Treatment
Surgical excision
Z-Plasty
W-Plasty
Steroids
Silicon
Pressure garment
Laser
Interferon

14. Frostbite

16. Trench foot

17. Predisposing risk factors
Classification
Pathopgysiology

19. Treatment
Systematic antiprostaglandin agent
Re-warming
T.T
Analgesia
Dressing
Massaging X
Amputation
Antibiotics X
Adjuvant therapy: alpha blocker, free radical scavengers, thrombolytics
Steroids X
Debridement
Elevation
Late sequelae.
Topical thromboxane inhibitor