Getting that Foot and Head Wound Closed

Getting that foot and head wound closed

Peri and postoperative treatment plans aim to result in:
• Ensuring that underlying conditions such as malnutrition, neoplasia or infection are controlled or treated and do not adversely affect wound healing.
• Wounds are closed with minimal tension.
• Dead space beneath the wound is reduced or eliminated.
• Wound contamination or infection is treated and suture material that will create undue inflammation is avoided.
• Healing of skin onto underlying structures as soon as possible, thereby relieving tension on, and improving circulation to the wound edges.
• Adequate wound drainage.
• Except in locations such as the head, application of padded, absorbent bandages for at least 7 days after surgery.

Reconstructing wounds of the head
Reconstruction of the forehead following tumour removal should be undertaken carefully, especially when a skin defect is created close to the upper eyelid. Closure with minimal tension using techniques that result in primary intention healing with little risk of contracture of the eyelid should be employed whenever possible. Large skin deficits of the forehead may be closed using a V-Y advancement flap based between the ears, or a rotation flap from between the ears or using loose skin from the side of the face. […]