Primary closure

Primary closure place of healing in the hours after the application. Primary closure is designed for wound healing by primary intention. In those cases, when no such healing (when crushed, bruised, bacterial contaminated wounds), the imposition of primary closure threatens dangerous infectious complications. Therefore frequently it is applied at the completion acepting surgical operations, as well as accidental cut wounds of the face without signs of pollution (see the Wound, injury). Imposes primary closure doctor; the nurses for the rapprochement of the wound edges must use a bloodless ways (see the surgical Sutures). Only at small (I and II degrees) breaks the perineum during childbirth primary closure may impose a midwife; these wounds, despite the fragmentary character, usually heal without complications.