Primary intention wound healing is defined as which of the following?

Primary intention wound healing is defined as which of the following?

• A. Wounds left open to heal from inside out
• B. Wounds created with aseptic technique and then closed as soon as possible with suture, staples, tape or adhesives
• C. Wounds with tissue loss left open
• D. Wounds debrided and left to heal slowly

Answer: (B)

Primary intention healing occurs when a clean surgical wound is created under sterile conditions and the wound edges are brought together and closed promptly with sutures, staples, tape, or adhesives. This deliberate edge-to-edge closure allows the wound to heal by direct epithelialization with minimal tissue loss, resulting in rapid healing and minimal scarring and a lower infection risk. In contrast, wounds left open to heal by secondary intention have tissue loss or contamination, so they heal from the inside out with granulation tissue, contraction, and a longer, more visible scar. Leaving a wound to heal slowly after debridement without primary closure would not describe primary intention. The described approach—aseptic technique followed by prompt closure with a fastening method—best fits primary intention healing.

Primary intention healing occurs when a clean surgical wound is created under sterile conditions and the wound edges are brought together and closed promptly with sutures, staples, tape, or adhesives. This deliberate edge-to-edge closure allows the wound to heal by direct epithelialization with minimal tissue loss, resulting in rapid healing and minimal scarring and a lower infection risk.

In contrast, wounds left open to heal by secondary intention have tissue loss or contamination, so they heal from the inside out with granulation tissue, contraction, and a longer, more visible scar. Leaving a wound to heal slowly after debridement without primary closure would not describe primary intention. The described approach—aseptic technique followed by prompt closure with a fastening method—best fits primary intention healing.