PROCEDURE 125 • Wound healing is a nonspecific response to injury. It involves the biologic processes of inflammation, collagen metabolism, and contraction in an overlapping, integrated continuum. Wound healing is divided into three phases: inflammatory, fibroblastic, and remodeling. The condition of the tissues and the mechanism of wound closure determine the relative duration of these phases and the end result of the healing process. • Sutures and staples must be completely removed to avoid further tissue inflammation and possible infection. • Timing of suture and staple removal depends on the following (Table 125-1): Table 125-1 • Timing of suture removal may be prolonged in patients with the following risk factors:
Suture and Staple Removal
PREREQUISITE NURSING KNOWLEDGE
Location of Sutures
Days Before Removal
Extremities, scalp, and trunk
7-14
Face
3-5
Palms, soles, back, and skin over mobile joints
10-14
125: Suture and Staple Removal
