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close this bookSurgery for Victims of War (ICRC, 1998, 225 p.)
close this folder9. TREATMENT OF NEGLECTED AND MISMANAGED WOUNDS
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View the documentSURGICAL EXCISION
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(introduction...)

Many patients arriving at hospitals in war zones have wounds which were inflicted more than 24 hours previously, and some have wounds that are many days old. Some of these wounds will have received no treatment other than inadequate dressing, some will have had cursory excision and dressing, and some will have been sutured, generally without any form of excision. All these wounds require excision, and all sutured wounds, no matter how clean they appear, must have their sutures removed.

Remove all sutures from previously sutured wounds.

Delayed treatment (of wounds more than 24 hours old) or mismanaged wounds pose special management problems.