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