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Phases of Wound Healing
The entire wound healing process is a complex series of
events that begins at the moment of injury and can continue for
months to years. This overview will help in identifying the
various stages of wound healing.
I. Inflammatory Phase
A) Immediate to 2-5 days
B) Hemostasis
- Vasoconstriction
- Platelet aggregation
- Thromboplastin makes clot
C) Inflammation
- Vasodilation
- Phagocytosis
II. Proliferative Phase
A) 2 days to 3 weeks
B) Granulation
- Fibroblasts lay bed of collagen
- Fills defect and produces new capillaries
C) Contraction
- Wound edges pull together to reduce defect
D) Epithelialization
- Crosses moist surface
- Cell travel about 3 cm from point of origin in all
directions
III. Remodeling Phase
A) 3 weeks to 2 years
B) New collagen forms which increases tensile strength
to wounds
C) Scar tissue is only 80 percent as strong as
original tissue
Authored by Dr. Tamara D. Fishman.
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