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Tech in Surgery Prep / Unit 3   TSC 067 worked example, 60 to 90 seconds

How Tissue Heals

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The idea

A wound heals through four overlapping phases: hemostasis, inflammation, proliferation and maturation.

In practice

Follow a surgical incision through them. First, hemostasis: vessels constrict and clotting stops the bleeding, and the clot forms a barrier against bacteria. Second, inflammation: vessels widen so white blood cells can reach the wound and clean it, which shows as swelling and redness. Third, proliferation, beginning within a few days: new epidermis covers the wound, fragile new tissue called granulation tissue fills it, new capillaries grow, collagen is laid down by cells called fibroblasts, and the wound contracts. Fourth, maturation: collagen keeps strengthening the wound, which often leaves a scar that softens and fades over time.

Where people slip

Healing is slower in older adults and in people with weakened defenses, and their infection risk is higher. A closed surgical incision heals by what is called primary intention, which unit twenty-six covers with the other ways wounds heal.

Your place on the trail

Every lesson rests on earlier ones and opens later ones. Tap any to jump.

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