RT Book, Section A1 Park, Chan W. A1 Juliano, Michael L. A1 Woodhall, Dana A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181057105 T1 Wound Care Complications T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181057105 RD 2024/03/29 AB Infection is suggested by pain, warmth, erythema, edema, and purulent drainage. While dehiscence can occur at any time, 7 to 10 days after repair, a wound is at its weakest (this also closely coincides with suture removal). Impaired wound healing, primarily from infection, medications (especially corticosteroids), foreign bodies, advanced age, poor nutritional status, diabetes mellitus, and peripheral vascular disease, contributes to dehiscence. Wound closure strips can be applied after suture removal and may reduce dehiscence. Some degree of scarring is inevitable, but not considered a complication of wound repair. This should be discussed with the patient or caregiver. Wound myiasis is infestation by fly larvae (see also Chapter 21) that invade necrotic tissue.