Which type of wound is most suitable for primary closure?

A Contaminated wound

B Clean surgical incision

C Crush injury

D Infected wound

Solution

Correct Answer: Option B

The clean surgical incision is the most suitable type of wound for primary closure because it involves a controlled, sterile environment with minimal risk of bacterial contamination. This allows the wound edges to be approximated immediately, promoting rapid healing and reducing infection risk. In contrast, contaminated, crushed, or infected wounds have higher bacterial loads and tissue damage, increasing the risk of infection if closed primarily. Therefore, clean surgical incisions ensure optimal conditions for healing by primary intention.

Reference: Sabiston Textbook of Surgery, 21st Edition.

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