Post-surgical wounds healing by secondary intention
Surgical wounds left open or dehisced: care plan for secondary-intention healing.
What it is
Post-surgical secondary-intention wounds — wounds left unsutured or that dehisced after primary closure. They heal by granulation tissue formation and epithelial migration from the edges. Typical after abdominoplasty, pilonidal sinus excision, fistula and abscess procedures, and some oncology surgeries.
What it looks like in practice
3 real-world cases from clinics using Flaminal® — before/after photos, treatment protocol, and healing timelines.
Real clinical cases from the practice of partner clinics using Flaminal® in Uzbekistan. Patient personal data is not published.
Care principles
Exudate control
First 1–2 weeks bring heavy exudate; an absorbent dressing is needed. Step down to less absorbent options afterwards.
SSI prevention
Surgical site infection is the main complication. Topical antimicrobial regimen for the first 2 weeks, reassess per WUWHS.
Granulation protection
Atraumatic dressing changes. For overgranulation, reduce moisture or use a short topical corticosteroid course.
Nutrition and host factors
Protein 1.2–1.5 g/kg/day, vitamin C, zinc, glycaemia. Smoking is the leading modifiable factor delaying healing.
Flaminal®'s role
Flaminal® Forte fits the first 2 weeks — high absorbency, microbial-load control. Step down to Hydro as exudate falls and active epithelialisation begins. The atraumatic gel removes the main pain barrier of daily dressing changes.
Flaminal Forte
Heavy exudate.
Flaminal Hydro
Low exudate.
Studies
WHO Global Guidelines for the Prevention of Surgical Site Infection
World Health Organization · WHO · 2018
EWMA Position Document — Hard-to-heal wounds
European Wound Management Association · EWMA · 2008
On requestEffectiveness of Flaminal® in chronic wound management — systematic review
De Smet K. et al. · Journal of Wound Care · 2020
On request
Further reading
More on the manufacturer's site
Flen Health maintains a detailed topic page with clinical cases. Opens in a new tab.