Surgical wound classification is an incredibly important topic for anyone in the operating room!

When an operation is done, one thing that every surgeon needs to be able to do is classify the wound.


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How do you classify surgical wounds? What is the difference between a clean wound and a clean/contaminated wound?

Why do we need to know about wound classification? How is wound classification related to surgical site infection?

What is the incidence of surgical site infection based on wound classification?

We're going to cover a ton of questions today in this discussion on surgical wound classification! As a surgeon you're going to make wounds and those wounds have a risk of getting infected with a surgical site infection.

It's important to know how to classify wounds so you know what that risk of infection may be AND it may change your management of wound closure.


Check out these AMAZING timestamps and fast forward if you need to:

Start 00:00
References 01:34
Clinical Cases 02:26
Clean Wounds (Type 1) 03:37
Clean Contaminated Wounds (Type 2) 05:35
Contaminated Wounds (Type 3) 07:15
Dirty Wounds (Type 4) 08:26
Review Paper - 11:11
Summary 13:21

REFERENCES
Sabiston Textbook of Surgery - https://citizensurgeon.co/Sabiston
Center for Disease Control Wound and SSI Definitions - https://citizensurgeon.co/CDCwounds
ACS NSQIP Wound Paper - https://citizensurgeon.co/NSQIPwounds

ANSWERS
13y with acute appendicitis - contaminated
40y thyroidectomy - clean
56y melanoma - clean and clean

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The Miracle Morning by Hal Elrod - http://citizensurgeon.co/MiracleMorning
Atomic Habits by James Clear - http://citizensurgeon.co/AtomicHabits

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WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!

DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. Good luck and enjoy!

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