Primary Closure
Surgical closure of a wound by direct apposition of wound margins with sutures, without leaving the site to heal by secondary intention.
Full Definition
Primary closure in oral surgery refers to the technique of bringing the edges of an incision or wound together with sutures to achieve healing by first intention, minimising the open wound surface. It contrasts with secondary intention healing, where the wound is left open to granulate. Primary closure is the preferred approach following uncomplicated tooth extractions or cyst enucleations, provided adequate soft tissue is available without undue tension. Editors should be alert to the phrase 'primarily closed' in operative notes, ensuring it is not confused with 'primarily' used as an adverb meaning 'mainly'.
Usage
Usage note: Do not confuse 'primary closure' (surgical technique) with 'primarily' used as a general adverb. Operative notes should specify suture material and technique alongside the closure method.
In Context
- "The mucoperiosteal flap was repositioned and primary closure achieved using 3-0 Vicryl interrupted sutures." — Operative note
- "Primary closure was not possible due to tissue loss, and the wound was dressed and allowed to heal by secondary intention." — Discharge summary