Which type is used for a clean wound closed with sutures?

• A. Primary closure
• B. Delayed primary closure
• C. Secondary intention
• D. Tertiary closure

Answer: (A)

Healing by primary intention occurs when a clean wound is closed with sutures. When the edges of a clean wound can be neatly approximated, closing it right away promotes rapid healing, minimal scarring, and a lower risk of infection. This is in contrast to healing by secondary intention, where the wound is left open to heal from the inside out, which takes longer and often leaves a larger scar. Delayed primary closure involves keeping the wound open for a short period to allow drainage or reduce contamination before closing, and tertiary closure is another term sometimes used for that delayed-closure approach. So for a clean wound that's closed with sutures, primary closure is the appropriate choice.