Wound Healing

Abstract

Many neuromodulators have a background in pharmacology and physiology, but little understanding of the surgical principles that guide postoperative management. Wound healing is an intricate and spontaneous phenomenon that results in a desirable outcome when allowed to proceed in the normal fashion. When the skin is broken, the natural process of wound healing is initiated. The classic model of wound healing occurs in several ordered and overlapping phases: (1) hemostasis, (2) inflammation, (3) proliferation, and (4) remodeling. While this process takes place, the tissue must be held in apposition until the healing mechanisms provide the wound with sufficient strength to withstand stress without mechanical support. This chapter discusses the basics involved in wound healing and what it means to the implanting and managing physician.