Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which risk is associated with a prolonged inflammatory phase in wound healing?

1. Risk of infection

2. Risk of surgical dehiscence

3. Risk of scarring

4. Risk of delayed epithelialization

The correct answer is: Risk of surgical dehiscence

A prolonged inflammatory phase in wound healing is primarily associated with the risk of surgical dehiscence. During this phase, the body's inflammatory response is activated for an extended period, which can lead to excessive tissue breakdown and delay in the formation of granulation tissue. If the inflammatory response persists, it can result in compromised tensile strength of the wound margins. This lack of adequate healing may contribute to the separation of the surgical incision, known as dehiscence. Additionally, the inflammatory phase is vital for clearing debris and pathogens; however, if it lasts too long, it can hinder the transition to the proliferative phase. This prolonged response may also increase the risk of further complications, making wounds more vulnerable to separation along the surgical line. Understanding the intricate balance required during the wound healing processes emphasizes the importance of managing inflammation appropriately to promote optimal healing outcomes.