Definitions

A wound is a break in the skin’s epithelial integrity with disruption of possibly deeper tissues, including dermis, fascia, muscle, and bone.¹⁰

Anatomy of the Human Skin

A wound can also be characterized in its complexity as this incorporates useful clinical information with implications for management.

A simple wound involves the skin and subcutaneous tissue, without significant tissue loss and any associated complications.

A Complex wound is associated with significant tissue loss or devitalization; communicates with viscera (e.g. fistula), body cavities (e.g. laparostomy), joints or prosthesis; or has associated injuries or paths leading to vital structures.

A complicated wound has suffered a secondary complication such as an infection, ischemia (flap necrosis), hematoma, or compartment syndrome.⁶