Which factor does NOT increase the time required for wound healing?

• A. Hematoma
• B. Accurate wound approximation
• C. High tension
• D. Dead space

Answer: (B)

Efficient wound healing hinges on proper wound closure and minimizing conditions that disrupt tissue repair. Accurate wound approximation brings the edges together, reduces dead space, and stabilizes the wound bed, which promotes faster epithelialization and organized collagen deposition. In contrast, a hematoma fills the wound with clotted blood and separates tissue planes, high tension at the closure compromises perfusion and can cause dehiscence, and dead space allows fluid accumulation and increases infection risk. So, accurate wound approximation is the factor that does not increase healing time—it actually speeds healing.